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HomeMy WebLinkAboutX2021-2084 - Permits,kwrr,� City of Newport Beach - Building Division rye. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 "V yam_. fi Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2021-2 Project No : 1804-2021 Issued Date : 08/0612021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/06/2024 OR PERMIT WILL BE INV. 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: 418 DAHLIA AVE NB Description: SFR - REMOVE/REPLACE DECK 200 SF *STOP WORK* (121-2294) Legal Desc.: CORONA DEL MAR BILK 332 LOT 20 Z Owner: SCHWEIGER M A Contractor: BRAMCO BUILDERS INC Architect: Address: 418 DAHLIA AVE Address: 13681 NEWPORT AVE #106 Address: .. CORONA DEL MAR, CA 92625 TUSTIN CA 92780 Phone: 9491923-0542 Phone: 949-439-0838 Phone: ' State Lic: \ Applicant: BRAMEL ROB Con State Lic: 820635 Engineer: � HERMAN RICH IL 1-N Address: 13681 NEWPORT AVE,8-106 Lic Expire: 08/31/2021 Address: 4854 MAIN ST TUSTIN CA 92780 Bus Lic: BT30050319 YORBA LINDA, CA 92886 .. Phone: 9491439-0838 Lic Exp Date: 04/30/2022 Phone: 714-777-3765 State Lic:S-003255 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: $15,000.00 Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $331.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,012.97 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: FLA013706 Expire: 02/25/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: I I� Left: I J Right: 13 king Space= $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: L ' APPROVAL TO ISSUE: ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,012.97 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) Bection 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 is 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 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). 11, 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 legally all 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.html. signature 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 f io of the Business and Professigns d my lic is in full force nd effect. License Class License No Date Contractor Signature e UORKERS' COMPENSATION DECLARATION 'ARNINC. FAILUR': TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENS-TICK, 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 I Lave andwill 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 egprrrfance of ti le 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 ie 0 Agent Date JI cerify that, in the performance @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 agree lat, it I should n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q^ z � ignature of Applicant Date _�U IECLARATION REGARDING -CONSTRUCTION LENDING AGENCY / hereby affirm under penalty of perjury that there is a construction lending agency for the perrormance 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 QDdmamces and state laws relating to building construction. I authorize representatives of this city or county tqk bove-id " d property for inspection purposes. 'ionature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name t ACTION DATE BY DECLARATION OF I REG ULATIONS PART0610 TIITLE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBEST05 NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 4L /I 7 (� ./I. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: 1. u 0)j a^cll N >, N U .it LU U U C N O C6 +- S1 ems= O L6 O O U O C 0 Ul m N U U5 a lu S' C tlJ LLI Oct9Q`� [� O O O a �� °� L!J 1- a 65 ai CD U) �5; PJ = m -M _ w © o o c 1]- c CO Co 0) N O N S 0 to O 0 U O U E �O�c��cU u.�?� .� "-' 0.0 .O 0 "Q Ifs S_1� S� O C •o �1 CD cv c� CO M " 35 -j rn m " a St z r C � tU �0 a ® O V yyO- A ti T CCS b 0 >i Q U CD � 7 d1 0O O S1 O p O ¢ o -� .� Q U Tt— VC4 QY1