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HomeMy WebLinkAboutX2020-2400 - Permits�Hp.,4r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c:. y Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-2400 Illlllllllllllllllllllllllllllllllllllllllu II Project No : 1922-2020 Issued Date: 12122/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/23/2023 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: 2057 PORT BRISTOL CIR NB Description: SFR BLOCK WALL 6' X 48 LF, (7) CAISSONS (ON P/L) I h r i Legal Desc.: N TR 6623 LOT 66 "aV€ Owner: COLBURN GARRETT Address: 2057 PORT BRISTOL CIR NEWPORT BEACH, CA 92660 Phone: Applicant: SANCHEZ OSCAR Address: 644 N POPLAR ST ORANGE CA 92868 Phone: 323-718-5476 Code Edit: 2019 Type of Construction: VB 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: X Construction Valuation: $40,000.00 Building Permit Fee: $679.00 Plan Check Fee: $690.73 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 : $2.00 II TOTAL FEE : $1,364.98 i�' PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: C P R CONSTRUCTION INC Address: 1521 E MCFADDEN AVE STE B SANTA ANA, CA 92705 Phone: 714-558-6859 Can State Lie: 953682 Lie Expire: 0913012021 Bus Lie: BT30073813 Lie Exp Date: 12/3112021 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: CPWC14180 Expire: 0710112021 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: 10 Front: 20 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lie Engineer: BENAVIDES JOSE ALEXANDER Address: 6" N POPLAR ST #B ORANGE CA 92868 Phone: 714-984-3986 State Lic:C-072968 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 : $43.00 San Dist: $0.00 NMUSD Fee: $0.00 $273.69 PUBLIC WORKS I PLAN CHECK BY: Fire Department $46.25 Fire Inspection: -$0.6c $0.00 Fire Plan Rev $6.60 $0.00 Demolition Fee $0.00 Building Dept Adm 50.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,091.29 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 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 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://vvww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of a ury that I am Iic�nsad under provisions of Cha!jer 9 (commencing with Sectio 000 Divi 'on 3 f the Business and Pr es ens le, d my license is ' full force and effect. License Class I�— /� License No °lb LDkZ Date Z OContractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS J$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 unL;er pe.lalty of perjury one of the following declarations: 14�" 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 D="rforma oe of the woik for which this permit is issued. Policy No. te�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' compensatioi re carrier and policy number are: Policy Number Agent Date JI certify that, in the perforgra'ncq of the work for whicb_tJtis 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 .al, it i should become su 'act t t orkers' nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .igr,atur� of Appli-aI Date 2 Lp IECLARATION PEG RUCTION LENDING AGENCY nereoy affirm unrIPr p.nalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). euuers 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 prov' Is correct. I agree to comply with all applicable city and county o an s state laws to building construction. 1 1 I authorize representatives of this city or county a er th a v I ied property for inspection purposes. ^ 1 I�-P r-fR ✓ I ZL icnature of Prooertv Owner or Authorized AGe Print Prooertv Owners or Authorized AGent's Nam C) � 6, yv" 1 7 _ L Date., I ACTION DATE B DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL RE IATIONS PART 630E TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED UAQMD PERMITF/NAL CERTIFICATEOF OCCUPANCYISSUED 0I/26/ZZ 5'A-IM Qar oKv^ :..% LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: