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HomeMy WebLinkAboutX2022-0016 - PermitsCity of Newport Beach - Building Division *X2022-0016* COMB Permit: X2022-0016 100 Civic Center Drive, Newport Beach, CA 92660 Project ND : 0017-2022 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255[� !� �'^ r,� �3Combination I `4�S P TE n 4 Issued Date : 01/04/2022 Type - BLDG PLUM Y Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110412025 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: 3512 OCEAN BLVD NB Description: DEMO SFR (5 BEDROOMS) 7214 SF fy Legal Desc.: RESUB OF CORONA DEL MAR LOT 5 BLK 141 AND LOT 6 BLK 141 LJ Owner: 3512 OCEAN LLC Contractor: NICHOLSON CONSTRUCTION CO Architect: Address: 1 CORPORATE PLAZA STE 110 Address: 1 CORPORATE PLZ #110 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-872-6637 Phone: Applicant: GLASS NANCI Con State Lic: 660295 Engineer: Address: 1 CORPORATE PLAZA DR STE 110 Lic Expire: 12/31/2022 Address: NEWPORT BEACH, A 92660 Bus Lic: BTS8032850 Phone: 714-865-4465 Lic Exp Date: 04/30/2022 Phone: Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 2019 Worker's Compensation Insurance Carrier: STATE FUND U Policy No: 9074255 0 Expire: 10/0112022 0 Building Setbacks Rear: / Front: / Left: / Right: / Construction Valuation: $25,000.00 Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE : $2,600.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Designer: Address: Phone: State Lic: DUCA PETE J 3840 E COAST HWY CORONA DEL MAR CA 92625 949-675-4487 State Lic:C-024668 Special Conditions: CE02021-076 CERT MAIL RECEIPTS ATTACHED Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant : $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $152.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: ... C O" Ill $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,600.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 he 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 iot more than five hundred dollars ($500). 1, 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, 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 roved for the purpose of sale). mp 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 ipply 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 licensors under the Contractors' State License Law for the following reason: 3y my signa:L,c'oelow 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 legalh ;ell a structcr� 'pat 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 'r6lassions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 316-lature cf PrcFe.Yy Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affim, under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Sectio 0) of Division 3 of the Business and Pro 1 ns Code, and my "s s -s in full force Ind effect. se Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION WARNING: FARIDSE; TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE IN ;JST OF COMPEN'.' ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i;ereby affirm under penalty of perjury one of the following declarations: 3: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 thi Vance of4he work}or which this permit is issued. Policy No. V C�� orRer3-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' compensatior 17brance Larrie-r a, id policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shag not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre t, if I should becorn s/yblso to thew Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _]L �� Date 1-4-22 CLARAT10N REGA D G CONSTRUCTION LENDING AGENCY Ireby 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). ider's Name Lender's Address my signature below. I certify to each of the following: 1 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. 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