HomeMy WebLinkAboutx2020-2033 - PermitsCity of Newport Beach - Building Division COMB Permit: X2020-2033
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100 Civic Center Drive, Newport Beach, CA 92660 Illlf X 2 0 2 0 2 0 3 3-11111
Project No: 0994-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date : 09/15/2020
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911612023 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: 307 ONYX AVE NB
Description: DEMO SFR & GAR. 2821 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: BALBOA ISLAND SEC 3 LOT 34 BLK 18(AND S1/2 LOT 33 BLK 18
Owner: BINDER RHONDA
Address:
217 ONYX AV
BALBOA ISLAND CA 92662
Phone:
Applicant:
CALIFORNIA PACIFIC BUILDING SVCS
Address:
11620 WILSHIRE BLVD #900
LA CA 90025
Phone:
949-701-9997
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added lNew sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction
Contractor: CALIFORNIA PACIFIC BUILDING SVCS Architect:
Address: 11620 WILSHIRE BLVD 9900 Address:
LA CA 90025
Phone: 949-701-9997 Phone:
Con State Lic:
1010268
Lic Expire:
0113112022
Bus Lic:
BT30072853
Lic Exp Date:
0913012021
2019 Worker's Compensation Insurance
V-B Carrier:
STATE FUND
R3/U Policy No:
9258066
0 Expire:
07127/2021
0
Building Setbacks
Rear: /
Front: I
Left: I
Right: I
Building Permit Fee: $120.00
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:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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:
$120.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$10.80
State Lic:
Engineer: MANSHADI FARHAD
Address: 1800 E 16TH ST UNIT B
SANTA ANA CA 92701
Phone: 714-835-2800 State Lic:C-036840
Designer: 14 �6\` e
Address. Phone: G®tAsl����`O
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Special S8 Qons: TIGHT QUARTERS TO (�
HAUL DEBRIS `'®
la\PEKE , C
Fire Hazard Zone
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication:
$0.00
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
*.•
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$316.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
*Fee PUs at Permit Issuance: $2,285.80
o ° o o PUBLIC W(AKS APPROVAL:
PLAN CHECK BY:
o
o°a °OlPPROV�LT&IAUE
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasorl(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section :'031.5, Business and Professions code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to as issuance, also requires the applicant fw.
he perm-1 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
'rofessic ns 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
rat more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not Intended or offered lot sale (Section 7044,
3usiness 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
tlproven,eras 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 itwas not built or
n roved for the purpose Of sale).
I, as owner of the property, am exclusively contracting win licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply 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 xempt from licensure under the Contractors' State License Law for the following reason:
ty my sic, nature below I acknowledge that, except for my personal residence In which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally
yell a sin cture that I have built as an owner -builder if R has not been Constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessicns Code, Is available upon request when this application is submitted or at the following Web sae:httpJA&ww.legimD.ca.gowcalaw.html.
Signature of Property Owner or Authorized Agent Date
-ICENSSD CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under rovision �ing.�pt 6(�{oy� I with Section 7 ¢� p�r�Plw�pT�p1 the Business and Pro es CA�9d� I' r I o
and effect. License Class B License No � 6 V vLv Dat J'VLI LVLV Coldractor Stgnatur k!F' &zyyy64` r rf
YORKE RS' COMPENSATION DECLARATION
IAnNING:.-AILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0011 IN ADDITION TO THE
:OSTOF CJMPEMSAmO MCGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE INTEREST, ANDATTORNEY'S FEES.
hereby <:mrm� _ fly of perjury one of the following declarations
,Yri�+P-' main a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3760 of the Labor Code, for
Dr 5„"'� e work for which this permit is issued. Policy No.
have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, forme performance of the work for which this permit is Issued. My workers' compensa
mnce1�arriera policy rlare:
to. Mate un0 Spit- Policy Number9258066 ExpirationDate07/27/2021
le of agent Phone R
certif • that, in the performance of the work forwhich this permit is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if 1 would become subjer,Hq lire worker' c perrsa Ito provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
iature of AppllmV 3 �/ ,� rmtW 09/02/2020
I hereby x.fann under penalty Tit perjury that there is a construction [ending agency for the performance of the work for which this permit Is Issued (Section 3097, ChnT Code).
Lender's Jame Lender's Address
By my slCnature below, I certify to each of the following:
I am he 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 agrr a to Comply with all applicable city and county ordinances and state laws relating to building construction. rfre� r�6eB(
I autr.onze representatives of this city or coon to r me ab�itlemtiieyyrog¢�rty forms etcbon purposes. �/
Signature of Property Owner or Authorizetl Agent LO6 Property Owner's or Authorized Agen Na DaX 09/02/2
ACTION DATE BY VECIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
rcnnalr"NAL LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTTFIC: TE OF ..
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OCCUPAP CYISSUED O I Z7,N"RF- • Q
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