HomeMy WebLinkAboutX2021-2072 - Permits�wrr,�R City of Newport Beach - Building Division "X2021-2072" COMB Permit: X2021-2072
,y 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1796-2021
F. n: Permit Counter Phone (949)644-3288 ® - )
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM INS - Issued Date : 0812012021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/20/2024 OR PERMIT WILL BE INVALID Z
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 Addresstt 412 HELIOTROPE AVE NB
Description:d DEMO SFR (2 BEDROOMS) 1200 SF
Legal Desc.< CORONA DEL MAR BLK 335 LOT 14
Owner:
GREWAL KRISPAL
Address:
412 HELIOTROPE AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
AGUILAR PALOMA
Address:
1220 S LYON ST
SANTA ANA, CA 92705
Phone:
714-724-0703
Code Edit
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:
TIGHT QUARTERS INC
Address:
2031 SOUTH ANNE STREET
SANTA ANA CA 92704
Phone:
714-557-7901
Con State Lic:
584915
Lic Expire:
01/31/2022
Bus Lic:
ST00003482
Lic Exp Date:
10/3112021
2019 Worker's Compensation Insurance
Carrier:
STATE COMP INS FUND
R3 Policy No:
9243055
0 Expire:
01/01/2022
0
Building Setbacks
Rear: /
Front: I
Left: 1
Right: /
Use Zone:
Parkins Spaces: 0
Valuation: $20,000.00
Building Permit Fee: $122.00
Plan Check Fee: $223.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,600.98
PROCESSED BY:
ZONING APPROVAL:
Architect:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
COSTA MESA CA 92626
Phone:
949-975-0123 State Lic.0O22162
Engineer:
Address:
Phone:
State Lic:
Designer:
Address:
Phone
Special Conditions:
Fire 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:
$152.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$0.00
San Dist :
$0.00
Mechanical %:
$0.00
NMUSO Fee:
$0.00
Plumbing %:
$10.98
Fire Department
$104.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$27.00
$265.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee : $327.00 Fee Due at Permit Issuance : $2,273.98
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)
'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
:he 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
Orofessions 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
-ot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 cf J.E 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 c` property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .,
,m exempt frc.T. licensure under the Contractors' State License Law for the following reason:
By my Signature belc,v 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 legall)
sell 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
Orofccsions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
S-gna�ure of Prnper'y Owner or Authorized Agent Date
,_IUF.N''SED CONTRACTOR'S DECLARATION
I herehy affirm )ihaer`ppnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section i f the Business and Profe 'c e, nd my license is in force
and effect. Uce,e Class License No Date Contractor Signature
ni C
WORKERS' COMIDENSATION DECLARATION
IIARNING: FAILURF 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS t$100,0001, IN ADDITION TO THE
COST OF OOMPENSPT'ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herebyaffirm urder prnalty of perjury one of the following declarations:
I 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 th
erformance of the work 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' compensatio
1 sure c. c rrf�r and policy, nj nber are:
Policy Number
Date
me of Ajent ""'-'
I certify that, in the pert rmance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
It, if I should becom s bjgcht he worker omp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I natu re of Applicant AA\\YY////�3__ 9�-n Date
:CLARATION REGA NSTRUCTION LENDING AGENCY
ereby 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, Ci it Code).
rider'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 and count ordina ee and state laws relating to building construction.
I authorize representatives of this city or count er h t ve-identifi ro ert r ins ection purposes. P Y Y P Y ti P P ��",� ` ,rJ ,y
mature of Prooertv Owner or Authorized Agent / Sl.rG tin
Property Owners or Authorized Agent's Name YN V-.r I �1/Y\Gr UA�Ly t
DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMITFINAL
CERTIFICATE OF D•
OCCUPANCY1551JED
D RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
AQMD
5&`5TO NrIFICATION IS NOT APPLICABLE TO
R POSEDNATLIR .; �.= Al,n
SIGNATURE: D 'il'�A �'CG_