HomeMy WebLinkAboutX2020-2719 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIII�I�IIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2719
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 7 1 9 Project No: 2167-2020
H Permit Counter Phone (949)644-3288
ii Inspection Requests Phone (949)644-3255
Issued Date: 11/23I2020
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/24/2023 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: 20371 BAY VIEW AVE NB
Description: SFR REFRAME ENTRY PORCH
AND CANOPY (100 SF)
Legal Desc.: N TR 1501 LOT 31
Owner: HOELSCHER SAM AND JENNIFER
Address: 20371 BAY VIEW AVE
Contractor:
Address:
OWNER/BLDR
HOELSCHER JENNIFER
Architect:
Address:
1
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NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone:
State Lic:
Applicant: HOELSCHER JENNIFER
Con State Lic: O/B
Engineer:
SHAHID MOHAMMED
Address: 20371 BAY VIEW AVE
Lic Expire:
Address:
5472 BOSWELL WAY
NEWPORT BEACH, CA 92660
Bus Lic:
SACRAMENTO CA 92660
Phone: 619-750-1230
Lic Exp Date:
Phone:
619-750-1230 State Lic:C-068553
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
'
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: REV20-1821
No of Units : 1
Front: I
COMB20-0443, COMB20-0366
Bldg Height: 0
Left: I
ELEC18-0223, ELEC78-0195
;
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $3,500.00
Building Permit Fee: $144.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $125.28
Additional Fee :
$0.00
Plan check Fee :
$46.25 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: $6.00
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: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$10.08
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$5.76
NMUSD Fee: $0.00
$0.00
Plumbing %:
$12.96
$0.00
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $361.33
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
TION
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
iR 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
'r ssions 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
re than five hundred dollars ($500).
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,
lulginess 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
nolpvements 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
ed for the purpose of sale).
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
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).
4111
Nm exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for y personal residence in which I must have resided for at least one year prior to completion of the improvements c vered by this permit, I cannot legall,.
ell a structure that I have built as an owner-bu er' has not been o structed in its entirety by licensed contractors. I understand that a copy of the applicable law Se tion 7044 of the Business and
'rofessions Code, is available upon request whe his plication is s itted o at the following Web site:http://www.leginfo.ca.gov/calaw.html. 2.�
signature of Pro(,erty Cwner or Authorized Age le
.ICENSED CONTRACTOR'S DECLARATI
t cm.)y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the I ess and Professions Code, and my license is in full Tome
nd effect. License Cass License No �al� Cont r Signature
VORKERS' COMPENSATION DECLARATION /l\'
'ARNING: FAILURE.TO S`"CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
JST Cr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
her,:Ly affirm under penalty of perjury one of the following declarations:
I have and, wile 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
enonnance of the work for which this permit is issued. Policy No.
have and will m&tain 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'
ranbe carrier Pnd policy number are:
Policy Number
Date
T�of Agent Phone#
certify that, 1n pe rmance 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 wo ers' compensation laws of California, and agre
L if I should be o u 'ect to the work rs' compensation rovisi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applica ,
CLARATION R GAR CONSTRUC N LENDING AGENCY
Ireby 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:
1 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 and county-widinances and state laws relating to building construction. I authorize representatives of this city or my n r the a o�-identi7fr'ed property far inspection purposes. -e
nature of Prooertv Owner or Authorized Alien 'c',.�' Y Print Prooertv Owner's or Aut/ 3rized Anent's Name Ho =z
ACTION
DATE
8Y
RATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE LINLY
/
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
UEPA
PERMIT EXTENDED
ZUAQMD
PERMIT FINAL
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CERTIFICATE OF
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PRO EM L N
OCCUPANCVISSUED
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SIGN