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Home My WebLink AboutX2022-1733 - PermitsCity of Newport Beach - Building Division ` 100 Civic Center Drive, Newport Beach, CA 92660 ,g Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM 1111111111111111111111111111111111111111111111111111111 Jill COMB Permit: X2022-1733 x 2 0 2 2 1 7 3 3 Project No : 1585-2022 Issued Date : 06/21/2022 Inspection Area : 2 PERMIT EXPIRES 980 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: 113 TOPAZ AVE NB Description: DEMO SFR 2448 SF (5 BEDROOMS) Legal Desc.: BALBOA ISLAND RESUB SEC 1 BILK 11 LOT 9 Owner: 113 TOPAZ GROUP LLC Address: 2901 W MACARTHUR BLVD SANTA ANA, CA 92704 Phone: Applicant: KEYSTONE D C S INC Address: 9140 TRASK AVE GARDEN GROVE CA 92844 Phone: 714-791-3771 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: Flood Zone: Construction Valuation: $10,000.00 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: Contractor: KEYSTONE D C S INC Address: 9140 TRASK AVE GARDEN GROVE CA 92844 Phone: 714-791-3771 Con State Lic: 1013293 Lic Expire: 04130/2024 Bus Lic: BT30076080 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9157538 Expire: 04/21/2023 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: / Front: / Left: / Right: / rking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10m 0 Architect: /. °" Address: , Phone: State Lic: ° o o yo° o _ Engineer: e a Address: °° c �o 0 ° gee Phone: State Lic: m a^° ° a Designer: Address: ° ° 0o c ocr� o 3 c Phone: ° o o° Special Conditions: "1 ° ° ° ° o o °o Fire Hazard Zone : N Planning Department -, Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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: GRADING APPROVAL: APPROVAL TO ISSUE: (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 (_) all of or (_) 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature, helow 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 legall). sell a structurO to-pt, L,l ave 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://www.leginfo.ca.gov/calaw.html. Signat,'Ire of P-s6p'arty-Owner or Authorized Agent Date I,ICENSED 600AACTOR'S DECLARATION I Hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and Profe ons Code, and my license is in full force and effect. Liwnse=Class License No Date- Contractor Signature L.L_4 _,.'A 0,It-- WOR.hERS' CCIMP614SATION DECLARATION NARNING: FAILURE;T.O.,SEr URE 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 THE COST OF, COMPENSATION,__DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rier"eby affirm under penalty of perjury one of the following declarations: I have and, wlll rn�;intain 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 okgaLmance of ft2 wok for which this permit is issued. Policy No. 1, hgVe and wifl 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' compensatiol nsurance carrier= ind Nolicy number are: Policy Number xoiration Date e of Agent Phone # certify 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 lat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ggqqqq //////''' ignature of Applicarh`� - -� DateW c a ] r ECLARATION RE R 4&COI STRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 -identified property for inspection purposes. A/, ignature of ProOertv Owner or Authorized Aqent \.- L-s® Print Propertv Owner's or Authorized Aqent's Name / /'-- T'P AA 01(1- ' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL EERTMICATE0T__I�U40 -Pbo-- SBEST S OTIFICATION IS NOT APPLICABLE TO PRO E E OLITION 01 OCCUPANCY ISSUED YVL S' SIGNATU E: a`n l»er yr /n �i�a m o -hq, i'i v 'n hr" c tg J 'q N .N U m rn rn Op. ❑�LJ❑ o p N .� U +H T590 2Tfig 0000 0922 6TOL SL90 2` fig 0000 0922 6TO0