The URL can be used to link to this page

Home My WebLink AboutX2020-0360 - Permits��y,wrrkr City of Newport Beach - Building Division *r 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 :t Inspection Requests Phone (949)644-3255 tS Crr�xr+' Combination Type - SFP COMB Permit: X2020 Project No: 0251-2019 Issued Date: 06/1012020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. PROJECTS MUST BE COMPLETED BY 06/11/2023 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: 2201 WATERFRONT DR NB Description: SFR -DETACHED TRELLIS (B SF) (DELTA 3) REV20-0228. REVISED FOUNDATION SHORING WALL@ GARAGE Legal Desc.: TR 682 LOT 42 POR OF LOT Owner: IWB HOMES LLC Contractor: Address: 3419 VIA LIDO Address: NEWPORT BEACH, CA 92663 Phone: 949-230-0601 Phone: Applicant: JACOBS DONALD PAUL Con State Lic: Address: 309 POPPY AVE Lic Expire: CORONA DEL MAR CA 92625 Bus Lic: Phone: 949-285-3200 Lic Exp Date: Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: OWNER/BLDR Architect: JACOBS DONALD PAUL Address: 309 POPPY AVE CORONA DEL MAR CA 92625 Phone: 949-285.3200 State Lic:C006483 O/B Engineer: LU TA-WEI Address: 411 E HUNTINGTONDR#107-370 ARCADIA CA 91006 Phone: 626-462-9302 State Lic:C-064216 2016 Worker's Compensation Insurance V-B Carrier: U Policy No: 0 Expire: 0 Building Setbacks Rear: 10' Front: 16' Left: 4' Right: 10' Construction Valuation: $0.00 Designer: Address: Phone: Special Conditions: Building Permit Fee: $359.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $708.00 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: $290.26 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $63.72 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,071.00 Plan Check Fee : $1,071.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: 4yJC.P�V1 Lr �V`- PLAN CHECK BY: ZONING APPROVAL: 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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-Builderwill 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). ❑ 1 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, I cannot legal, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Professio s gode, d my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSIJ D 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. 1 hereby affirm under penalty of perjury one of the following declarations: 111 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 performance 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' Farce carrier and policy number are: Policy Number Expiration Date Agent WE rtify that, in the performance of the 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 agre la if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant IECLARATION REGA DING CONSTR TION LENDING AGENC hereby affirm under penalty of perjury t t there is a construction Winding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address 'y my signature below, I certify to eachlof 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 and state laws relating to building construction. I authorize representatives of this city or county toenter the above-j¢gntified property for inspection purposes. OF COMPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 PIFTITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ' PERMITCANCELLEO 0EPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED �z'�i-0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: