HomeMy WebLinkAboutX2020-1569 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2020-1569
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 1 5 6 9
Project No : 1210-2020
Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255n� ®
Combination Type - MFP I I V S i E I C' Issued Date : 07/07/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0 7109 20 23 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: 438112 DAHLIAAVE NB
Description: MFR DRYWALL REPAIR IN THE KITCHEN, BATHROOM, M. BDRM AND GARAGE 100 SF
Legal Desc.:
Owner: KEHOE BRIAN
Contractor:
COASTLINE CONSTRUCTION
Address: 438 1/2 DAHLIA AVE
Address:
635 N ECKHOFF ST UNIT R
NEWPORT BEACH, CA 92625
$0.00
ORANGE, CA 92868
Phone: 714-470-7072
Phone:
7144707072
Applicant: POPA COSTEL
Con State Lie:
981202
Address: 37 MARIGOLD
Lie Expire:
02/2812021
ALISO VIEJO, CA 92656
Bus Lic:
BT30072368
Phone: 714470-7072
Lie Exp Date:
07/30/2021
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
STATECOMP
Occupancy Group: R3IU
Policy No:
9004301
Added /New sq.ft. Bldg: 0
Expire:
01128/2021
Added /New sq. ft. Garage: 0
$0.00
NMUSD Fee:
No of Stories: 3
Building Setbacks
Rear: I
No of Units : 2
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:V
X
Right: /
Flood Zone:
Use Zone: Parkino Snares: 0
Building Permit Fee: $395.00
Plan Check Fee: $343.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $785.15
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone:
State Lie:
Engineer: GORDIN VYACHESLAV
Address: 2081 BUSINESS CENTER DRIVE STE 10
IRVINE CA 92612
Phone:
Designer:
Address:
Phone:
Special Conditions:
Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee:
$0.00
Plan check Fee:
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share:
General Service
Grading PC Consultant:
$0.00
SJH Trans :
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
State Lic:S-004311
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $785.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
200
Fire Department
$41.50
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
$0.00 Fee Due at Permit Issuance : $785.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
200
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) 1 have placed next to the applicalr.E'llem(s)
;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 applican"t 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 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
not more than five hundred dollars ($500).
❑ 1, 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,
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
im 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
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 tlt*4 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 Codepisavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
r5l VU4e of Prpperjy,Qwner or Authorized Agent Date
LICENSED CnRTRACTOR'S DECLARATION
I hereb4 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of D' Isioro f the Business and Prof Bions C e, (cense is in full force
'anti affect. License Class License No Date T / L�ontractor Signature
RS' O4KPONSATION DECLARATION
'AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HU RED THO AND DOLLARS ($100,000), IN ADDITION TO T
)MPEI*ATJCX BAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ffirm i11Tder penalty of perjury one of the following declarations:
and WIT 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
ice ofJOe wort for which this permit is issued. Policy No.
..
and will VVlntain 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'
carrier and Velicy number are:
Policy Number Expiration Date
ne of Agent
certify that, in the p(
, if I should become
lature of Applicant _
Ice of thefor which t ' rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
to the orker co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date C7 % Z C7
.ON CTION LENDING AGENCY
hereby affirm under rnalty f ury 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
3y 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 rdinances and state laws relating to construction.
I authorize representatives of this city or county to inter the a e -i entifie y for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name 6 G O Da
ACTION DATE BY DE R N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R TIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATEOF
OCCUPANCYISSUED
15�.
u�
rn
ObOb
m
cq
Uo
0
N M
N
azm�
HO
no.
z�(�
z
Am
a
� a aa)
j C
L
C
d
O
0
0
C >
N O U =
W
U U
~ D C N
C
fA
� 'o O O
Z
y
C U_ v a a
a
co
� _s
O
W
-0 O ,c a
as
ca
Q-cna)°°
LU
_o
C
vtQ Y n
Z
O
U O a O V
OW
cu
V
0a3
2
a)-2)
�o cn�
An E0O�
V
�
2
m
O m N N�
0 Qm
��
\
yZ
Z
—m
a)
c°___ coo
\
O
Q
.C-2
>,a a) a
\\
��
o
_mom°`_�
ti
O
Z
U�
° =U aZ
V'
y
t_' C
L i Q O
p0:
p
U°
nco0a-�
c a> (D O
"
a)
>%'E
I
LU
/
SH
cl
w
CO
O ��A V d p
W
H
N m w
L-
CL
S o m
i
U)
' 00
O °� E y
m o C w
W
Q)
L
d
ai
v..
m
Z
p N
d m 3 cL —
'O
VJ
YO
a) 5r
a3
in
o`
ci
Q
2n
n�
2Nd
O L Z
a°
`_°
o 8Q
o.� 3 Q0
0