HomeMy WebLinkAboutx2021-0726 - Permits4w City of Newport Beach - Building Division IIIIIIIIIUIII�IIIIII IIIIIIIIIIIIIIIIIIII�I IIpI COMB Permit: X2021-0726
, 102Civic' __er Drive, Newport Beach, CA 92660 IIIX 220 CONSTRUCTION2 1 0 7 2 6 1 II Project No: 0837-2020
Permit Counter Ph6_ne (949)644-3288
s3 - Inspection Requests Phone (949)644-3255 t V
F'rilrasR"+� s Combination Type - SFP Issued Date: 2021
Inspection Arearea : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIONg J JKT,�S=) U C0 LL-ET D BY 0313012024
work on Sundays or L BE YS LID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and �af��i��61l�aii^^ff��J�ng1o,
Job Address: 510 S BAY FRONT NB
Description: MFR DELTA 1, REPLACE (E) SIDING, TRIM & FACIA, REMOVEIREPLACE WINDOWS/DOORS (REV21-0443)
Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 6
Owner: BIDART LEONARD. A
Contractor:
PRO V - BUILDERS INC
Architect:
PEOTTER SCOTT
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Address: 210 S BAY FRONT
Address:
17125 LAUREL ST
Address:
14252 CULVER DR STE A-305
NEWPORT BEACH CA 92662
FOUNTAIN VALLEY CA 92708
IRVINE CA 92606
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Phone:
Phone:
714-715-3021
Phone:
949-250-7118 State Lic:C012800
Applicant: PEOTTER SCOTT
Con State Lic:
790007
Engineer:
Address: 14252 CULVER DR, STE A305
Lic Expire:
0113112023
Address:
IRVINE CA 92604
Bus Lic:
BT30074816
M
Phone: 9491250-7118
Lic Exp Date:
03131/2022
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
NO EMPLOYEES
Address:
Occupancy Group: R3/U
Policy No:
�Y"7
Added /New sq.ft. Bldg: 0
Expire:
Phone:
•%J
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: LIQUEFACTION & HIGH
No of Units : 1
Front: /
DENSITY AREA
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: _ A01
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $30,000.00
Building Permit Fee: $659.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $486.33
Additional Fee :
$0.00
Plan check Fee:
$46.25 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: $2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee: $2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,095.58
Plan Check Fee:
$532.58
Fee Due at Permit Issuance :
$563.00
PROCESSED BY:
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ZONING APPROVAL: V 1'��
PLAN CHECK BY:
GRADING APPROVAL:
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APPROVAL
TO ISSUE:
OWNER -BUILDER DECLARATION
1 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 plaiaed rre-Mo tho9ppil-ERMe 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 Iicensure 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 1t was not built or
im 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
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 Iicensure 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 cov b this permit, I cannot legal
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, Sec n 7 4 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent a
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70P014f Division 3 gfjhe Business and Pro s' li nse is in full force
and effect. License Class License No Date G^ Contractor Signature
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 HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO TH'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 tl
performance of the work for which this permit is issued. Policy No. _
have and will maintain workers' compens�Pton insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are: � -
ie of Agent
Policy Number Expiration Date
' phnnc Jd
certify that, in the performance he whi 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 agrei
L if I should become bject t e w c anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da
3-3��zG2/
CLARATION REG RDING CONbTIkUCTION1 LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction len 'dg 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 prope WbehI have read this application and the information I have p I agree to comply with all applicable city and county orlating to building construction.
I authorize representatives of this city or coun erty for inspection purposes.nahim of Pmoertv Owner or Authorized ADent Print ProDertv Owner's or Authorized Agent's Na i4yDat€�7
DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
E TO
FOR OFFICE USE ONLY