HomeMy WebLinkAboutX2020-1218 - Permitstoy City of Newport Beach - Building Division 11111111111p1p1111111p11111111111111111111p111A 11COMB Permit: X2020-1218
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 2 1 a Project No : 0934-2020
r; Permit Counter Phone (949)644-3288
'4r Inspection Requests Phone (949)644-3255
°:r .nid' Combination Type - SFP Issued Date: 06/22/2020
9
Inspection Area : 5
PERMIT EXPIRES 150 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612312023 OR PERMIT WILL BE INVALID
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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
Parking Spaces:
Job Address: 441 DAHLIA AVE NS
Fire Hazard Zone : N
Construction Valuation: $15.000.00
Description: MFR REMOVE/REPLACE DOORS W/NEW BIOFOLD
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Legal Desc.: P.M. 251-18 PAR. 1 OF PROJECT 938.01 LOCATED ON AP 459-111-19
Excise Tax:
! I V S P ECT®R
v
Planning Department -
Owner: ALIEN LINDA
Contractor:
HARKINS CONSTRUCTION
Architect:
Additional Fee:
®
0
Address: 441 DAHLIA AVE
Address:
34167 PCH #D
Address:
Overtime Plan Ck:
Z
O
CORONA DEL MAR, CA 92625
Fair Share :
DANA POINT CA 92629
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
Phone:
Phone:
949.245.9028
Phone:
State Lic:
...
Demolition Fee
Record Management :
$16.00
Grading Permit Fee:
$0.00
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Applicant: HAHN PRYN
Con State Lic:
935372
Engineer:
BURKE LEO
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Address: 34167-D PCH
Lic Expire:
0313112022
Address:
34167 PACIFIC COAST HWY #D
0 0
. •
X° ° ° ° °
DANA POINT CA 92629
Bus Lic:
BT30066134
DANA POINT CA 92629
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0
C:°
Phone: 949-226-7130
Lic Exp Date:
Phone:
949-226-7130 State Lic:C-067404 °
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0.0 0
Code Edit: 2019
Worker's Compensation Insurance
Designer:
HAN PRYN
°° ° °
�• °
Type of Construction:
Carrier:
NS CO
Address:
34167-D PCH
Building Green Fee :
0"
Occupancy G oup: R3
U
PolicyNo:
HAWC165703
$0.00
DANA POINT CA 92629
° ° ° •
° ° o ° o
Added /New sq.ft. Bldg: 0
Expire:
02/2212021
Phone:
949-226-7130
Added /New sq. ft. Garage: 0
$0.00
TOTAL FEE : $647.55
Plan Check Fee:
$311.44
Fee Due at Permit Issuance :
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
HIGH DENSITY0
°° °•
0 °
No of Units : 2
Front: I
Bldg Height: 0
Left: I
°0°0
ca°0.O"
Bldg Sprinklers: N
Right: I
0000°°
M °O°0°
Flood Zone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $15.000.00
_
Building Permit Fee:
$315.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $274.05
Additional Fee:
$0.00
Plan check Fee :
$41.50
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$16.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $647.55
Plan Check Fee:
$311.44
Fee Due at Permit Issuance :
$336.11
PROCESSED BY: -1 / PUBLIC WORKS APPROVAL:
ZONING APPROVAL: V PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER 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)
ction 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:Bnd
fessions 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
Movements 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
uoved 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
)ly 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 legalll
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
fessions Coftj9 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of P7•o.pgeoy owner or Authorized Agent Date
'ENSED CgVJFACTOR'S DECLARATION /
rtft affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Division 3 of the Business and Profs on nd my license is in full force
I effect. LiSensebass License No Date , 7- Contractor Signature
ATION DECLARATION / /
WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
1GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm undej ponalty of perjury one of the following declarations:
,e and wilt 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
ince of thework for which this permit is issued. Policy No.
i and Will mointain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrier and policy number are:
• ....0. Policy Number
for the performance of the work for which this permit is issued. My workers'
Date
me of Agent rnone *
I certify that, in the p=pedury
rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre
t, if I should becomnipensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGAI ENDING AGENCY
�reby affirm under pallyhere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civil Code).
lder'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 owners behalf.
I have read this application and the information Ihave rovided is correct.
I agree to comply with all applicable city and cou o 'nances and state laws relating to building construction.
I authorize representatives of this city or county bov_ e -identified property for inspection purposes.
mature of Prooertv Owner or Authorized ADent __ Print Property Owner's or Authorized Agent's Name ate ' ZZ'Y
ACTION DATEI BY / V DECLARATION OF REGUJ,ATIONS PART061 O TIITLE 40 AND AOMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
CERifFICATE OF I��I� 7 PRO ITFINAL SRSEDD'IE' LIFICN MSNf' PT.�PPLICARLE TO
OCCUPANCYISSUED ' ///�,�/ SIGNA RE: / �V^..`\�