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HomeMy WebLinkAboutX2021-2848 - Permitsgwlrt City of Newport Beach - Building Division *X2021-2848* COMB Permit: X2021-2848 "#` d 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2878-2019 ;, Permit Counter Phone (949)644-3288 ix Inspection Requests Phone (949)644-3255 -+ s� rerrza` ,' Combination Type - BLDG (( '� ,i,,,,�+ Issued Date Inspection Area : 1 PERMIT EXPIRES 180 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: 317 CORONADO ST NB - Description: SFR BLOCK WALL 44' LINEAR FEET OF 42" HIGH BLOCK WALL PER CITY STANDARD WITHIN PL. (PINS ONSITE) Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 41 Owner: 317 CORONADO LLC Address: 790 NEWTON WAY COSTA MESA CA 92627 Phone: Applicant: SEPULVEDA BUILDERS Address: 790 NEWTON WAY COSTA MESA CA 92627 Phone: 949-554-8908 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $127.00 Plan Check Fee: $110.49 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: $240.49 PROCESSED BY: ZONING APPROVAL: Contractor: SEPULVEDA BUILDERS INC Architect: Address: 790 NEWTON WY Address: COSTA MESA CA 92627 Phone: 714-222-1150 Phone: Con State Lic: 695401 Engineer: Lic Expire: 10/31/2022 Address: Bus Lic: BT30058100 Lic Exp Date: 02/2812022 Phone: Worker's Compensation Insurance Designer: Carrier: NO EMPLOYEES Address: Policy No: Expire: Phone: 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: / 'arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee State Lic: ON THE WE4KEND m State Lic: Special Conditions: A01 FLOODZONE HIGH DENSITY ZONE LIQUEFACTION 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 $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: maeo seem m mm o a om e no momm O RmeO me m �mca �. moon $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $240.49 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: m n ooe000 m o m m o •a c o r 0 0 0 eo c OG: nO a amoco mo.000 c n m emno 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 Irovements 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 (roved 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 fly 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: 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 legalll 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 ,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CqN TRACTOR'S DECLARATION :reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section MDO f ivision 3 of the Business and Professions dQde, and my license is in full force leffect. Lic%wo.Class License No Date ll Go Contractor Signature )RhRS' bomPtNSATION DECLARATION ININ& FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE -N bF COMPENSATION 16 DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :rfy affirm•irder penalty of perjury one of the following declarations: I have ancI441 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 I,o�mance Sf1FyefyErk for which this permit is issued. Policy No. , bjve and WIN 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 uaece carrier arld•,00licy number are: ;riet •• • • Policy Number Expiration Date {t�Il e0of Agent - 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, f should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dater IECLARATION REGAikDKG CO STRUCTION LENDING AGENCY hereby affirm under pena 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 t ve-Identified property for inspection purposes. afj„t Ancnf 1r Print Pronertv Owner's or Authorized Agent's Name Date DATE BY REGULATIONS2CIF COMPLIANT 61 OF TITLE WITH AND DE OF FEDERAL I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED L1AQM D PERMITFINAL 10 2 ESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OCCUPANCYISF PROP05E=9-Bi OCCUPANCYISSUED SIGNATURE. SJ'l