HomeMy WebLinkAboutX2021-3209 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3209
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100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 3 2 0 9 PfOJ@Ct NO : 1678-2021
rw Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued LionDatAr a : 2021
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Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1112412024 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: 109 TURQUOISE AVE NB
Description: DEMO DUPLEX & GARAGE. 2468 SF. 2 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: BALBOA ISLAND RESUB SEC 1 LOT 9 ELK 13 AND LOT 10 BLK 13
Owner:
FREIMANN KERRY
Address:
109 TURQUOISE AVE
NEWPORT BEACH, CA
Phone:
Applicant:
SAAD ANDREW
Address:
151 KALMUS DRIVE
COSTA MESA, CA 92626
Phone:
714-754-4040
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 2
Bldg Height: 0
Contractor:
DEVCO HOMES
Address:
13 CORPORATE PLAZA #102
NEWPORT BEACH CA 92660
Phone:
949.212-3262
Con State Lie:
773220
Lie Expire:
01/31/2022
Bus Lie:
BT30001683
Lie Exp Date:
0212812022
2019 Worker's Compensation Insurance
V-B Carrier:
WC EXEMPT
R3/U Policy No:
(NO EMPLOYEES)
0 Expire:
0
Building Setbacks
Rear: /
Front: /
Left: I
of ht. r
Architect:
Address:
Phone:
Engineer:
Address:
State Lie:
State Lie:
Phone: Designer:p` ,CJTI®N'go LS`
Address: NST nv 1 •7G-
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Special Conditions: MO TQ EEy-,EN
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Bldg Spllllnlwl .
Flood Zone:
Use Zone:
•••y •••
Parking Spaces:
0
Fire Hazard Zone : N
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Construction Valuation: $20,000.00
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Building Permit Fee:
$122.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$27.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$265.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$152.00
Park Dedication :
$0.00
Refund Deposit
$1,692.00
Disabled Access :
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$10.98
$0.00
TOTAL
FEE : $23269.98
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$23269.98
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PUBLIC WORKS APPR7VA'_E
ZONING APPROVAL:
GRADING 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 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
improved 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' 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 licensure 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 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of DiiiseQ of the Business and Pro ss'ons A n icense is in full force
and effect. License Class License No Date '� Contractor Sig nature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG HOUSAND DOLLARS ($111.111), IN ADDITION TO THE
COST 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
'ormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 370C of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
Trance c rier and policy number are:
rier Policy Number Expiration Date
Agent
c rtify 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' compensation laws of California, and agre
t I should become subject to the workers' compensation provisions Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date,(__ 102 /g/
CLARATION REGARD G T N NDING AGENCY
Ireby affirm under pe f perj hat 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 county to enter the above-identifi pe r Inspection purposes. ,�J/jy1//�
nature of Property Owner or Authorized Agent -�` r��rint Property Owner's or Authorized Agent's Name (Jill �G-+CJ%1 Date �/ /
ACTION I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
(ION OF COMPLIANCE WITH CODE OF FEDERAL
IONS PART 61 OF TITLE 40 AND AQMD RULE
A ITTED ASBESTOS NOTIFICATION TO
LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PCOPCS.'.0 D'DIOUTION
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