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HomeMy WebLinkAboutX2021-0132 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 a: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r�,ys Combination Type - BLDG PLUM 'X2021-0132* COMB Permit: X2021-0132 Project No: 2488-2019 Issued Date : 02/1812021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction PROJECTS MUST BE COMPLETED By 02/19/2024 OR Hours: Monday -Friday 7:00 a.m. Job Address: 1940 TERESITA LN NB PERMIT WILL BE INVALID to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Description: DEMO (E) DETACHED GARAGE, INCLDS SEWER CAP Legal Desc.: N TR 1806 LOT 49 Owner: CONN ROBERT 8 PT Address: 1940 TERESITA LN Contractor: SHEAR CONSTRUCTION _ Ate' Architect: a �„ �,i' e '� ICS NEWPORT BEACH, CA 92660 Address: 31 BLAKEMORE DR Address: I Phone: LADERA RANCH CA 92694 Phone: 714-615-6108 Phone: State Lie: Applicant: RICHART JASON Address: 1041 W 18TH ST Al 06 Con State Lie: 760863 Engineer: JAMIL BASHAR S COSTA MESA CA 92627 Lie Expire: Bus Lie: 07131/2022 Address: 751 SHASTA DR Phone: 949-422-9191 Lie Exp Date: BT30049686 01/31/2022 CORONA CA 92881 .... a Code Edit: 2016 Phone: 714-683-0124 State Lie a •••• Type of Construction: VB Worker's Compensation Insurance Designer: Occupancy Group: R3/U Carrier: OHIO SECURITY Address: • °• Added /New sq.ft. Bldg: 0 Policy No: XWS61231341 a Added /New sq. ft.Garage: 0 Expire: 04/11/2021 Phone: No of Stories: 1 No of Units 0 Building Setbacks Rear: 6' Special Conditions: COSTA MESA SANITATION ° • • BldgHeight: 9 0 Front: 20' Left: HAULER: JD DEMO/GRADING . n `• n • , Bldg Sprinklers: y 6' Flood Zone: X Use Zone: R-1-6000 Right: 6' Parkin S aces: 0 ° e ° Construction Valuation: $2.000.0a Fire Hazard Zane : N • a Building Permit Fee: $0.00 Plan Check Fee: $0.00 Excise Tax: Additional Fee $0.00 Planning Department- Fire Department a°°•°• Overtime Plan Ck: $0.00 : Grading Bonds Fee: $66.00 $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 Fair Share $0.00 Fire Plan Rev SJH Trans, $0.00 Record Management : $0.00 Energy Compliance: $0.00 GradingPermit Fee: Grading PC Fee: $0.00 $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 $0.00 Public Works Department - General Service $564.00 Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Hazardous Mat $0.00 o . Electrical : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 $0.00 TOTAL FEE : $876.00 Plan Check Fee: $0.00 Fee Due at Penn it Issuance $876.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: -&"-D - APPROVAL TO ISSUE: 0 a •°o oa ° °onno 0 �N^v73 000aeo a c o ° o • OWNER -BUILDER DECLARATION cated below by the checkmark(s) I have placed next to the applicable item s) I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indi 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 foD he 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 )rofessions 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 lot more than five hundred dollars ($500). 11 h rk and the structure is not intended or offered for sale (Section 7044, I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions c 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throug mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of coi mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70' apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac 1 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 on gall a structure that I have built as an owner -builder if h 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:/Avww.le 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 Sec 1 t 700( and effect. l ieerrse Class License No WOR@@}(ERS'jCOVRt ,,;ENSATION DECLARATION EMPLOYER TO COSTIAF COMP@Pjip1'0 DAMAGES S PROVIDED FORCURE WORKERS' TION IN STIOCOVERAGE7 61S UNLAWFUL, AND SHALL SUMECT AN OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. PE T ye�LY affirm under penalty of perjury one of the following declarations: shave and.Vigl jJaintain a certificate of consent to self -insure for workers' compensation, issued by the Directo pq orRl ce Ythe work for which this permit is issued. Policy No. ,e and,�i�"alritain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thl mSur aece carder arM policy number are: Policy Number FYI€ NSmepf Agent' y,,tify that in the�performance of the work for which this permit is issued, I shall not employ any person in any man L.._. ;A ..h. 18 i.oa,,.oa m,hlertifffii4 vrefk�co ensation provisions of Section 3700 of the Labor Code, I shall fortl nature of App icant `� f CLARATION DING CONSTRUC 10 LENDING AGENCY areby affirm under enalty of perjury that there is a construction lending agency for Lenders Address of the work t ider's Name my signature below, I certify to each of the following- 1 am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 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 co ty-t0 n r the above-'d tified property for inspection purposes. mature of Property Owner or Autho ' ant ' Print Property Ownei DATE L✓ By EXPIRED DECLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION PERMIT EXTENUEU `�'•"' PERMIT FINAL STOS NOTIFICATION IS NO APPLICABLE TO CERTIFICATE OF �,,7,,•� _ PR OSED DEMO N OCCUPANCYISSUE1 v SIG t ewo , employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or , Business and Professions Code: The Contractors' State License Law does not r pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot legs nderstand that a copy of the applicable law, Section 7044 of the Business and nfo.ca.gov/calaw.htmi. / Date Asian 3 of the Business a_rU,4fes Code�a my lice se is in full force 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' Date o as to become subject to the workers' compensation laws of California, and comply with those provisions `/ 19 Al, this permit is issued (Section 3097, Civil Code). USE