HomeMy WebLinkAboutX2022-1752 - Permitsi iokr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Paz a a` Combination Type - SFP
COMB Permit: X2022-1752 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No :
Issued Date : 06/23/2022
Inspection Area : 1
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
Jab Address: 1133 W BALBOA BLVD NB
Description: MFR REMOVE & REPLACE SIDING W/ SIDING
Legal Desc.: N TR 234 BLK 11 LOT 16
Owner: SISCO GEORGE WILLIAM
Address: 1133 W BALBOA BLVD
NEWPORT BEACH CA 92661
Phone:
Applicant:
J P T CONSTRUCTION INC
Address:
409 62ND ST
NEWPORT BEACH CA 92663
Phone:
714-336-1966
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $18,000.00
Building Permit Fee: $382.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $383.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
J P T CONSTRUCTION INC
Architect:
Address:
409 62ND ST
Address:
NEWPORT BEACH CA 92663
Phone:
714-336-1966
Phone:
Con State Lic:
879360
Engineer:
Lie Expire:
06/30/2022
Address:
Bus Lie,
BT30014788
Lie Exp Date:
01/31/2023
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
WESCO
Address:
Policy No:
WWC3520405
Expire:
04/07/2023
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading. PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Special Conditions: HIGH DENSITY
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNJ Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
State Lie:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $383.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
[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 (a)
(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 Iicensure 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).
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,
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
improved 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).
I am exempt from Iicensure 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'.hat 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 Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://wevw. leg info.ca.gov/calaw.html.
: iyi Iatul a of Prope-ty Jwner or Authorized Agent D e
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiO r
7 0 Divis' of the Business and Pro s " od , an my Tic se is in full force
and effect. Licerse Clcss License No Date Contractor Signature
6YCRKERS' COMPENSATION DECLARATION
NARNING: FAILURL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
LOS f 0, COMPENHATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
haieby affirm under penalty of perjury one of the following declarations:
ha,,e and wall 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
)rmance of the work for which this permit is issued. Policy No.
have and wil; mao.ain 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' compensa
:ante carrier a. d pc licy number are:
ier Policv NumYoer Exoiration Date
of Agent
I certify that, in the performance of the work
I. if I should become yubject to the workery
not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
1700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Apr 'ican Date:.\/
CLARATION REG D S CTION LE ING AGENCY
baby affirm under Pena of p�ec} ry that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, rcedify to each of the following:
I am the property owner or authorized to act on the property owner's
I have read this application and the information I have provided is cc
I agree to comply with all applicable city and county ordinances an -
I authorize representatives of this city or county to enter the ab
ACTION
PERMITCANCELLED
PERMITEXFENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
-a.
is relating to build nstructiol
property for i9rKVaQtjQn purposes.
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
EPA
ASBESTOS
TO
FOR OFFICE USE ONLY
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