HomeMy WebLinkAboutX2021-0262 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Counter Phone
Permit (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
COMB Permit: X2021
Project No : 0284-2021
Issued Date : 04/2612021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/26/2024 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: 14 SURFSPRAY BLUFF NB
Description: SFR -REPLACE FRENCH DOORS W/LA CANTINA/ADD PATIO COVER 170 SF AND REPLACE FRENCH DOOR W/LA CANTINA BI-FOLD
Legal Desc.:
Owner: KAIN ZEEV 8 TATIANA
Contractor:
BUHR GLEN D GEN CONTR INC Architect:
Address: 14 SURFSPRAY BLUFF
Address:
335 LA MESA
AVE Address:
NEWPORT BEACH CA 92657
ENCINITAS CA 9204
Phone: 9491975-9247
Phone:
760-944-9702
Phone: State Lic:
Applicant: BUHR GLEN
Con State Lic: 723929
Engineer: VAHDAT SIAMAK
Address: 335 LA MESA AVE
Lic Expire:
06130/2022
Address: 4000 BARRANCA PKWY #250
ENCINITAS CA 92024
Bus Lic:
BT30046329
IRVINE CA 92504
Phone: 760/525-4768
Lic Exp Date:
02/25/2022
Phone: 949-654-0858 State Lic:C-065255
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
WESCO INS CO Address:
Occupancy Group: R31U
Policy No:
WC990001C
Added /New sq.ft. Bldg: 0
Expire:
08/20/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: LANDSLIDE AREA
No of Units : 1
Front: I
Bldg Height: 0
Bldg Sprinklers:
Left: I
Right: I
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Flood Zone: X
Use Zone:
Parkin Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $60,000.00
Building Permit Fee: $889.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $773.43
Additional Fee :
$0.00
Plan check Fee : $0.00 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 :
$826.56
SJH Trans : $0.00 Demolition Fee
Record Management: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$181.44
Public Works Department - General Service
$0.00
CA Seismic Safety : $7.80
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 %:
$62.23
San Dist: $0.00
Building Green Fee : $3.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,757.46
Plan Check Fee
: $773.43 Fee Due at Permit Issuance : $1,984.03
PROCESSED BY:
_
_
PUBLIC WORKS APPROVAL: �/-
ZONING APPROVAL: \�.\/y.,
PLAN CHECK BY: �I r
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
1e 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
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
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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal)
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 this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
lignature 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 7000)of Division 3 of the Business and Profession ode / license is in full force
nd effect. License Class License No Da t 4 -Z Contractor Signature) / A �4
VORKERS' COMPENSATION DECLARATION \ '
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TTIOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'DST 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:
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 the
e rmance 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
A certify that, in the performance of the work forwhich 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 agrei
iat, if I should become subject,fo th wor!('c�[ys/c9/gn'pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant / % / !/ '' Da e V_ Z-& - Z4
IECLARATION REGAPt�I G CONSTRUCTION LENDING AGENCY
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
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 an st laws relating to building construction.
I authorize representatives of this city or county to an t abo -i if'ad property for inspection purposes. /� �l
lignature of Prooertv Owner or Authorized Anent V Print Prooertv Owner's or Authorized ADent's Nam" V r t eh (5QWZ_ Date
ACTION
DATE
BY-
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERM)TEXPIRED
_
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT C4NCELLED
_
LIEPA
PERMIT EMENDED
0AQMD
PERMITFINAL
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: