HomeMy WebLinkAboutX2022-0034 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-0034
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 0 3 4 Project No : 1563-2021
s r� Permit Counter Phone (949)644-3288 -
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date : 2022 ru=`
Inspection Arearea : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0111012025 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: 5201 SEASHORE DR NB
Description: DEMO DUPLEX 8: GARAGE. 1868 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: OCEAN FRONT TR BILK 52 LOT 1
Owner:
THE GOALPOST TRUST
Address:
16000 VENTURA BLVD STE 900
ENCINO CA 91436
Phone:
Applicant:
GONTERMAN CONSTRUCTION
Address:
1842 PARK ST
NEWPORT BEACH CA 92648
Phone:
949-697-0746
Code Edit : 2019
Type of Construction:
Occupancy Group:
Added /New sq ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
$16 500.00
Building Permit Fee: $122.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,269.98
PROCESSED BY:
ZONING APPROVAL:
IT^
Address: 184 PARK ST Address: NO V('ry�tl-,
t' , EACH CA 92648 If appiiCB '9v�' 10n
f Ph'ane;'Prone: State Lic:
Con State Lic 858073 s : Engineer: ❑ 80% Or � � 00ol'o i . r I
Lic Expire 0413012023 i Address: ON V T�"'6GE�
Bus Lic: BT31048414 �� 4, rV yg
Lic Exp Date F,1 _ 0913012022 ` y°�, Phone _ to whom. S��°
Worker's Compensation Insurance Designer:
Corner. STATE COMP INS �e-
W
o49259520�08I2212022 i ig ti.3 e
Bcks Rear: I r ecia onditions: JD DEMO
Front. I TO HAUL DEBRIS
Left: I
Right: / ,m.,o-a .a _ -_ A
/`r1O wOrkFSiWA4)nt
Exci eT
$Q.0
(WOftoe tarted
lanningDepartment-
r Fee:
50.00 Fire Inspection:
Addi ono ee :
Plan check
Grac ng Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Grad g,,Qq(sultant:
$0.00
SJH Trans:
$0.00 Demo"
Grad 114ee
- ee :
0.00 Building Dept F
Grad igPCFee:
$0.00
Public Works Department-
tnsR!Rn"Oimi�
WO Isp. Fee'
1152.00
P n---------
Refund Deposi
Elect ..
.00
San Dist: $0.00
Mechanical %:
$0.00
NMUSO Fee: $0.00
Plumbing %:
$10.98
Plan Check Fee
: $0.00 Fee
Due at Permit Issuance
PUELIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPRCVAL TO ISSUE:
5697.0hie
2.Y:..
00 1 w a
$0.00
$0.00
$0.00
$2,269.98
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by me checkmark(s) I have placed next to the applicable Rem(s)
otion 7031.5, Business and Professions Code: Any city or county mat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
fessions Code) or that no or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 7091.5 by any applicant for a permit subjects me applicant to a civic penalty of
more then five hundred dollars ($500).
I, as owner of ftfe property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess, 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
rovements are not intended or offered for sale. It, nowever, the building or improvement Is sold Within one year of completion, the Owner-Bullder will have the burden of proving Nat It was not built or
roved 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
ry 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),...
J 1 am exempt from licensure under me Contractors' State License Law for the followin re
3y my signature below I ac us ave resided for at least one year prior to completion of the improvement
yell a structure t ave ullt a5 an owner-builtler if it h not h9e const etl in As enffrety by licensed contractors. I understanq t at d copy Of the applicable law,
°rotessions Coo is available upon request when [ors a xitstJr,a�N I SrEuC/mltt or at me following Web site:hCpYAVw.S�imo�¢ �y.htm.
3lgnature of Pro riy OOuuyynnggr,r,��ggg�y( onzetl Agent l� '•'F'h'
ACENSED CO TRA&78H'�D' �'1 .f rtnp/ rp#� �11
hereby attlrm u er penalty of perjury that I am licensed under provisions of Chapter-9 (commencing ) fh Septic 7 on gis(r9if11.the115u9i11eSA aY19'Profes n
,nd effect.. Lice a Class — ':UcenseWo - Dal 2 2 Contractor Signatur
VORKERS' C� PE ATION DECLARATION
ARNING: FAILURE T SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN LM1IPLOYER MIlttu flt,CNIL FINES NP c v ^rnzum s�
.OsT OF COMPENSA O! O GES AS PROVIDED FOR IN SECTION 171GOF THE LABOR CODE, INTEREST, AND ATTOR NETSTO- IlV
hereby affirm ofrperjury one of the folio ring dedwations: -
3 1 h IK.. ntam a certificate of consent to self -insure for Workers compensation, issum. by the Director of moustnal Relations as provided for by Sei
ertBor to avorK for wNcll this permit is tssuJdoflClmldo, _.
�I have and writ1� aintam workers' compensation Insurances, as required try Section 3700 of the. Labor Code, for me performance of the work for which this permit
Tsurance carver a policy number are
lamer 10. -'S _ Policy Number :- -- _ --- - Expiration Date
Jame of Agent ----'4 Phone #
:1I c2rtity Al. IIn
erformance of me work forwhich this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' C
hat, R I shouldba 5ubjec t0 the workers' Compensation provisions of Section 3700 of the ode alLforinwith cow ty wit se i o
Signature of Ap— - a
)ECLARATION C ST N A
hereby atrm ae "uty t ns ct ending agency for the performance of me ork fora c1]�iIliS.p�5tab (Section 3097, Civil
oender's Name Lender's Address7�W IK Jtdl LG3y my signatuhecertify to each o t oI am the piowner or authored to act on the property owner's behalf.
I have read.plication and the information I have provided is correct.
I agree to cowMf �ticable city and court on inan t IonI author ze ra ives of Ihls c or coun to ter a identified property for inspection purposes. Sp n1' �w`Signature of ProOwner or Authorized Agent [�onzeFl Agent's Narhe' - r lE
ACTION DECLA;;;;;;
HC - - "-'--"-
ANOAQMDRULE
1403
PERMIT EXPIRED I SUATIONTO
PERMIT CANCELLED
PERMIT EXTENDED QMD
PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFIC47EOF P•;UPOSCD DEMO•'InN _.
OCCUPANCYISSUED S'GNATI.l e _
of the Business and
license is in full force
(f100,000), IN AOORION TO THE
of the Labor Code, for
My workers'
of California, and
1 /5/2022