HomeMy WebLinkAboutX2022-0768 - Permitsw,•„� City of Newport Beach - Building Division 'X2022--0768` COMB Permit: X2022-0768
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s�l�f�tJ7 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 1741-2021
W l% Permit Counter Phone (949)644-3288 _
Inspection Requests Phone (949)644-3255
I `°� 4 S P � Issued Date : Area
: 2022
Combination Type - BLDG � iii977 6..a Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/16/2025 OR PERMIT WILL BE INVALID
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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
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Job Address: 3909 MARCUS AVE NB
Description: MFR BLOCKWALL 101' LINEAR FOOT & 80' LINEAR FOOT OF 6' HIGH (MAX) WITHIN PROPERTY LINE (MARKERS ONSITE). CITY STANDARD 313 DETAIL.
Legal Desc.: CANAL SECTION LOT 4 BILK 339(AND SELY 8.5 FT LOT 5 BLK 339
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Owner:
VOSS W B TR VOSS FAMILY TR
Address:
2623 VISTA ORANADA
NEWPORT BEACH CA 92660
Phone:
Applicant:
GONTERMAN CONSTRUCTIONIISA13ELLA
Address:
502 30TH ST #A
NEWPORT BEACH CA 92663
Phone:
949-697-0746
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation:_
Contractor:
GONTERMAN CONSTRUCTION
Address:
1842 PARK ST
NEWPORT BEACH CA 92648
Phone:
949-697-0746
Con State Lic:
858073
Lic Expire:
04/30/2023
Bus Lic:
BT30048414
Lic Exp Date:
09/30/2022
2019 Worker's Compensation Insurance
Carrier:
STATE COMP. INS
U Policy No:
9259518
0 Expire:
0812212022
0
Building Setbacks
Rear: /
Front: 2014
Left: 3
Right: 3
A011AE Use Zone:
Parking Spaces: 0_
Building Permit Fee: $348.00
Plan Check Fee: $302.76
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $705.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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Architect: SMITH BRADFORD
Address: 425 30TH ST #22
NEWPORT BEACH CA 92663
Phone:
949-631-3682 State Lic:C014146
Engineer:
RUIZ THOMAS
Address:
11 THORNBIRD
ALSO VIEJO CA 92656
Phone:
State Lic:C-058627
Designer:
Address:
Phone
Special Conditions:
Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
m
„ rn
M
' p
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $705.76
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
SEC
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 U all of or U 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
improved 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
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).
❑ I am exempt L�io Iicensure under the Contractors' State License Law for the following reason:
By my signature LDclm: 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 legally
cell a rt�ucture 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 COUP, is available upon request when this application is submitted or at the following Web site:http://www.leginfO.Ga.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I f.erety affirm erd ?^natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of i ' io gftthe Business and Profession an icense is in full force
zna effect. License Class License No Date ontractor Signature
:1'OR:<ERS' 0WAPENSATION DECLARATION
Urm" 1'O: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOL ARs I$100,000I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
affirm under ponalty of perjury one of the following declarations:
I hale 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
`ovmance of,the wul,k for which this permit is issued. Policy No.
have 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' compensal
Trance carrier and policy number are:
Policy Number
of Agent
Date
certify 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 agre
if I should become subjbjgrj�ttttto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of ApplicantDa p:%<
:I ARATIn IJ PPrd PMI - rrYkQTPI IrtTl(1N I FNrIINr ArPMrV
:reby affirm under penalty 2LIoenw6 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city andcounty ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter �b/o�e-identified property for inspection purposes.
nature of Prooertv Owner or Authorized Aoent /X Print Prooertv Owner's or Authorized Anent's Name x
ACTION DATE BY DECLARA
N OF REGULATIONS PPA T0MPLIANCE WITH CODE OF 61 OFTIT E40AN AQMD RULE AL FOR OFFICE USE ONLY
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
LIAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
1 ti
SBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMO IV
SIGNATURE: X ,,F�i//
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