HomeMy WebLinkAboutX2018-2210 - PermitsCity of Newport Beach - Building 9LVl!Morl•• o e o°� h��I IIIIIIIIIIUIIIIIII�lllll ll llllll'
b +s 100 Civic Center Drive, Newport Beach, CA 92660 e ° ° ® ° ° ` II E 6 1 8 2 2 1 0� II
Permit Counter Phone (949)644-3288 0 ° ° , ° ° • ° ° ° ° ° °
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH e °
Phone
Applicant: BENSON JEFF
Address: 234 BROADWAY
COSTA MESA CA 92627
Phone: 949-534-2724
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 40
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height. 0
Bldg Sprinklers:
Construction
Building Permit Fee: $736.00
Plan Check Fee: $569.00
Overtime Plan Ck:
Construction Hours: Monday - Friday 7:06a.r
Job Address:
205 N BAY FRONT NB
Description:
SFR -ADD 40 SF -3 -STOP ELEVATOR
Legal Desc.:
BALBOA ISLAND REBUS SEC 1 BLK 4 LOT 3
Owner:
LANDON MARVIN Contractor:
Address:
5395 JED SMITH RD Address:
Hazardous Mat
HIDDEN HILLS CA 91302
Phone
Applicant: BENSON JEFF
Address: 234 BROADWAY
COSTA MESA CA 92627
Phone: 949-534-2724
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 40
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height. 0
Bldg Sprinklers:
Construction
Building Permit Fee: $736.00
Plan Check Fee: $569.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE : $1,600.96
PROCESSED BY:
ZONING APPROVAL:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
COMB Permit: X2018-2210
Project No: 1749-2018
Issued Date : 08/1612018
Inspection Area : 2
!ER ISSMANCE OR LAST VALID INSPECTION.
and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
TONY VALENTINE CONST INC
2435 E COAST HWY#2
CORONA DEL MAR CA 92625
949-723-6449
467553
0413012020
BT00021099
0212812019
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1794693
Expire: 0 710112 01 9
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear. ALLEY 5'
Front: 7'
Left: 3'
Right: 3'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$51.52
$29.44
$0.00
Plan Check Fee :
Architect: BENSON JEFFREY JAMES
Address: 234 BROADWAY
COSTA MESA CA 92627
Phone: 949-534.2724 State Lic:C032268
Engineer: DEIHIMI DAMIR HOSSEIN
Address: 23172 PLAZA POINTE DR STE 145
LAGUNA HILLS CA 92653
Phone: 949-954-7244 State Lic:C-078194
Designer:
Address:
Phone:
Special Conditions: 5 j$ Ik.
:T ,
Fire Hazard Zone : N
Planning Department -
Fire Department "
Plan check Fee:
$150.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check :
$38.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$757.00 Fee Due at Permit Issuance : $843.96
PUBLIC WORKS APPROVAL: . -
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department "
$150.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit.
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$757.00 Fee Due at Permit Issuance : $843.96
PUBLIC WORKS APPROVAL: . -
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
- -
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor 4jreasen(a) ipdiy'attd 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, demBlishJr 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 doe j all of or (_)•poi ions of the walk, eno 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 pt"rty 4s, th4ph employegs' Dr 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 completi&, 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://www.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 off ,C�hapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions d" , and my license is in full force
and effect. License Class a License No yh 7 .S'.S' 2 Dait�� Contractor Signaturec1
NORKERS' COMPENSATION DECLARATION
NARNING: 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 ($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.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 the
)ear Gtmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
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
if I should become subject to tlI�orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Of
Date �-. 16 —�1 C
CLARATION REGARDING CONSTRUCTIOR-LENDING AGENCY
Ireby 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).
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 contXy to enter th ve-Ide"�tlf1led property for inspection purposes. �/ L
nature of ProDertv Owner or Authorized AGent�L— Print Prouertv Owners or Authorized ADenl's Name/(
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATEOF
OCCUPANCY155UED
DATEDECLARAION OF CMPLIANCE WITH CODE OF FEDER( BY XREGULATTONS PARTO61 OF TITLE 40 AND QMD RULE AL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
NOTIFICATION IS WTAPPLICABLE TO
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