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HomeMy WebLinkAboutX2020-1259 - Permitsrtielvq City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2020-1259 o{ „1= ... 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 2 5 9 p Project No : 0970-2020 tr �+�, . n. Permit Counter Phone (949)644-3288 v- ar Inspection Requests Phone (949)644-3255 `:' i�u+"' Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 0912912020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/30/2023 OR PERMIT WILL BE NVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays. or Holid rys Job Address: 2601 BLACKTHORN ST NB Description: SFR ADDITION 1167 SF "WORK IN PROGRESS" ova Legal Desc.: N TR 4893 LOT 90 Owner: WARNER CHRISTIAN Contractor: BRYAN PACIFIC BUILDERS Architect: Address: 2601 BLACKTHORN ST Address: 413 CALLE DELICADA Address: - NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92672 Phone: 714-272-1624 Phone: 714-360-4488 Phone: State Lic: Applicant: KENT ARTHUR Con State Lic: 585047 Engineer: AZARIAN BEHROOZ Address: 619 16TH ST Lic Expire: 02/28/2022 Address: 24182 LA HERMOSA HUNTINGTON BEACH, CA 92648 Bus Lic: BT30066161 LAGUNA NIGUEL CA 92677 Phone: 714-272-1624 Lic Exp Date: 11130/2020 Phone: 949-495-8822 State Lic:C-04173J ° Cade Edit: 2019 Worker's Compensation Insurance Designer: KENT ARTHUR Type of Construction: V-B Carrier: EVEREST PREMIER INS CO Address: 619 16TH ST Occupancy Group: R31U Policy No: 7600021134191 HUNTINGTON BEACH, CA 92648 - • - Added /New sq.ft. Bldg: 1167 Expire: 12/1812020 Phone: 714-272-1624 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear. 6' Special Conditions: No of Units, 1 Front: 20' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' - _ - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $208,800.00 Building Permit Fee: $3,037.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,186.00 Additional Fee : $0.00 Plan check Fee : $185.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $3,037.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $30.00 Grading Permit Fee: $232.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $146.16 Grading PC Fee: $195.00 Public Works Department - General Service $219.00 CA Seismic Safety: $27.14 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $664.00 Disabled Access: $0.00 PAN Plan Check: $129.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $212.69 San Dist: $994.00 Building Green Fee : $9 0 Mechanical %: $121.48 NMUSD Fee: $2,147.28 $0.00 lumbing %: $273.33 $0.00 TOTAL F E : $13,770.98 Plan Check Fee : $2,370.41 Fe e a mit Issuance : $11, 100.57 PROCESSED BY: PUBLIC WORKS PPROVAL: ZONING APPROVAL: v PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER-BU1L[. ER DECLARATION I hereby affirm urn er penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 3eGtlon 7031.5, Bus'. less and Professions Code: Any city or county that requires a.permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a sic ied statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Tofessions Code) or :hat he or she is exempt from lieensum and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hudred dollars ($500). ❑ as Owner of the pro ,erty, or my employees with wages as their sole compensation, will do U all of or ( 1 portions of the work, and the structure isnot intended or offered for sale (Section 7044, Business Ind Professions Cod.: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are no intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purp ,se of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of I roperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt frorr licensure under the Contractors' State License Law for the following reason: :y my signature belo i I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ell a structure that i gave built as an owner -builder K it has not been constructed in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 7044 of the Business and rofessiors Code, is available upon request when this application is submitted or at the following Web she:http:/lwww.ieginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTI ACTOR'S DECLARATION hereby affirm under jerralty of pegapter 9 ry that I am licensed under provisions of Ch(commencing with Section 700 ) b Div!. ion 3 of the Business and Prof ss' n5 icanse is in full force nd effec.. �iCense :lass /� & iS License No `d a G `f —i Date 2" iG Contractor Signature VORKERS' COMF ENSATION DECLARATION IARNING: rAILGR----TO S CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND' CIVIL FINES OP TO ONE HUNDRED THOUSAND DOLLARS W00,0001, IN ADDDION TO THE OSTOFCOMr6Ad 01 DAMAGES AS PROVIDED FOR IN SECTION 3706 of THe LAEOR cODe, INTEREST, AND ATTORNEYS Pees. hereby affirm under )enalty of perjury one of the fallowing declarations: 7 I hs-e pro will r aintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tha ftZnance of the w Irk for which this permit is issued. Policy No. ha i and Wil m: Intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatier isur " ce �amer ano policy number are: rerq_E'jLE: bbl,:tr(i 'f tuS:t2HF1-'E 49 PolicyNumber%�Gdl7'2/%�'-(f ( Expiration Date_(; �OZA lame of Agent BLt ' FTC- KQt ; i N;CPIZANCC A&ZL13(-11 Phone # '714 - $OCir ©'7. .S ]I certify that, in thf performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the warkers' compensation laws of California, and agrer Tat, if I should beco; : su lect/,two/ h orJce pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tignature-of Applicar y� 7 - - Dat� `-'7(%y Zr3 )ECLARATION REi , RDI O RRUUC�iIO LENDING AGENCY e hereby affmn under panal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). orders Name Lender's Address ly my signature beic ar, Icertify to each of the following: 1 am the propert, owner or authorized to act on the property owner's behalf. I have read this : ppfication and the information I have provided is correct 1 agree to comp) with all applicable city and county ordinances and state laws relating to building construction, I authorize repre :entatives of this city orcourr(y}pey# /a e-identipetl property for inspection purposes. 31onatum of Propert. Owner or Authorized Age r Print Properly_Owner's or Authorized Agent's Nam DATE INSTALLED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE LJ I SUBMITTED ASsEST05 NOTIFICATION TO EPA OMD ASBESTOS NOTIFICATION IS NOTAPPUCASLE TO PROP05ED DEMO SIGNATURE: 611 00' FOR OFFICE USE ONLY