HomeMy WebLinkAboutX2021-0496 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
W', r Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFPELEC PLUM
IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII�III1 III COMB Permit: X2021-0496
x 2 0 2 1 0 4 9 s Project No : 0455-2021
NO CONSTRUCTION NOISE Issued Date: 06/0712021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610712024 OR PERMIT WILL BE INVAL
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and SaturrJat�,fCo �ra�rp4�6:00
Job Address:
2037 OCEAN BLVD NB �L11�(VV J ! �UJI�'6 ADescription:
SFR NEW ROOF DECK, PATIO COVER 170 SF, FIRE -PIT & PRE-FAB SPALegal
Desc.:
N TR 518 BLK D LOT 22
FI�ATI®iVOwner:
7ER
TAREK BUYS HOUSES Contractor: BATTRES BUILDERS Architect:Address:
2037 E OCEAN BLVD Address: 18975 MT DEMTER CIR Address:
NEWPORT BEACH CA 92661 FOUNTAIN VALLEY CA 92708
UIRED
Phone:
Phone: 714-759-0709 Phone:
Applicant: BUITRAGOJIMENEZ ALFONSO
Con State Lic:
1046336
Engineer:
CZAJKOWSKI MACIEJ W.
Address: 3202 W WARNER AVE
Lic Expire:
1013112022
Address:
2702 HARBOR BLVD
SANTA ANA CA 92704
Bus Lic:
BT300755004
COSTA MESA CA 92627
Phone: 7141294-2080
Lic Exp Date:
0613012022
Phone:
714-928-6220 State Lic:C-032946
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
NO EMPLOYEES
Address:
Occupancy Group: R3
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 3
Building Setbacks
Rear: /
Special Conditions: LUIQUEFACTION & HIGH
No of Units : 1
Front: /
DENSITY AREA
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $150,000.00
Building Permit Fee: $1,894.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $1,583.06
Additional Fee :
$0.00
Plan check Fee :
$46.25 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $24.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
CA Seismic Safety: $19.50
WQ Insp. Fee:
$0.00
" - Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
"" PAN Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$132.58
San Dist:
$0.00
Building Green Fee : $6.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$170.46
-
TOTAL FEE: $4,684.85
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
ME
0
$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,337.19 Fee Due at Permit Issuance : $3,347.66
�qC WORXS•,j1pfROVAL:
V PLAA CHECk BY:'
a» ••• • APPROVAL IQ ISSUE
p • O
(- •O O
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)
(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 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 do U all of or (_) portions oaf 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 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 70 I4i4, 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).
LJ I am exempt from licensure under the Contractors' State License Law for the following reason: I
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under.
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.legIinfo.c
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Dig
and effect. License Class L O License No Date
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PE LTIES
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
that a copy of the applicable law, Section 7044 of the Business and
Icalaw.html.
Date
�'slq1nn 3 1of the Business and Prof ssi ns Cod , li a se is in full force
'ZT1 Contractor Signatu
AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
LJ I 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
performance of the work for which this permit is issued. Policy No.
LJI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the
insurance carrier and policy number are:
Carrier Policy Number
Nape of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
, if I should become sjubjeCt to the work rs' m sati 'sions of Section 3700 of the Labor Code, I shall
Iature of Applicant 41-- C _
:reby affirm under Penalty of perjury that there is a construction lending agency for the performance of the work for wl
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 ordmance�state laws relating to building construction.
I authorize representatives of this city or cou* tq _e r the al ove-i tifie operty for inspection purposes.
mature of Prooertv Owner or Authorized ADent IAJ�rint Prooertv Owner's or
of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compens tion laws of California, and agre
I comply with those provisions.
D
I this permit is issued (Section 3097, Civil Code).
ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBFSTOSATIFICAAbW TD �•• •••
PERMITCANCELLED UIEPA • • • . • a • •• i
PERMIT EXTENDED ONDMID
PERMIT FINAL ,' 4 1 ASBkTOS NOTIFICATION IS �TAPPUCABLE
CERTIFICATE OF 1� V PROPOS D DE LI N
OCCUPANCY155UED SIGNA RE:
e
s e e e oo a
e s • n