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HomeMy WebLinkAboutX2021-1864 - PermitsCity of Newport Beach = wilding Division 100 Civic Center Drive_Ne"ort Beach, CA 92660 w'. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 nr�rxs, - Combination Type - BLDG PLUM Iillllllllllllllllllllllllllllllllllllilllllllllllllll�llll COMB Permit: X2021-1864 Project No: 1608-2021 Issued Date:�07/16/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711612024 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 Sunday, r Holidays Job Address: 2132 OCEAN BLVD NB Description: DEMO SFR WIATT GAR 1750 SF 5 BEDROOMS Legal Desc.: TR 518 LOT 9 BILK F ELY 26.25 FT(AND WLY1/2 LOT 10 ELK F L£g� Owner: CALLAGHAN RYAN 8. KELLY Contractor: UNITED CONTRACTORS Architect: Address: 2018E BAY AVE Address: 10725 ELLIS AVE #D Address: NEWPORT BEACH, CA 92661 FOUNTAIN VALLEY CA 92708 Phone: 949/422-7764 Phone: 801-792-7417 Phone: State Lic: Applicant: UNITED CONTRACTORS Con State Lic: 949005 Address: 10725 ELLIS AVE #D Lic Expire: 06/30/2022 FOUNTAIN VALLEY CA 92708 Bus Lic: ET30053869 Phone: 801-792-7417 Lic Exp Date: 01/31/2022 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: Carrier: STATE FUND Occupancy Group: R3/U Policy No: 911946220 Added /New sq.ft. Bldg: 0 Expire: 12/06/2021 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: _ 11 Construction Valuation: S0.00 Use Zone: Parking Spaces: Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $0.00 Engineer: Address: Phone: Designer: Address: Phone: State Lic: Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS HAULER SLIPS ATTACHED Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 Zone : N Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 a o m • 0 ©eoo.• oo• 00 0 0 a • m e• • . o o• • 0•••0 •a 0 0o e m o • o•••o 00000 o 0 0 o m moo•oo 0 $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 II TOTAL FEE: $1,315.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,315.98 II L � 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 reason(s) indicated below by the checkmark(s) I Nave plated 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )Iy 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 below I acknowledge that, except for my personal residence in which I must have resided for at least or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.le Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affir p tmetcr enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700( and of ect. License lass License No Date - VTC+ERS;COMPENSATION DECLARATION PARING: FAILCIIIE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PE Q QF COMPENVTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATfORNEY'S FEES. I hereby affrm,underpenalty of perjury one of the following declarations: • ! • nd • ?lave awill•maintain a certificate of consent to self -insure for workers' compensation, issued by the Directo erformance of thervork for which this permit is issued. Policy No. •ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for tha linqurance carrier and policy number are: year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date f Div )isi n of the Business and Profession, d ,and my liter n full for / Contractor Signature TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' arnir • Policy Number Expiration Date 3rpe of Ager • Phone # 1I4ertify the "lii,* performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su ject to the workers' compensation laws of California, and agree lat, if I should becob le s�CONSTRUCTION kers' compen .on provisions of Section 3700 of the Labor Code, I shall forth' ith comply with those provisions. signature of Applicant_ Date �- IECLARATION REG LEND ING AGENCY hereby affirm under penalty of perj that there is a construct; ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly 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 ord' ces and state la relating to building construction. I authorize representatives of this city or county to e e e above-idanti d operty for inspection purposes. y -� Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARAT OF COMPLIANCE WITH DE OF FEDERAL FOR OFFICE USE ONLY REGULAT NSPART610F TITLE4 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL 2� O. 1 �, SBESTOSNOTIFICATI SNOTAPPLI TO CERTIFICATE OF �l V POSED DEMOLITI /J OCCUPANCY ISSUED SIGNATUR