HomeMy WebLinkAboutX2020-2324 - Permitswvrn4a City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII"III II COMB Permit: X2020-2324
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 2 4 Project No : 1863-2020
Permit Counter Phone (949)644-3288
". Inspection Requests Phone (949)644-3255
Issued Date : 10/1312020
Combination Type - SFP ELEC PLUM
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/14/2023 OR PERMIT WILL BE INVALID
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 Holidays
Job Address: 2054 E OCEAN FRONT NB
Description: SFR INTERIOR ALTERATION (-7 SF). INSTIL VACUUM TUBE ELEVATOR. RIR FR DOORSIWINDOWS WITH SINGLE SLIDER @ MBDRM DECK.
Legal Desc.: N TR 518 BLK D LOT 14
Owner:
MILLER FAMILY HOLDINGS LLC
Address:
838 SW 1ST AV #210
PORTLAND OR 97204
Phone:
503-241-9555
Applicant:
BENSON JEFFREY JAMES
Address:
234 BROADWAY
COSTA MESA CA 92627
Phone:
949-534-2724
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R311J
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: 0.2%
11 Construction Valuation:.
Building Permit Fee: $1,049.00
Plan Check Fee: $912.63
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$44.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
Contractor: TONY VALENTINE CONST INC Architect: BENSON JEFFREY JAMES
Address: 2435 E COAST HWY #2 Address: 234 BROADWAY
CORONA DEL MAR CA 92625 COSTA MESA CA 92627
Phone: 949-723-6449 Phone: 949-534-2724 State Lic*C032268
Con State Lic:
467553
Engineer: DEIHIMI AMIR
Lic Expire:
04/3012022
Address: 4400 CAMPUS DR
Bus Lic:
BT00021099
NEWPORT BEACH CA 92660
Lic Exp Date:
0212812021 ..
Phone: 949-752-1612 State Lic:C047283
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP INS FUND
Address:
Policy No:
1794693
Expire:
07101/2021
Phone:
INS
Building Setbacks
Rear: I No CONS
Special AREA
lJ
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Front: I t V
HLIQUEFACTION IGH DENSITY
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Left: I :-- - -
Right: I
N
WORK
Use Zone: Parking Spaces: 0-
Fire HazardN
`•Excise
Planning Dep'a1Gh1ADAY,
Fire Department
Tax:
Additional Fee:
$0.00
$0.00
Plan check Fee : &.25
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Tran''s : $0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee. $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$73.43
San Dist: $0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
Plumbing %:
$94.41
$0.00
11 TOTAL FEE: $2,223.72 Plan Check Fee : $958.88 Fee Due at Permit Issuance : $1,264.84
PROCESSED BY: L PUBLIC WORKS APPROVAL:
ZONING APPROVAL: i PLAN CHECK BY:
GRADING APPROVAL: 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, prior to its issuance, also requires the applicant for
is 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).
I, as owner of the property, or my employees with wages as their sale compensation, will do L) 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).
7 1, 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
ly 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).
A.Wm exempt from licensure under the Contractors' State License Law for the following reason:
qmy.Wgnature 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,
s ructure 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
ro essions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Co qly license is ' u11 force
nd effect. License Class License No Dat o ILContractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATON 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and will maintain 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
"prmance of the work for which this permit is issued. Policy No.
and will maintain 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'
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work 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 agre
I. if I should become subject to the ers' sation 919y@Nns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dated
CLARATION REGAP4W..e0NSTR=TION LENDI Y - •/I`
)reby 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 3097, Civil Code).
Ider's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
1 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 to enter t -identified prop r inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
L_I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LIEPA
PERMIT EXTENDED
LJAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLIT12���
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