HomeMy WebLinkAboutX2020-1634 - Permits (2)rsloy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIII
.� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1
H Permit Counter Phone (949)644-3288
er Inspection Requests Phone (949)644-3255
Combination Type - SFP
II COMB Permit: X2020-16
6 3 4 Project No
Issued Date : 0712212020
Inspection Area : 5
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 07/2X2023 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: 3300 OCEAN BLVD NB
Description: SFR-RESURFACE DECK ON 1ST, 2ND & 3RD FLOOR W MULTI COAT CORP METAL LATHE WATERPROOFING (IAPMO UES 395) 1830 SF
Legal Desc.: RESUB OF CORONA DEL MAR LOT 6 BILK 139(AND NWLYII2 LOT 7 BILK 139
Owner: 3300 OCEAN LLC Contractor:
HOMEKEEP PLUS LLC
Architect: BAILEY DAVID
Address: 3620 OCEAN BLVD Address:
2324 SAN JOAQUIN PLZ
Address: 23183 LA CADENA DR #101
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92660
LAGUNA HILLS CA 92653
Phone: Phone:
9491946-4621
Phone: 949-573-1050 State Lic:CO27404
Applicant: BAILEY DAVID Con State Lic: 1053406
Address: 23183LACADENADR#101 Lie Expire: 0513112021
Lie: BT30072162
Engineer: f�
Address: NO CONSTRUCTION NOISE
LAGUNA HILLS CA 92653 Bus
Phone: 949-573-1050 Lie Exp Date:
0613012021
Phone: State Lie:
Code Edit : 2019 Worker's Compensation
Insurance
Designer:
Type of Construction: VB Carrier:
R31U Policy No:
EXEMPT
no employees
Address:
ON SATURDAYS
Occupancy Group:
Added /New sq.ft. Bldg: 0 Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions: HIGH DENSITY ;. � Ppgr®
N
No of Units : 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: X Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $20,000.00
Building Permit Fee: $395.00 Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $0.00 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:
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department - General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication :
$0.00 Refund Deposit $0.00
Disabled Access : $0.00
PNJ Plan Check:
$0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00 San Dist:
$0.00
$0.00
Building Green Fee : $1.00 Mechanical %:
$0.00 NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $396.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $396.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: MA.-
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 ftem(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 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
im roved 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
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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi.
Signature of Property Owner or Authorized Agent ,2Pate.
LICENSED CONTRACTOR'S DECLARATION ;
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7MCU of Division 3 of the Business and Pr estOUSO
e, and my license is in full force
and effect. License Class License No D Z.. Contractor Sign�kLr�
NORKERS' COMPENSATION DECLARATION l—J�\
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED(fOLLARS ($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. /�
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 th
)erfomrance of the work for which this permit is issued. Policy No.
JI 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' compensatiol
nsurance carrier and policy number are:
ier Policy Number Expiration Date
Na of Agent Phone If
2I rtify that, in the performance a 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 agree
.hat, f I should become sub' t to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant to J4 ZeJ
DECLARATION REGA I G ST-RUC--TION LENDING AGENCY J
hereby affirm under pe y of Fury t"t tFere 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
3y my signature below, I certi to
erty ach of the following:
I am the propowner o uthorized to act on the property owner's behalf.
I have read this application and the information I have pro ' ed is correct.
I agree to comply with all applicable city and county or ' a ces and state laws relating to building construction.
I authorize representatives of this city or county to ent r Pe above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent i Print Property Owner's or Authorized Agent's Name M E Date _ Z,
ACTION DATE BV OE �TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R ,UtAT,IONS PART 610E TITLE 40 AND A0MD RULE
PERMIT EXPIRED
UJJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLEO
UEPA
PERMIT EXTENDED
LJAQlVo
PERMIT FINAL
CERTIFIC4TEOF
OCCUPANCY ISSUED
-LZEl
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: