HomeMy WebLinkAboutX2021-1370 - Permits„t«, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�I II COMB Permit: X2021-1370
w � 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 7 0 Project NO : 1208-2021
4, �; Permit Counter Phone (949)644-3288
fi Inspection Requests Phone (949)644-3255
`''rtra,r�+�`' Combination Type - BLDG PLUM
Issued Date : 07/12/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY U717 jj1 � PERMII WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:0 1 ,-Ny_,-A.�J�%�ir�an Sundays or Holidays
Job Address: 221 SAPPHIRE AVE NB
Description: DEMO DUPLEX 2330 SF (4 BEDROOMS) SEWER CAP INCLUDED o
Legal Desc.: BALBOA ISLAND SEC 3 BLK 9 LOT 27 �7
Owner: SAILHOUSE SAPPHIRE LLC Contractor: SAILHOUSE HOMES INC Architect: O�SQID ROLF
Address: 170 rp
NEWPORT EACH CA 926 0NEWPORT BEACH CA 922 60'I VINE
NEWPORT
260 Address: 260 Addre rt ,, CA 92618
Phone: Phone: 949.281.6045 O,�PP1dne: 949450-0093 State Lic:C019424
Applicant: SAILHOUSE SAPPHIRE LLC
Can State Lic:
1007531
Engineer:
Address: 170 NEWPORT CTR DR STE 260
Lic Expire:
09/30/2021
Address:
NEWPORT BEACH CA 92660
Bus Lic:
BT30036603
Phone: 949-450-0090
Lic Exp Date:
08131/2021
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-B
Carrier:
INSURANCE COMPANY OF THE WEST Address:
Occupancy Group: R3/U
Policy No:
WSD505264401
Added /New sq.ft. Bldg: 0
Expire:
12/29/2021
Phone:
Added /New sq. ft. Garage: 0
i1
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:.) b�r�L
No of Units : 2
Bldg Height: 0
Front: /
Left: I
DETI0
, L_
116[�dC 1p VA
lezi
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces!
0
Fire Hazard Zone : N
Construction Valuation: $13,000.00
Building Permit Fee: $122.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $223.00
Additional Fee :
$0.00
Plan check Fee :
$104.00
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 : $4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
: $0.00
Building Dept Adm
$27.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$265.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$1,692.00
Disabled Access : $0.00
PAW Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$10.98
$0.00
TOTAL FEE : $2,448.98
Plan Checl: Fee :
$0.00
Fee Due at Permit
Issuance :
$2,448.98
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
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)
iection 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
ie 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).
1 1, as owner of the 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,
usiness 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
iprovements 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
iproved 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
pply 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 from licensure under the Contractors' State License Law for the following reason:
y 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 legallt
911 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Division 3 of the Business and Pr fe ions e„ 2 d my license is in full force
nd effect. License Class License No Dat 2 Contractor SignatuI +�
/ORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 0U9AND DOLLARS ($100,000), IN ADDITION TO THE
OST 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:
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
mance 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
JI 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
iat, if I should become subject to the
/wgd/ ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i
signature of Applicant Date
)ECLARATION REGARD G CONSTRUCTION LENDING AGENCY
hereby affirm under per)alty 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).
ender's Name Lender's Address
ly 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 and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cou to ante he
signature of Property Owner or Authorized Agentt V -rM -�--�. Print Property Owner's or Authorized Agent's Name 1/ Date
DATE BY DECLARATION OF IREGULATIONS PPART0610 TIITLE 40 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED QMI)
PERMITFINAL ASBESTOS NOTIFICATION IS CT APPLICABLE TO
CERTIFICATEOF qJJ.� frr /,�yr� PROPOSED DEMOUTT
OCCUPANCYISSUED �1 1I'LI tJ// SIGNATLI /F(/