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Home My WebLink AboutX2019-3045 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3045 100 Civic Center Drive, Newport Beach, CA 92660 SPRINKLERSXX2 019 33 0 4 54 Project No : 2120-2019 Permit nter Phone Inspection Requests Phone)644-3288 (9 9)644-3255 FIRE Combination Type - BLDG PLUM� E /,��Issued Date : 09/2412019 REQUIRED Inspection Area : 1 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 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: 1608 E BALBOA BLVD NB CA Seismic Safety: $0.00 Description: DEMO (PARTIALLY BUILT) 3316 SF, 5 BEDROOM SFR & ATT/ GARAGE ' $0.00 �� $1.00 $0.00 Legal Desc.: $0.00 Owner: 1610 EAST BALBOA PARTNERS Contractor: SHORELINE DEVELOPERS Architect: OLDHAM RYAN Address:: 1800 CENTURY PARK E#800 Address: P O BOX 551 Address: 2651 E. CHAPMAN AVE #110 LOS ANGELES CA 90067 NEWPORT BEACH CA 92661 FULLERTON, CA 92831 - Phone: - Phone: 949-697.3993 Phone: 714-482-8296 State Lic:CO29715 Applicant: SHORELINE DEVELOPERS Con State Lic: 890871 Engineer: Address: POBox 551 Lic Expire: 01131/2021. .'Address: p� Phone: NEWPORT BEACH CA 92661 949-697-3993 Bus Lic: BT30041079 Lic Exp Date: 1 013 112 01 9 Phone: tG�'/NS • RU� TION NOISE !V� m m Code Edit: 2016 - Worker's Compensation Insurance- Designer: ® , Type of Construction. V -B -SPR Carrier: STATE COMP Address: m.. Occupancy Group: R3/UPolicy No: 9038773 Added /New eq.ft. Bldg: 0 Expire: 0110112020 Phone: ®N THE tl V GNI) Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $103.00 Plan Check Fee: $208.00 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 PROCESSED BY: Building Setbacks Rear: I Front: I Left: / Right: / Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 TOTAL FEE: $2,339.27 ZONING APPROVAL: GRADING APPROVAL: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $9.27 Plan Check Fee 000 Special Conditions: COUSYN GRADING TO HAUL ° 000m° e o00o cc Fire Hazard 7nne - N o Planning Department- Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 000000 0 $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $2,339.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:��. Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 000000 0 $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $2,339.27 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 S�tate.Lic IISgpLpya fprJ1h9,MSL fg,�, 0di d below by the checkmark(s) I have placed next to the applicable iteP4) (Section 7031.5, Business and Professions Code: Any city or county that requires Ve t % c Gslructt 9lt'r Im�ov�ef�d ly,I h, 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 o`ihe t;`ontrac ors State License a (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged P,R"e'Tion 'A0n)FVi318troIT''�'f 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 U 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 '� imroved for the purpose of sale). 1, 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). ❑ 1 am exempt from licensure 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 legal sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se do 7000)ggf ivis'o 3 of the Busine n Pr ssions a and my license is in full force and effect. License Class License No to 6 Contract S1 nature WORKERS' COMPENSATION DECLARATION IARNIN"PARURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COAPENSATION, DAMAGES As PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herp*W.a ftm under 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 the erformance of the work for which this permit is issued. Policy No. •••• ayg pftd 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' compensatior ura iii carrier and policy number are: Policy Number ie $f Agent r certify tliat, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to becc ,' V SITcQJId beclett to a wwqr�prs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Date workers' compennsa�tion laws of California, and agree Date ?,&ti ' "/ Ireby affirm under y 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 oCIZances aW state laws relating to building construction. I authorize representatives of this cit my tor entified propert for inspection purposes. nature of Prouertv Owner or ed ADent Print Property Owner's or Auth Iz Agent's Name J j l 66 ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE tl•�Lj NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY I i r 1 I 1 i I i I c) > N O U Y w i Y •G CA 4= N -0 O O L L cn� Q)O L Q _C__U_.0 r U..__. f0 �� ❑ (V m :3 3 ai a Q �Q & N OU y W my c�� I— °r Q O .0 I Z W cc ❑ C N a) �❑cl CO.c r ;�O0.cs ❑ Q-= A c CLtb f2 0 a) c a) a Qm Q.q ✓ r✓+ Q m o� _ Z — M N C C a3 i 0O r N a)U N p °) yy Z 7 U ro O C U W r0 O Z❑ C Z UL 75 0 N A�a.n U- c O 1 0 L.O-O = Q U to C O v... w69 Z 0 C @ O T d ❑ c Vi cr � c 0-5 �Q) (D CO CO OU V U W h N@ m sS O m N orAC/I O � 0 N m c) .J Z o 3 Itai E' i�o's: fn c cu z N —O� I i r 1 I 1 i I i I `t a J' N 0