HomeMy WebLinkAboutX2021-1237 - PermitsU'.
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1237
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 2 3 7 Project No: 1199-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date
Combination Type - BLDG Inspection Area
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 304 JASMINE AVE NB
Description: BLOCK WALLS, ALL INSIDE THE PROPERTY LINES, EAST SIDE WALL 6 X 79 LF & 3.5 X 20 LF, WEST SIDE WALL 6 X 83 SF & 3.5 X 20 LF
Legal Desc.: CORONA DEL MAR LOT 4 BILK
237 NELY 20 FT(AND SWLY 20
FT LOT 6 BLK 2 37
Owner: DANZ
Contractor:
REEVES CONSTR
Architect:
Address: 774 MAYS BLVD #10368
Address:
245 FIS
245 FISCHER AVE
Address:
INSPECTOR
INCLINE VILLAGE NV 89451
COSTA MESA CA 92626
Phone:
Phone:
714-640-3700
Phone: State Lic:
'
Applicant: CORBIN REEVES CONSTR
Con State Lic:
721515
Engineer:
Address: 245 FISCHER AVE
Lic Expire:
04/30/2022
Address:
COSTA MESA CA 92626
Bus Lic:
BT30057133
Phone: 714-540-3700
Lic Exp Date:
01/3112022
r�,�,� TIC I 1 T �c}&d p,.'r^1 C
I N&CONS !RUC' !ION ll'N V I S G -
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
Type of Construction:
Carrier:
OAK RIVER
Address:
Occupancy Group: U
Policy No:
MAWC128935
Added /New sq.ft. Bldg: 0
Expire:
0212312022
Phone: C N Gs A �p g t^y ry'i/
SA DA
Added /New sq. ft. Garage: 0
YJ %
°
No of Stories: 0
Building Setbacks
Rear: 5
Special Conditions:
°
No of Units : 0
Front: 20
Bldg Height: 0
Left: 3
-
Bldg Sprinklers:
Right: 3
Flood Zone: X
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $17,000.00
Building Permit Fee: $365.00
Excise Tax:
$0.00 Planning Department - Fire Department
Plan Check Fee: $317.55
Additional Fee :
$0.00 Plan check Fee :
$46.25 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: $2.00
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:
$0,11 Park Dedication :
$0,00 Refund Deposit
$0,10
Disabled Access: $0.00
P/W Plan Check:
$0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee: $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $731.80
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $731.80
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
ie 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
7 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
pply 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:
ly 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 Segall)
ell 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
'rofessions Code, E cvailable upon request when this application is submitted or at the following Web site:http://wwvr.leginfo.ca.gov/calaw.html.
signature of Propely Owner or Authorized Agent Date
;LENSED CQMTRACTOR'S DECLARATION �
hereby affirm Hnoer oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' n 700 of Division 3 of the Business and,REpfessio �eA and ieense.i�in full force
nd efrect. License Class License No Da Contractor Signat e
PORKERS' COMPENSATION DECLARATION
IAPNINP, FAILURE rU SLGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
lu.�y affirm finder 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
ry FUUT,ance of the work for which this permit is issued. Policy No.
ka and w;ll 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
ranbe carrier and policy number are:
ter Policy Number Expiration Date
ie of Agent Phone #
certify that, in the performs a of the wor Frwhich 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
if I should become su t hew W compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (C��
Iaturre off Appll J ',e
i fir_ rnuc�iirTinu i crinurr nrcrery
hereby 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)
ender's Name Lender's Address
y 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 provided is correct.
I agree to comply with all applicable city and county ordingpces and state laws relating to building construction.
I authorize representatives of this city or coup to enf n above -identified property for inspection purposes.
ionature of Prooerty Owner or Authorized ADe t I / Print Pronertv Owner's or Authorized ADent's Na�KC
ACTION DATE BW DECLARATIOWOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE
��1�4'0I3
PERMIT EXPIRED L_L I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED I I I UAOMD
PERMITFINAL f_�3 JWV� V t UASBESTOS NOTIFICATION 15 NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
FI