HomeMy WebLinkAboutX2021-0389 - PermitswP� fitypf Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'Z Permit Counter Phone (949)644-3288
(R�
Inspection Requests Phone (949)644-3255 2 -D2 -1z -- ss Combination Type - SFP
COMB Permit: X2021-0389
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II
Project No : 0050-2021
Issued Date : 02/19/2021
o=ri'" ,S -f Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212012024 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: 201 07TH ST NB
Description: SFR - ADD'L SCOPE -WINDOW C/O, REPL WATERPROOFING ON ROOF DECK ESR -2701, RIR SIDING AT ROOF DECK (DELTA 1) ����®
Legal Desc.: EAST NEWPORT BLK 5 LOT 5
Owner: SACCHI ALBERT& BETTIE
Contractor:
OWNER/BLDR
Architect:
Address: 760 S MAPLE
Address:
AUTH AGENT:
Address:
MONTEBELLO, CA 90604
MICHAEL FISH
....
Phone: 323.728-7983
Phone:
562-941-4177
Phone:
State Lie:
•....•
Applicant: FISH MICHAEL
Con State Lie:
O/B
Engineer:
CHUNG JUN SUNG
V. • °
•
; • • • °
Address: 11127 GERBER AVE
Lie Expire:
Address:
15820 WHITTER BLVD #F
• • •
WHITTIER, CA 90604
Bus L'Ic:
-
WHITTER CA 90603
.
• e e °
Phone: 562-941-4177
Lie Exp Date:
Phone:
562-943-0847 State Lic:S-002766
Code Edit: 2019
Worker's Compensation Insurance
Designer:
m0000m
• m
Type of Construction: V -B
Carrier:
Address:
. • ° . ° °
° °. ° °
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
° °
Added /New sq. ft. Garage: 0
° • .
®° o
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /°
•
° ° ° ° °
• o
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $12,000.00
Building Permit Fee: $280.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$63.75
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:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $0.00
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:
$0.00
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 : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$9.00
TOTAL FE : $344.75
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance :
$344.75
PROCESSED BY:
PUBLIC WORKS AP ROVAL:
c
c
ZONING APPROVAL:
PLAN CHECK BY:
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)
action 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
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
Ifessions 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
more than five hundred dollars ($500).
I, 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,
3iness 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
movements 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).
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
Ay 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:
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 Iegalli.
I 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
Ifessions Code'"? yellailable upon request when������thJJJJJJ'ssssss������appli anon, s submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of ProoL"47wner or Authorized Agent %%" Date ,4 L l I� ZiJ l
`ENDED CQMT"CTOR'S DECLARATION
ireby affirm urider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 f Div!ion3 of the Business and Prof��5s��ggryry33s Code, and my license is in full force
1effect. License Class License No Date IZrs ( ContractorSignaturgm
)RKERS' C®11ZE!NSATION DECLARATION
INING!FAILURE TO SECURE 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
3T*& COMPENSATI0A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
REVyaffirm erjdej 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 lh
Vrmance of the work for which this permit is issued. Policy No.
_IlavB and wilt 44ain 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
carrierend policy number are:
.: Policy Number Expiration Date
(cert' y 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
t, should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da_ 2..���L�
CLARATION REG RDING CONSTRUCTION LENDING AGENCY '�°�—
ireby affirm under p rally 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:
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 countyrinter the above-iden d property for inspection purposes.
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DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED I I I L_I I SUBMITTED ASBESTOS NOTIFICATION
PERMIT EXTENDED UAQMD
PERMIT FINAL •7 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
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