HomeMy WebLinkAboutX2020-0145 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0145
`i 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 1 4 5 Project NO : 0117-2020
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC Issued Date:
Inspection Arearea :2020
7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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 Sun(ifrj "
Job Address: 3363 VIA LIDO NB i I ESP L 1��
Description: COMM (3363,3369,3377) FACADE UPGRADE. RELOCATE ENTRY DOOR, SIDING REPAIR, RPLC WINDOWS
Legal Desc.: TR 1117 LOT 4 AND 5 ALL -INC POR OF ALLEY ADJ-
Owner: FAINBARG ALLAN
Contractor:
HANZEL CONSTRUCTION
Architect:
BROWN LANCE G
Address: 129 W WILSON ST #100
Address:
312 BAGNALL
AVE
Address:
2901 W MACARTHUR BLVD #101
COSTA MESA, CA 92627
PLACENTIA CA 92870
SANTA ANA CA 92704
Phone: 949-722-7700
Phone:
714.394-3851
Phone:
714-427-0370 State Lic:C019698
Applicant: BEDDOW JEFF
Con State Lie:
955621
Engineer:
STANGER CRAIG
Address: 129 W WILSON ST STE 100
Lie Expire:
0313112021
Address:
2014 E WESTPORT DR #A
COSTA MESA CA 92627
Bus Lie:
BT30071271
ANAHEIM CA 92806
Phone: 949-722-7400
Lie Exp Date:
03131/2021
Phone:
714-778-6691 State Lic:S-003893
=
Cade Edit: 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-S
Carrier:
STATE FUND
Address:
Occupancy Group: B
Policy No:
9050207
Added /New sq.ft. Bldg: 0
Expire:
03/27I2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions:
No of Units: 0
Front: I
-
Bldg Height: 0
Left: I
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $45,000.00
Building Permit Fee: $691.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $601.17
Additional Fee :
$0.00
Plan check Fee:
$40.00 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: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $20.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.011
WQ Insp. Fee:
$0,00
Park Dedication :
10,00
Refund Deposit
$0,011
Disabled Access : $87.00
PAN Plan Check:
$82.50
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$96.74
San Dist:
$0.00
Building Green Fee : $2.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $1,620.41
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$728.17 Fee Due at Permit Issuance : $892.24
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
ie permit to file a signed 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
'rofessions Code) or that he or she is exempt from licensure 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 hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: 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 not 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 purpose 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 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 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 legall)
ell a structure that I have built as an owner -builder if 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) D' -Sion 3 of the Busines§fand Professions C my lice s in full force
nd effect. LiceLsa Class License No D�e Contractor nature•r
IfORKERS' COMPENSATION DECLARATION
'AROAG. FAILURL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSPTION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and wil; ,naintain 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 th
erformcnce of tte T,crk for which this permit is issued. Policy ND.
and will mantain 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'
carrisr and policy number are:
Policy Number
Date
e of Agent _ Phone #
s.t;.`y that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if should hee_come subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. i
lignature of Apcant
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3
Ender's Name Lender's Address
iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t/o enter t abo ntified property for inspection purposes.
lignature of Property Owner or Aut�Piiad Agent /-!/ �- Print Property Owner's or Authorized Agent'
Civil Code).
13
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LJEPA
PERMITEXTENDED
LJAQMD
PERMIT FINAL
CERTIFICATE OF
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SBESTOS NOTIFICATION IS N PPLICAB TO
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