HomeMy WebLinkAboutX2020-2950 - Permits�W,or,4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2020-2950
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 9 5 a Project No: 2347-2020
'.. Permit Counter Phone (949)644-3288
U _ Inspection Requests Phone (949)644-3255 Issued Date : 04121I20211
Combination Type - SFP Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/21/2024 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: 7 CRESTWOOD DR NB
Description: SFR REPAIR WATER DAMAGED ENTRY DECK, REDECK WITH DEX O TEX o
Legal Desc.: N TR 9860 LOT 34
Owner: BAIN NORMAN HAROLD
Contractor:
DECLARK CONSTRUCTION
Architect:
Address: 7 CRESTWOOD DR
Address:
206 NORTH BLUEROCK STREET
Address:
NEWPORT BEACH, CA 92660
ANAHEIM, CA
92807
Phone:
State Lic:
Phone: 949-300-5494
Phone:
714-615-0293
Applicant: DECLARK CONSTRUCTION
Con State Lic:
1009871
Engineer:
Address: 206 NORTH BLUEROCK STREET
Lic Expire:
12/31/2021
Address:
ANAHEIM, CA 92807
Bus Lic:
BT30069812
Phone:
State Lic:
Phone: 714-815-0293
Lic Exp Date:
0613012021
Code Edit: 2019
Workers Compensation Insurance
CALIFORNIA INSURANCE
Designer:
Address:
EARL ROBERT
2049 CENTURY PARK E
Type of Construction: VB
Carrier:
Policy No:
4607879502
LOS ANGELES CA 90067
Occupancy Group: R31U
Expire:
09101/2021
Phone:
213-553-4260
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
2
Building Setbacks
Rear: I
Special Conditions:
No of Stories:
Front: I
No of Units : 1
Left: /
Bldg Height: 0
Bldg Sprinklers: N
Right: I
Use Zone: Parkin spaces:
0
Fire Hazard Zone : N
Flood Zone: X
Construction Valuation: $5,000.00
Building Permit Fee: $161.00
Excise Tax:
$0.00
Planning Department
Plan Fee :
-
Fire Department
$46.25 Fire Inspection:
$0.00
Plan Check Fee: $140.07
Additional Fee :
Grading Bonds Fee:
$0.00
$0.00
check
Fair Share :
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
$0.00 Building Dept Adm
$0.00
Record Management: $6.00
Grading Permit Fee:
$0.00
$0.00
In -lieu Housing Fee :
Public Works Department-
General Service
$0.00
Energy Compliance: $0.00
Grading PC Fee:
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
CA Seismic Safety: $0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Disabled Access: $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $354.32
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$354.32
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK bY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
the 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
Professions 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
not more. than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
ffim roved for the purpose of sale).
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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 Iegall)
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ot]!edury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) fp isi 3 the Business and P fessi aea f en in II rce
and effect. License Class ��,/� License No Date Contractor Signature
JVORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, 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:
1 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 thi
3erfYbance of the work for which this permit is issued. Policy No.
and wil( maintain wo ers' 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'
CE a d Dolicv u er are. Jn
Number Exoiration Date
of
I certify that, in the perfor anc� of the k rml ' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should becomes j t d rk a lo) p vi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^'�
mature of Applicant D ��Z_ [J
CLARATION REG D O TRUCTION LENDING AGENCY
areby 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
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 corect.
I agree to comply with all applicable city and county rdi es s r olio to building construction. q /'�(� /I
I authorize representatives of this city or country tyfette t e a d tifi ro_ rtor inspection purposes. _ / 11 A� I ' \ / 11 / I t /_71,/
of
Owner's or Authorized AD
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 ❑ I SQEIIVII ED ASBESTCi3 NO (IPCATION TO
PERMITCANCELLED I UEPA
PERMIT EXTENDED QMD -
PERMITFINAL �A2f ASBESTO NOTIFICATI T P CA LE
CERTIFICATE OF PROPOSED IRIQN
OCCUPANCYISSUED ar.NAnn ra