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Home My WebLink AboutX2021-2966 - Permitsr£" 'rkkr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-2966 +'s ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 9 6 6 Project No : 2573-2021 Permit Counter Phone (949)644-3288 ., bnspection Requests Phone (949)644-3255 Issued Date :11/01/2021 u .T Combination Type - BLDG PLUM Inspection Area :-11C 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110112024 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: 430 TUSTIN AVE NS Description: DEMO SFR 1299 SF (LIV) 2 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 8 Owner: 430 TUSTIN LLC Address: 790 NEWTON WY COSTA MESA CA 92627 Phone: Applicant: DEUSTERMAN JAMI Address: 790 NEWTON WY COSTA MESA CA 92627 Phone: 714-288-0732 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Valuation: Building Permit Fee: $122.00 Plan Check Fee: $223.00 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: $2,031.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SEPULVEDA BUILDERS INC Architect: Address: 790 NEWTON WY Address: COSTA MESA CA 92627 Phone: 714-222-1150 Phone: State Lic: Con State Lic: 695401 Engineer: Lic Expire: 1013112022 Address: Bus Lic: BT30058100 Lic Exp Date: 02/2812022 Phone: State Lic: Workers Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / )arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Plan Check Fee Designer: Address: Phone: AO'iC(C� 5GC.1q Special Conditions: TIGHT QUARTERS TO HAUL D , I$ !S Planning Department - Fire Department Plan check Fee : $104.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Public Works Department- General Service $265.00 Park Dedication : $0.00 Refund Deposit $1,127.00 PM Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,031.98 'PUBLIC 'WORKS APPROVAL: PLAN CI I7CK F;Y: 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nyproved for the purpose of sale). J 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 pply 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell a structure that I 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htm 1. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D i i n 3 of the Business and Profession e, and my license is in full force nd effect. License Class License No Dat Contractor Signet VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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 thl erformance of the 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, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: of Agent that, in the p Iould become of Applicant _ Policy Number Expiration Date work 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 rkets' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dates -I& '<UG I MN LtNUING AUtNUY `K ' Ireby affirm under pen&kyGf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name - Lender's 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or cou he ove-identified property for inspection purposes. C,,� nature of Property Owner or Authorized Agent __ Print Property Owner's or Authorized Agent's Name �d(.m)- it l ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY 14 3ULATIONS PART61 OF TITLE 40 AND AQMD RULE ORAL FOR OFFICE USE ONLY 15=Z NOTIFICATION IS NOrAPPUCAB E TJ Date K N a Ln W, m Ir ni ra ru ru O O 0 Ir r ru Ir ra 0 r Certllled Mail Fee $3.60 0423 $ 08 Extra Servlces B Fees (check Cox, edd tea ) ❑PeWm flecelPt QteN_P✓I $ i 1 ❑ Reaan Mxalpt(eiemm�lc) s !tl flit ❑ eaVW Melt Reehlcled netive, S $0-00— DMI, SlgneWra RNUIrM $ Postmark Here ❑Fltlutt Signature Rea aw delivery$ Postage $0.55 $ 1-18/27/2021 Total Postageand Fees $4.15 $ Sent To O W �r Sfi9etenyy_��.P(Fjo., of irk --7rf------------------------------------------- ----------- `i _ b - V ��; ------------ t U.5. Postal Service' CERTIFIED MAIL' Domestic Mail Only RECEIP T For delivery information, )r ea o t efgh, 19 Oledi#ad Mall Fee. ni s $3.60 Extra services 6 Fees rUeckeo; er ru ED] Receipt (haNcoPY) O ❑fletum RecelPtlelocaunlc) d 0 OCutiged Mall Reah{cteg Delhrery g QAtlun Signature gequhap 0 QAduh Slgnelure geaMctetl eaihre $ r Postage ry $ e $0.5.5 nJ Total Postage an peas Q s E4.15 sent To o O W r S1ieaFanorAp7JNa"�,:a�-v=--�._-_ iv 6