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HomeMy WebLinkAboutX2021-3153 - PermitsCity of Newport Beach -Building Division (I(,III�IIII IIII Illlll�lllllllllllll�llllll�l�lll���ll . 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 = Combination Type - BLDG PLUM 2 24 �oX2021-3153 P OMB o Permit: Issued Date: 11/19/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT/ON. PROJECTS MUST BE COMPLETED BY 11119/2024 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: 232 ORCHID AVE NB Description: DEMO 2567 SF SFR AND ATT/ GARAGE 441 SF, SEWER CAP Legal Desc.: RESUB OF CORONA DEL MAR BLK 142 LOT 30 Owner. PUTMAN MARK Contractor. THE STONEHILL COMPANY Architect: SMITH BRADFORDINN a Address: 232 ORCHID AVE Address: 2816 E COAST HWY, STE F Address: 425 30TH ST #22 CORONA DEL MAR, CA 92625 CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-630-2196 Phone: 949-631-3682 State Lic:C014146 No C® Applicant: THE STONEHILL COMPANY Con State Lie: Address: 2816 E COAST HWY, STE F Lie Expire: 917685 06/30/2022 Engineer: Address: S. � Rg �+�p o��i� CORONA DEL MAR CA 92625 Bus Lie: ST30025084 Phone: 949-630-2196 Lie Exp Date: 06/30/2022 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: ° ON �j T' Type of Construction: VB Carrier: EVEREST PREMIER Address: ® EEKEEN Occupancy Group: R3/U Policy No: 7600022840211 Added /New sq.ft. Bldg: 0 Expire: 1111312022 Phone: 00 0 0 00 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: TIGHT QUARTERS TO HAUL 00000 No of Units : 1 Front: I ° 000000 Bldg Height: 0 Left: / Bldq Sprinklers: Right: I ° ° ® - - - =food Zone: Construction Valuation: $17,500.00 Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $2,446.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: use Lone: rams 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: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $10.98 sm u rum I l al LU .. . Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 �n°000 0000 0 Fire Department $104.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $2,446.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions!C,odd: 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 Ior 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 improved for the purpose of sale).' ❑ 1, 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 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 liceosurel under the Contractors' State License Law for the following reason: By 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 sell a structure that I haveibuilfas 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmI. Signature of Property OwneT1 oriAuthorized Agent le Date LICENSED CONTRACTOR'S. DECLARATION 1 hereby affirm�L�W€?Grsnalty of,perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3,of the u " ess and Pro si s Code, and my license is in Tull force and effect. License Cass License No ate G Con for Signature..._ r 1 i - m if7G—'VIERS' P�--_NSATION DECLARATION INARNI fNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED /HOUSAND DOLLARS ($100,000), IN ADDITION TO THE 166hT OFeCOMPENSAFION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 hereby affirm u^der penalty of',perjury one of the following declarations: rI 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 th performance of tr.G woh�c for which this permit is issued. Policy No. _ _ _ vie 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' compensator S uranee carrier a`nd policy gnu bier are: i g,cier %r" �` e5� ti � Policy Number ��/ � `� 1�� I Expiration Date b� ��l ��_ Nanle,af Agent Z U Ga 4� .� Phone # (� ?� ?%�2_ ) & % c c c v ❑I mrtify that, Tf iG `p&rformance 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' compensation laws of California, and agree that, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,., j Signature ofApplic Vte , ,� /�/DECLARATION AR I CONSTRUCTION LENDING AGENCY I hereby affirm under pens y of perjury that there is a construction lending agency for the performance of the work for. which this permit is issued (Section 30ode). Lender's Name I Lender's Address By my signature below, I Cerfify1o, each of the following: I am the property owneror` 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 wiftall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to the above-i tifieq property for inspection purposes. {� 6 Signature of Property Owner or Authorized Age Gl� �= Print Property Owner's or Authorized Agent's Na �,YiGc v��� �� D t ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY !' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED E PA PERMITEXTENDED ❑A MD PERMIT FINAL i �,� I L BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF� SE OLITION OCCUPANCYISSUED SIGNA Ri