HomeMy WebLinkAboutX2019-3046 - PermitsQ 1 wnrk City of Newport Beach Building Division II IIIIII IIIIIIIIIIII IIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3046
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 0 4 6 Project No : 2121-2019
Pery, c
Inspection
Counter Phone (949)644-3288)644 FI,�,,.. SPFUN'/i
` Inspection Requests Phone (949)644-3255 i'i{i�MFr A
`ra9wrw-,xe`� ' MS
Combination Type -. BLDG PLUM �f a�� Issued Date : 09/2412019
U Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a.m. to 5:00 p.m. No work on Sundays or Holidays
Job Address: 1610 E BALBOA BLVD NB
Description: DEMO (PARTIALLY. BUILT) 3224 SF, 5BEDROOM SFR W/ATT GARAGE
Legal Desc.: BALBOA TR EAST SIDE ADD LOT 16 BLK 25 AND LOT 17 BLK 25
Owner: 1610 EAST BALBOA PARTNERS
Address:... 1800 CENTURY PARK E #800
LOS ANGELES CA 90067
Phone:
Applicant:
SHORELINE DEVELOPERS
Address:
P O BOX 551
Record Management:
NEWPORT BEACH CA 92661
Phone:
949-697-3993.
Code Edit : 2016
Type of Construction: V -B -SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added Mew sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: o
Bldg Sprinklers: Y
Flood Zone:
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
TOTAL FEE: $2,339.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:,
SHORELINE DEVELOPERS
Address: -
P O BOX 551
Fair Share:
'NEWPORT BEACH CA 92661.
Phone:
949-697-3993
Con State Lic:
890871
Lic Expire:
01/3112021
Bus Lic:
ST30041079
Lic Exp Date:
10131/2019
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9038773
Expire:
0110112020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: /
king Spar
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Plan Check Fee:
Architect: OLDHAM RYAN livor % • r
Address: 2651 E. CHAPMAN AVE #110. ° e
FULLERTON,CA 92831 000mmo
°
Phone: 714-482-8296 State Lic:CO29715
o e o°oeoo
00000e o 0
Engineer. °
Address:
. 00
Phone: NO VNTRWCy74q1.0g .o
Designer: o°Om°o
eoeoa
Address: °O
°o°oo
°
o°ocoo
Phone: ON THE VUEEKEN13
Special Conditions: COUSYN TO HAUL DEBRIS ° ° ° ......
0 0 ° °o°o
000a
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fair Share:
Fire Inspection:
SJH Trans :
In -lieu Housing Fee:
Fire Plan Rev
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance: $2,339.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO. ISSUE: !7"-
Fire Department
$90.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
- $0.00
$0.00
Demolition Fee
$0.00.
Building Dept Adm
$26.00
General Service
$210.00
Refund Deposit
$1,692.00
Grading Bond:
$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: !7"-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' ate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code: Any city or county that requires � I o �tl�([w!E'F; N�ijl,,pr ish, or repair any structure, prior to its issuance, also requires thg-applicant for
permit to file a signed statement that he or she is licensed pursuant to the prov fins;YHlr�1t� W (Chapter 9 (commencing with Section 7000) of Division 3 of the Busine3s and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged Crmpjiepg ,,,'f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). uas5 44 ,+mai
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
liness 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
Ily 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 legally
a structure�t9gt j PQve 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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
VtLQe of Property Owner or Authorized Agent Date
:EMSED M10TR&CTOR'S DECLARATION
reaffirm unger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sedt,4n 70 f Divi 'on 3 of the Busl. e s and Professions my license is in full force
effect. Lice lass License No DaZ Z- ! Contra r�5ignature�--�/ �-----
?RK JERS' CQP?XNSATION DECLARATION �:
:MNG: FAILURE ]'Q §S�CURE 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
`T.qF COMPENF ON, IRAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;A.Vaffirm Code? penalty of perjury one of the following declarations:
4 -heve and w111 majptain 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
nrmance ol`41 .work forwhich this permit is issued. Policy No.
-Y61 and will giaintain 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' compensalior
Irmce carrierppQ policy number are:
Policy Number
Date
ne of Agent vnone s
certify that, in the pe nce 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 agree
'net'
if I should'so subject rke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature oil
'Cant a\T
CLARATION G ONSTRUCTION LENDING AGENCY
ereby affirm under penalty 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 ity or coun y_to- a -1 enti' roperty for inspection purposes. __( �,
nature of Prnnerty Owner or n Dent Print ProDertv Owner's or Authorized Agenl"a d (�.. e4'� Date
ACTION DA1T_ BY 17ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / v
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
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