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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: -nPga, msm•m om°mo° V dote N Phone: gt�r,., p'('� �e ��� '" •" NOt ammm ommo ...... Special Conditions: DELTA 4 RF�1(21-1733 ® mmmmoo $�N y� ��ryry�� p�. �p r-F� MVi �ak'END m m mmmmca Fire Hazard Zone: o 0 N mmmomm eomm 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