HomeMy WebLinkAboutX2022-0114 - PermitsCity of Newport Beach - Building Division
"X2022-0114` COMB Permit: X2022-0114
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
Proect No : 0129-2022
(949)644-3288)Inspection Requests Phone (949)644-3255
(9)
Combination Type - BLDG PLUM
Issued Date : 01120/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112012025 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: 630 VIA LIDO NORD NB
Description: DEMO SFR (3 BEDROOMS) 2017 SF
Legal Desc.: N TR 907 LOT 61
0
Owner: KRUSE DANIEL Contractor:
MUR-SOL BUILDERS,
INC Architect: 'Cr
IN
Address: 630 VIA LIDO NORD Address:
119 E JOSEPH ST Address:
NEWPORT BEACH, CA 92663
ARCADIA, CA
91006
Phone: Phone:
626-447-0558
Phone: State Lie:
Applicant: SEBASTIAN SEAN Con State Lie: 997510
Engineer: P.H. DURAND, JR. „� •- ,
Address: 119 E ST. JOSEPH ST Lie Expire:
10/3112022
Address: 375 C MONTE VISTA AVE • -
ARCADIA, CA 91006 Bus Lic:
BT30067305
COSTA MESA CA 92627
Phone: 949-514-9294 Lie Exp Date:
05131/2022
Phone: 949-642-9309 State Lic:C-058364
Code Edit : 2019 Worker's Compensation Insurance
Designer:
Type of Construction: Carrier:
STATE COMP
INS FUND Address:
Occupancy Group: R3/U Policy No:
9212692
Added /New sq.ft. Bldg: 0 Expire:
0612012022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0 Building Setbacks
Rear: /
_
Special Conditions: LIQUEFACTION.
No of Units : 1
Front: I
nXA,'�: L, V-JeC:(!�'1 V
Bldg Height: 0
Bldg Sprinklers:
Left: /
Right: /
Flood Zone: Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $25,700.00
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
PAN Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00 Mechanical %:
$0.00
NMUSD Fee: $0.00 $0.00
Plumbing %:
$10.98
$0.00
TOTAL FEE : $2,449.98
Plan Check Fee
: $0.00 Fee Due at Permit Issuance : $2,449.98
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: I
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) 1 have placed next to the applicable iteTiit )
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stmcture, 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).
2 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,
lusiness 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
nprovements 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
nproved for the purpose of sale).
6 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).
J 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, 1 cannot legally
ell 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 thi p is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html.
;ignature of. property Owner or Authorized Agent _ i Date 1/19/2022
10ENSED CONTRACTOR'S DECLARATIO
neleby affim, unde: penalty of peq'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ien pd my license is in full force
nd effect License Class B- General License No 997510 Date 10L31 /22 Contractor Signature. /
VCRKERS' COMPENSATION DECLARATION
ARNING: FA LVRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,OW ), IN ADDITION TO THE
03T OF COM?ENS ITION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES.
hareby affirm under penalty of perjury one of the following declarations:
have d wiltmaintain 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
Ezmend
of the work for which this permit is issued. Policy No.
ve 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'
Ice cane- and policy number are:
State Compensation Insurance Fund Policy Number 9212692-21 Expiration Date 6/20/22
of Agent Phone#
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
if 1 should become subject tc dpe,,wprkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
1/19/2022
hereby 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).
ender's Name Lender's Address
y my signature below, 1 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. Sean Sebastian O.b.O.
I authorize representatives of this city or county te�r,�!pL@ 6v -identified property for inspection purposes. Mur-SDI Builders, Inc. 1/19/22
ignature of Property Owner or Authorized AgentPrint Property Owners or Authorized Agents Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED QQ 4QM0
PERMITFINAL ASBESTOS NOTIFICATION IS NOT A�P�P/LIBLE TO
CERT(F1C9TE OF IZ..I/ PROPOSED DEMOLITION/' �S�YA OCCUPANCYWUED i i cirmayl iRP. `—v/ %