HomeMy WebLinkAboutX2019-1509 - Permits (2)�wK $ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
a Vra Combination Type - SFP
PERMITS EXPIRE.180 DAYS AFTER
Construction Hours: Monday - Friday 7:00 a.m. to 630 p.m. and
Job Address: 1314 E BALBOA BLVD NB -
Description: SFR WINDOW C/O (16) *LIKE FOR LIKE' (119-1218)
Legal Des¢:. BALBOA TR EAST SIDE ADD LOT 8 BLK 21 ALL -INC POR STS ADJ-(AND BAL
Owner: FRATELLI DAN
Address: 1519 BAY AVE E
NEWPORT BEACH, CA
Phone: 402-290-3771
Applicant: DRAKE CONSTRUCTION INC
Address: 7422 MOUNTJOY DR
HUNTINGTON BCH CA 92648
Phone: 714-3695550
Code Edit: 2016
Type of Construction:. V-B
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : i
Bldg Height:. 0
Bldg Sprinklers:
Building. Permit Fee: $136.00
Plan Check Fee: $0.00
Overtime Plan Ck
$0.00
Investigation Fee:
$136.00
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: $273.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
iiuiiliiiioiii II
Contractor:
DRAKE CONSTRUCTION INC
Address:
'. 7422 MOUNTJOY DR
HUNTINGTON BCH CA 92648
Phone:
714-369-5550
Con State Lic:
881821
Lic Expire:
07/31/2020
Bus Lic:
BT30051436
Lic Exp Date:
0613012019
Worker's Compensation Insurance
Carrier:
STATE COMP FUND
Policy No:
9022425
Expire:
0813012019
Building Setbacks
Rear: 1
Front: I
Left: I
Right: I
Use Zone: Parking Spaces: 0
COMB Permit: X2019-1509
Project No :
Issued Date:05113/2019
Inspection Area : 1
LAST VALID INSPECTION.
8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
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Architect
Address:
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Phone:
State Lic:°•'
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Engineer:
Address:
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Phone:
State Lic:
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Designer.
Address:
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Phone:
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Special Conditions: FLOODZONE
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant:
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PNV Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$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
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Pennit Issuance : $273.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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 items)
(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 applicant 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).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
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' Slate 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).
❑ I am exempLfrom licensure under the Contractors' State License Law for the following reason:
By my signatflre.WW 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
sell a Aructurehat J 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
PYefACsions Lode, isevailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Propl3riy Owner or Authorized Agent Date
LIrCNSED CONTRACTOR'S DECLARATION
I hereby affirm erll 0enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Divi on 3 of the Business and Prof SIG de, anMy _se is in full force
3r((1 ftct. License Qlass License No Date Contractor Signatur T
NdKtKERS' FOMPFNSATION DECLARATION
rfAftAING: FAILURE"O'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
DOCiOF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
l bereb affirm ugder penalty of perjury one of the following declarations:
•....•
d 1 have and will mafitain 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 th1
I?i"Ince of tft%work for which this permit is issued. Policy No.
have and wilPfhbrntain 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
insurance carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone #
I certify that, in the performance 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 worke ' compensation laws of California, and egret
t, if I should become stfject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REG DING CONSTRUCTION LENDING AGENCY
areby affirm under Oenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
ider's Name Lenders 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 cou ordinances and state laws relating to building construction.
I authorize representatives of this city or county a a the above-identiried property for inspection purposes. mature of PrODerty Owner or Authorized Agent !i'- �' Print Property Owner's or Authorized Agent's Name �.2,.�e__ psi f'S DajA//
S 61.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCVISSUED
DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1TWWW
TO
IS NOTAPPLICABLE TO
FOR OFFICE USE ONLY