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HomeMy WebLinkAboutX2018-3777 - PermitsCity of Newport Beach- Building Division COMB Permit: X2018-3777 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 7 7 7 Project No: 2923-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r'"I�ar„Kvw'. Combination Type - BLDG PLUM Issued Date: 12114/2018 Inspection Area: 1 PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.. 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: 212 E BAY AVE NEI Description. DEMO 844 SF (2) BEDROOM SFR, INCLDS SEWER CAP Legal Desc : NEWPORT BAY TR SUB OF BLK CLOT 75 - g Owner. 212 E BAY LLC Contractor: SEPULVEDA BUILDERS INC Architect: SANTILLAN MICHAEL ' K Address: 790 NEWTON WAY .Address: .790 NEWTON WY Address: 27 ORCHARD -COSTA MESA CA 92627. COSTA MESA CA 92627 LAKE FOREST CA 92630 Phone: Phone:. '714-222.1150:.. Phone: 949-716-9990. State Lic:CO23337 Applicant SEPULVEDA BUILDERS INC. Con State Lie: 695401 Engineer:. Address: ' 790 NEWTON WY Lie Expire: 1 013 112 01 8 Address: -e COSTA MESA CA 92627. Bus Lie:. BT30058100 e e e °e • e e e Phone: .714-222-1150 'tie Exp Date: 0212812019'. Phone: State Lie: ; • „° ° Code Edit: 2016 - Worker's Compensation Insurance Designer. ° •.e e • o Type of Construction: VB Carrier: NO EMPLOYEES' Address: Occupancy Group: R31U .Policy No: - o m o Added /New sq.ft..Bldg: 0 Expire: Phone: - .... Added /New sq. ft. Garage: 0. ..0. °°°oeo No of Stories: 1 Building Setbacks Rear: / Special Conditions: TIGHT QUARTERS TO HAUL No of Units: 1 Front: / °oe°eo Bldg Height:. 0 Left: /... Bldg Sprinklers: : Right: I Ft d Z - U Z P k' S 0 Fire Ha aid Zone : N" 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 %: $9.27 $0.00 TOTAL FEE : $1,774.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,774.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: "PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oo one. se one. arm aces. z Construction Valuation:. $5,000.00. Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $208.00 - Additional Fee : $0.00. Plan check Fee : ' $90.00 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 $26.00 Energy Compliance: $0.00 - Grading PC Fee: $0.00 Public Works Department- General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: -. $0.00 Park Dedication : $0.00` Refund Deposit $1,127.00 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 %: $9.27 $0.00 TOTAL FEE : $1,774.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,774.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: "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 reasons) indicated below by the checkmark(s) I have placed next to the applicable. i%`+in(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 Irofessions 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 civil penalty of of 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, 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 nproved 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 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: Iy 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 legalli 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 Irofessions 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 Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm Oiidefbgnalty of perjury that I,�m licensed under provisions of Chapter 9 (commencing with Secipon 7000) of.D'v'sion of the Bus nes5 and Profes 'lons��de; and my license is in full force 2c�gf��ct. Licepse QLass �6 License No ate Contr Signature / \ VORKERS' CQJVE:NSATIO CEDN CaRATION 'Ar),NIFfiy FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE OSTQF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm to ec penalty of perjury one of the following declarations: - - 14Pave and AIL piaintain 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 Brfovmance of the ork for which this permit is issued.. Policy No. 31'ii and will inaintain 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 iIlLrAik* carrier jand pplicy number are: arrier ' ""': Policy Number Expiration Date ertify that, I 'h! performance of the work for which this permIta issued, 1 shalt not employ any person m any manner so as to become subjectto the - orkers'-compensation laws of California, and ogre at, if I should come subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. 31g Applicant atev";�f+y )ECLA J REGARDI C TJSTRUCTION LENDING AGENCY. hereby affirr�il der penall perjury that there is a construction lending agency for the performance of the work for which this permit is. issued (Section 0 ,Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. Signature of Property Owner o uthorized Agent Print PropeOwner's or Authorized Agent's ACTION�� BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE 403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMITEXTENDED MD PERMITFINAL $GSBESTOS N TIFICATION IS APPLIC BLE` TO CERTIFICATE OF ���i-1� PROPOSED DE OLITI�`N, OCCUPANCY ISSUED CS SIG NAT E V L u Os c0 o 00.0. 5 Ill .E o q y G z c n D N N fy Z C as 17 rias® a� C .m.. 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