HomeMy WebLinkAboutX2020-2190 - Permitsd'Nr�4 City of Newport Beach - Building Division
�s T• .ram 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v p Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
COMB Permit: X2020-2190 IIIIII�III�I0II�II�I0I�II�IIIII�III�IIII�� II
Project No: 1046-2020
Issued Date : 09/29/2020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0913012023 OR PERMIT WILL BE 'NVALID
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 Holid iys
Job Address: 706 W OCEAN FRONT NB
Description: DEMO SFR 3202 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: EAST NEWPORT LOT 25 BLK 8 AND LOT 26 BLK 8
Owner:
TNS DEVELOPMENT, LLC
Contractor:
S C HOMES INC
Address:
2618 SAN MIGUEL DR 336
Address:
3060 PULLMAN ST
NEWPORT BEACH CA 92660
COSTA MESA CA 92626
Phone:
Phone:
M-723.4243
Applicant:
S C HOMES INC
Con State Lie:
828216
Address:
3050 PULLMAN ST
Lie Expire:
1213112021
COSTA MESA CA 92626
Bus Lie:
BT30002421
Phone:
949-7234243
Lie Exp Date:
0212812021
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories:. 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
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 :
$2.00
TOTAL FEE: $2,166.80
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Cartier: STATE FUND
Policy No: 1763760
Expire: 0110712021
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: /
Right: /
'arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$%80
Plan Check Fee
0
Archit
Addre a.O CONSTRUCTION WORK Phone: State Lie: �C
Engineer:Addre/�
Phone: ss: ®� S' T SiTe4! S
Designer:
Address:
100
Phone: 11j�
Special Conditions: GREENLEA IP?
HAUL DEBRIS
HIGH DENSITY FORM REC'D
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PfW Plan Check,
$0.00
San Dist:
$0.00
NMUSD 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
$0.00 Fee Due at Permit Issuance: $2,166.80
PUBLIC WORKS APPROVAL: • • • . o o ° • ° • °"
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: °
o �
DocuSign Envelope ID: 146OCC23-5942-484A-8DOF-DBEB7AC6FB2E
S
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnarK(s) I have placed next to the applicabre Item(s)
(Section 7031.5, Business and Professions Gode: Any clly or countythat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuancealso requires the applicant for
the permltto 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) A 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 he applicant to a civjl penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees Writ) wages as their sole compensation, will do U all of or L) 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 'he 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 ;)roving that it was not built or
1roves: 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 Contractor 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 ticensure under the Contractors' State License Law for the following reason:
By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit. I cannot Iegany
sell a str Eolure that i have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secffo� 7044 of the Business and
Professio as Code, is available upon request when this application is submitted or at the fallowing Web site:hftpYMrWw.leginfo.ca.govtcalaw.html.
Signatuna of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
1 hereby .sffirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7 61yN n fl qu#A t Prot as Cod,,, and my license is in full force
antl efferr. License Class License No Da Contractor ngnatuf
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALT. SUBJSCTAN EMPLOYFA TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE 14UNDRED THOUSAND D(:LLARS ($100,000), INADMON TO THE
HS399EEE
SATIO KAGES AS PROVIDED FOR mSECmOFF 3TO60FTHE IABOR CODE, IrmFJIEST, ANDATTORNEYIty of perjury one of the followiltg deDlaratiDns:.� rain a certificate of consent to self -insure for workers' compensa[on, issuetlDirector of Industrial Relations as provided for by Section 3700 of the Labor Code. for th(
a work for which tNs permit fs issued. Polidy No.unit maintain workers' Compensa€on insurance, as required by Section 3700 of the Lab, for the performance of the work for which this permit is issued. My workers' compensatloh
erand policy number are:
CarrierSTATE COMPENSATION INSURANCE FUWI[cy Number 1763760 Expiration Date 01/07/2021
Name of agent Phone # 877-405-4545
❑1 certif,l 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 workers' compens ation laws of California, and agret
that, 91 should become sub- ct to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature. of Applican � ���19/Z8/'0 2:03 PM PDT
MC!t A6AT^Ll Dt D ^'^—�
aeby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is Issued (Section 3097, CIVH Code).
Ider's game Lender's Address
MY signature below, I cefffty to each of the following:
i am -he property owner or authorized to act on the property owner's behalf.
I hava 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 1 auniorRe representatives of this city or court tee the above -identified property for inspection purposes. J(y Cott Cross
nature of Property Owner orAuthorize( Agent Print Property Owner's or Authorized Agent's Na e
TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART61 OFTrrLE 40 AND AAMD RULE
1403
SUBMITTED
• • ^"�..c •� /• I..IASBESTOS NOTIFICATION is NOT APPLICABLE TO
• • t*TWICF.TEOF•
c • OECUPARr,^SS&k; • • • PROPOSED u
SEIOOEM ON
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