HomeMy WebLinkAboutX2021-0280 - Permits�aMt'oa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II
' r 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2021-02
X 2 0 2 1 0 2 8 0 Project No : 0236-2021
Permit Counter Phone (949)644-3288
-4` Inspection Requests Phone (949)644-3255
P t,Yd,x Combination Type - CIP NO CONSTRUCTION NOISE Issued Date: 05/04/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510412024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. andON r§aATu®®ar0 _Q 6:00 p.m. No Work on Sundays or Holidays
Job Address: 799 VIA LIDO SOLD NB A 9 r'1 YS
Description: COMM REPAIR (E) STAIRS TO BEACH
Legal Desc.:
Owner:
CITY OF NEWPORT BEACH
Contractor:
BRYAN PACIFIC BUILDERS
Architect:
Address:
100 CIVIC CENTER DR
Address:
413 CALLE DELICADA
Address:
NEWPORT BEACH, CA 92660
SAN CLEMENTE CA 92672
Phone:
Phone:
714-360-4488
Phone: State Lic:
Applicant:
PRICE RICHARD
Con State Lic:
585047
Engineer:
Address:
Lic Expire:
02/28/2022
Address:
Bus Lic:
BT30066161
Phone:
9491633-7138
Lic Exp Date:
11/30/2021
Phone: State Lic:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation:
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $356.32
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: SIRIUS AMERICAN INS CO
Policy No: WC61613
Expire: 12/18/2021
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parkino Sag
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
Plan Check Fee :
Designer: PRICE RICHARD
Address: 32565 B GOLDEN LANTERN #364
DANA POINT CA 92629
Phone: 949-248-7138
Special Conditions: LIQUEFACTION & HIGH
DENSITY
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
PUBLIC WORKS I
PLAN CHECK BY:
Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $356.32
GRADING APPROVAL: - - 4POPOVAt 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
the
3he ro ess permit
nsoCode) or that hestatement
D she is exempt from Sicensure and the basis for licensed pursuant to the he lsions allegedfexe exemption. Any violation License
of Section 7031.5 (Chapter
by any applicant orva pith ermit m t subjection e0) ofcts the appl cant toivision 3 the a civil Business
I penalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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
apply 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:
e year prior to completion of the improvements covered by this permit, I cannot legally
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least on
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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 o Divi ion 3 of the Business and Pr es ns d d yJicease-is-irt-fullfiorce
and effect. License Class License No Date �ractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS )$100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
r'1 ' 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
a of the work for which this permit is issued. Policy No.
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
have and will airtipin workers
rance carrier an )cJcy number
ie of Agent
certify that, in the performance of the work for
. if I should become subject to the workers' co
Date
permit is �Iss� I shall not employ any person in any manner so as to become subject to the workers'
nrnvisinae ..ef- c ion 3700 of the Labor Code, I shall forthwith comply with those provisions. ,y
nature of Applicant ^J
CLARATION REGA ING CONS N NG
)reby 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
Ider'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 corr . _..
I agree to comply with all applicable city and county ordinances Tate la a Ing to building construction. �I
I authorize representatives of this city or cou enter t 'd'�ntified property for inspection purposes. 1 /`/
mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam
ACTION DATE BY ATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED u I wnrvu I I cU n3.ca 1 w--------------
PERMIT CANCELLED UEPA
PERMITFINAL ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF 11ui PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
Civil Code).
of
�faC D" �' Date�C