HomeMy WebLinkAboutX2021-3208 - PermitsCity of Newport Beach - Building Division _ *X2021-3208* COMB Permit: X2021-3208
i" 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0650-2020
Permit Counter Phone (949)644-3288
ci Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
Issued Date :
Inspection Area: 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 320 ALVARADO PL NB
Description: DELTA 2 REVISION & ADD SCOPE INTERIOR REMODEL 850 SEAT 2ND FLOOR.,
Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 49 ...... '^^-
Owner:
STEWART GINA
Address:
320 ALVARADO PL
NEWPORT BEACH CA 92661
Phone:
Applicant:
GLENN
Address:
Phone
Code Edit : 2019
Type of Construction: V-BSPR
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: Y
Construction Valuation: $68,000.00
Building Permit Fee: $953.00
Plan Check Fee: $829.11
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$22.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
Contractor: CATHERWOOD GLEN A
Address: 15120 WASHINGTON ST
RIVERSIDE CA 92506
Phone: 909-789-2600
Con State Lie:
789094
Lie Expire:
12/31/2022
Bus Lic:
BT30073791
Lie Exp Date:
01/31/2023
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$66.71
$38.12
$85.77
II(TOTAL FEE: $2,161.46 Plan Check Fee
PROCESSED BY: 9J
ZONING APPROVAL: a P
Architect
Address:
Phone: State Lie
Engineer: ROBERTS JEFF
Address: 8325 FOOTHILL BLVD STE A
SUNLAND CA 91040
Phone: 8181352-2525 State Lic:C-056881
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION
HIGH DENSITY
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PM Plan Check :
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
earn
lil
GA
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$233.25 Fee Due at Permit Issuance : $1,928.21
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: PF_ r
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)
(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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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-Builderwill have the burden of proving that 1t was not built or
improved for the purpose of sale).
❑ I, as owner gf�tF ey 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 owF r.ofpoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature bebw 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
sill astructure th9t`l h%ve 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
PrOfgtaions Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED eONTRACTOR'S DECLARATION
I hereby affirm uederpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
B?M t gct. LiW Cjass License No DateK Contractor Signature X
DOWERS' COMPENSATION DECLARATION r
N7kj4Iir; FAILURE TO SFGURE 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 TH'.
COST ORCOMPENBATISN, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
4ere4y affirm underp;nalty of perjury one of the following declarations:
ll*ftave andlyig Sn3lntaln a certificate of consent to self -insure for workers'
erformance of the work for which this permit is issued. Policy No.
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
have and will maintain 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'
rance carrier and policy number are:
ie of Agent
certify that, in the performance of the
if I should become subject to khe wo
of
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
compensation pSovisions of Sectiorjy3700 of the Labor Code, I shall forthwith comply with those provisions.
Date/`
IECLARATION REGARDING CONSTFOCTt(JN LENDING AGENCY l
hereby affirm under penalty of perjury that the is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lenders Address
ly 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 prove ed is correct.
I agree to comply with all applicable city and county ordinan es and state laws relating to uilding construction.
I authorize representatives of this city or county nspection purposes.
lionature of Property Owner or Authorized Aoent Print Prooertv Owners or Authorized ADent's Name X�1�6��1�7Yi
ACTION DATE BY I REGDECULATIONS PPART0610 TIITE 40 AND AQMD RUCE WITH CODE OF LE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED UAQMD
PERMITFINAL .1 \�(j ASBESTOS NOTIFICATION SNOTAPPLICABLE TO
CERTIFIC47EOF V ROPOSED DEM
OCCUPANCYISSUED SIGNATURE:
FOR OFFICE USE ONLY
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