HomeMy WebLinkAboutX2020-0453 - Permitsaa,�r•agr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
'X2020--0453` COMB Permit . X2020-0453
Project No : 2466- t019
Issued Date : 08131/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0910112023 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 Holir`ays
Job Address: 3443 PACIFIC VIEW DR NB
Description: COMM (2) DETACHED TRELLIS STRUCTURES "HARBOR DAY SCHOOL" R�
Legal Desc.: IRVINE SUB LOT 463 BLK 96 POR OF LOT
Owner: HARBOR DAY SCHOOL Contractor. DPR CONSTRUCTION Architect: EAVES DAVID ALLEN �b
Address: 3443 PACIFIC VIEW DR Address: 4666 MACARTHUR CT #100 Address: 6924 E CALLE PRINCIPIA }�
CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 ANAHEIM CA 92807
Phone: Phone: 949-955-3771 Phone: 949-261-1001 State Lic:CO2546., h
Applicant: SHULMAN GINGER Con State Lie, 953749 Engineer: MASOOD ZEESHAN
Address: 5301 CALIFORNIA AVE
IRVINE, CA 92617
Phone: 949-7014163
Code Edit : 2016
Type of Construction:
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:
Valuation: $15,000.00
Building Permit Fee: $331.00
Plan Check Fee: $287.97
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0,00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $619.97
Lie Expire: 10/31/2020
Bus Lie: BT30042122
Lie Exp Date: 12/3112020
Worker's Compensation Insurance
Carrier: LIBERTY INS CORP
Policy No: WA766DO66943038
Expire: 09/0112020
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: I
Front: /
Left: I
Right: I
3arkina SDaCee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
PROCESSED BY:
ZONING APPROVAL: L'
GRADING APPROVAL: S�ZI-4
LO
Address: 316 SAINT VINCENT
IRVINE CA 92618
Phone: 949-261-1001 State Lic:S-005951
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
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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
$0.00 Fee Due at Permit Issuance : `,619.97
PUBLIC WORKS APPROVAL: E'
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER-BUILL ER DECLARATION
I hereby affirm under penalty of perjury that I'. am exempt from the Contractors' State License Law for the reeson(s) indicated below by the checkmark(s) I have placed next to the applh able items)
Clon 7031:5, Busi less and Professions Code: Any city or county that requires a permit to construct, aller,: improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
permit to file a sig ied statement that he oeshe is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter g (commencing with Section 7000) of Division 3 o'the Business and
fessions Code) or chat he or she is exempt from licerrsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant On a civil penalty of
more than five hundred dollars ($500).
I, as owner of the ofoperty, or my employees with wages as their sale compensation, will do (_,) all of or U portions of the work, and the structure is not intended or offered For sale (Sc Clan 7044,
Aness and Professions Code: The Contractors' State License Law does nol applyto an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements 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 vas not built or
roved forthe purpLse of sale).
1, as owner of the )roperty, am exclusively contracting with licensed Contractors to construct theproject7044. Business and Professions.Code: TheConlractors'.State .Lfcens,aLaw does not
Iy to.anowner of p cper ywho builds or improves thereon,: and whocontracts for the projects with a licensed Contractor: pursuant to the Contractors' Stale License Law).
I am exempt from licensure under the Contractors' State LicenseLawfor the following reason:
ny signature belo, I acknowsdgo that, except for my personal: residence.. in which.t must have resided. for at least one year prior to completion of the improvements covered by.this.pei nit, I cannot legal)
a structure that I Y,eve built as an owner-builderif it has notbeen constructed in its entirely by licensed contractors,t understand thatrcopy. of the applicable. law:' Section 7G44 of the:',',usiness and
cessions: Code, is � vailable upon request when this. application Is: submitted or at the, following Web site:http://www.leginfo.ca,govlci3i w6html.
iature.o€Property, )wner or Authorized Agent Date
hereby aflirr I rder r enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectialqrq��7ssss OD) of isi n.3. of the Business and Praf ssio. C nod - Icerse is in full force
?n f effect, License C ass License No Daley Contractor Signature "`°"'�"�!Z,
NORKERS' COMP _NSATION DECLARATION ((
SARMNG: FAILURE TO Se.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND MIL PINES UP TO ONE HUNDRED T dSANO DOLLARS (S•IDD,UNC:, N ADDITION TO THE
:0.iT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37Da OF THE LASOR CODE, INTEREST, ANC ATTORNEY'S FEES.
hereby of .rm under p =_nalty of perjury one of the following declarations:
I have and wdl 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 tabor Code, for lhi
lerfo)Tnarias of the wo, k for which this permit is issued. Policy No.
K, i h ve: and will naiutaf i 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 wor.:ers' compensatiol
nce carer and policy number are:
Policy Number
Date
ne of Agirt _ Phone#
certify tl.e:, ;t. the rerfarmance 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
if I sho. I'l h=coma subject to th Vola>ispensalvon provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
nature of Applicant o'
CIAtiP.710NREGAR,�Oi18TRUCTION LENDING AGENCY Datet�-(y/
areby affirm under penlyof:perjury that there is a construction lending agency for the performance of the work for which this penult 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 c xner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is correct.
I agree to comply vith all applicable city and county ordinances and state laws relating to building construction.
I authorize repress natives of this city or county to ante als identified pmo hot inwpect3on purposes.
nature of Prnnerty r wncr nr A„fl,en�ea e—,, :�"— _ .. . .. . . - . .. A_ T .R _ r \ . '[f iw . Am
r(fLARATION OF
MPLIANCE WITH CODE OF
ACTION DATE I RY '1-1 REGULATIONS PATO61 OF TITLE 40 AND ACMD RULE
P£RMITEXPIRED I I' I C315UBMITTEV ASBESTOS
PtNM11 fqNAL
ATEOF j�RF.STOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF I PnP OSEDDEtlITION.
OCCUPANCY ISSUED sr:uen ioc.
FOR OFFICE USE ONLY