HomeMy WebLinkAboutX2021-3007 - Permits+51�' City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u. Permit Counter Phone (949)644-3288
sD,z... Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3007
Project No : 0220-2021
Issued Date : 11/04/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412024 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: 1600 E BALBOA BLVD NB
Description: SFR *ADDITIONAL SCOPE* REMODEL (3) ADDITIONAL BATHROOMS
Legal Desc.: BALBOA TR EAST SIDE ADD BLK 25 LOT 12
Owner:
GALVEZ KRISTINA & OSCAR
Address:
1600 BALBOA BLVD E
NEWPORT BEACH, CA 92661
Phone:
562/686-1188
Applicant:
CARHARTT DEVELOPMENT INC
Address:
11511 GARFIELD AVE
SOUTH GATE CA 90280
Phone:
323-997-3282
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Building Permit Fee: $739.00
Plan Check Fee: $642.93
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,437.93
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CARHARTT DEVELOPMENT INC
Address:
11511 GARFIELD AVE
SOUTH GATE CA 90280
Phone:
323-997-3282
Con State Lic:
1038854
Lic Expire:
05/31/2022
Bus Lic:
BT30075117
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
3arkinc Snaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Address: 2026 W BALBOA BLVD STE &EC�®H
NEWPORT BEACH CA 92663
Phone: 9491500-7212 1State Lic:C019718
Engineer: GOUVIS GEORGEA :•eeoe
Address: 3831 BIRCH ST °
NEWPORT BEACH CA 92660 nmeemm mee•oo
Phone: 949-756-1525 State Lic:C-029211
Designer:No
Address:
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Special Conditions:
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Fire Hazard Zone:
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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
$52.00
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 : $1,437.93
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
6iness 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
)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 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
fly 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 Iicensure 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 legali)
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, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED GO94d1YACTOR'S DECLARATION
�rebyy affirm under Ilenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectrn_7000) f Div Sion of the Business an Professions Code, andmy license is in full force
J=ct. License Olass License No _P1 1 V Contractor i ature �L7�✓l /
)RKERS' COMPENSATION -DECLARATION --- -
WINe: 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
IPCF COMPENSA''JIQ4, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IreByr affirm Lp(19fpenalty of perjury one of the following declarations:
I•have and-wil 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
Mance of thewe* forwhich this permit is issued. Policy No.
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'
carrier -an
�Ip;licy number are:
• • • Policy Number Expiration Date
rtlfy 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 ogre
lot, if I should ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
igna
IECL
tt�ant
ARATION REGAAA ST TION LENDING AGENCY
hereby affirm under penalty of perju 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 ordinances and state laws relating to building construction.
I authorize representatives of this cit ntyto enter the above -identified property for inspection purposes. \. ,� �7 1 /( iz 1
Ivnarurw of Prnnwrty Owner or A rized Anent �" O"N� Print Prooertv Owner's or Authorize Agent's Name rlV l'�ndfl ,)I Date
DATE
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
yy L4ASBESTO5 NOTIFICATION IS NOT APPLICABLE TO