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HomeMy WebLinkAboutX2019-1146 - PermitsCity of Newport Beach - Building Division IIIIII�IIIUIII�III�III�III�IIIlllll�llllllll� III COMB Permit: X2019-1146 4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 1 1 4 6 Project No: 0814-2019 ` e Permit Counter Phone (949)644-3288 - y, Inspection Requests Phone (949)644-3255 Issued Date : 04/06I2021 °a ss Combination Type -SFP NO CONSTRUCTION NOISE inspection Area :1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410612024 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: 20 BALBOA COVES NB Description' `SFR RJR WINDOWS LIKE FOR LIKE (12) AND FILL IN DOOR, REMOVE PARTITION IN"(SAT( RDAYS Legal Desc.: N TR 1011 LOT 20 Owner: COBURT H( Address: 20 BALBOA NEWPORTI Phone Applicant: BALJEU MARCO Address 3100AIRWAYAVE COSTA MESA, CA Phone: 949-526-1400 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: �m r1N�^=� _Architect: r�'4 se Ad rFS AUTH AGENT: Address: - p CA 92fj63..e z t () J V 2 BA MARCO r A p C-� �(� L 326-1400 If arpgPpW.. ALL R � `S¢ira� !c �. 9_ Con State Lic OIB p e (,%'(a� i L t V 9 E! ` t4 B °tom � i !119� ''� s. L!c R-��re �' rpm— ❑ lei ram!" 2626 r. �'�Bu at-!c" '� r5 NCO on r r�NT.3 �p Ste t •L!c. Worker's Compensation Insurance es!gnet: Carrier Address: 3100 AIRWAY AVE #119 'r COSTA MESA, CA 92626 31 EEp�r,A' ' 't �su'F' Phone: 949-526-1400 "�; VV 4 �, �� tm�811d01g'S�v Rear 7SIA Special Conditions: AE FLOOD ZONE 41, Front: / LIQUEFACTION Left: I HIGH DENSITY AREA Right: I i Building Permit Fee: $263.00 Plan Check Fee: $294.81 9 Overtime Plan Ck: $0.00 Investigation Fee: $263.60 Record Management: $6 00 Energy Compliance: $61,1 0 CA Seismic Safety: sopo Disabled Access : $010 Hazardous Mat $0k Building Green Fee: $1.00 PROCESSED BY: ME T�)c, y a tA1A5tlitri'al Fd@ �=i ) $0.00 $128.00 Planning Department - Plan the asu-;ioi k ' a ? Grading Bonds Fee. $0.00 Fair Share : $0.2 Grading PC Consultant: $0.00 SJH Trans : $0.00 6•ad u:,,. _ r..,n.... Pe„„« aee $0 00 In -lieu Housing Fee $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee : $0.00 Park Dedication )1-$0,g0 �d�if0 dy_ ----PrtNPIarrEheck— TOTAL FEE: $1,063.06 ZONING APPROVAL: GRADING APPROVAL: Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee a • NMUSD Fee: $255.76 $0.00 Fire Inspection, $0.00 Fire Plan Rev $0.00 Demolition Fee Building De&Adme' $0.00 eneratse:rd',ice ." $0.00 Refund De it ri $0.00 Grading Bond[ =; $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $807.30 o ecu o a • • • o ° a PJBoLIG WORKS APPROVAL: o u o o uo PLAN CHECK BY r'e° o°o o. s°.1PPAD *L•TO ISSUE: a o • o a o • m • a o © ca 0 0 0 0 0 0 ouo uo 00 0 o u�u o0 ,OWNER -BUILDER DECLARATION I h.. T 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) (SectiC6 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 (_) all of or U portions of the Fork, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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 7044, Business and Professions Code: The Contractors' State License Law does not p 'ly 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 a exempt from licensure under the Contractors' State License Law for the following re n: By signature below I acknowledge that, except for my personal residence in which I m s ave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, II a structure that I have built as an owner -builder if it has not been constructed in *9nifetypy licensed contractors. I understand that a copy of the applicable law, Section ?044 Of he usiness and Professions Code, is available upon request when4ph application is submi at ra g Web -qitP-hHn-1/www i Signature of Property Owner or Authorized _ Dat LICENSED CONTRACTOR'S DECLA TI N � I hereby affirm under penalty of perjury that am I3psed.under provi on r (o dh Section 7000) of Diviif na {e and Professions Code, d riTydicense is in full force and effect. License Class c� @@� LtieeRs a e Contractor Signature - WORKERS'COMPENSATION DEC TION n 80% or ❑ 00% refund WARNING: FAILURE TO SECURE WORKERS' COMPE ATiMECTION SUN '" D S SU A M 1. P LTIES AND CIVIL FINES UP TO ONE HUNDRED TXOuSAND DOL RS (E700,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED ARTIN OF TH BO OF; I ES 0 EY'SPEEI hereby affirm under penalty of peduryndne f theClare s: 1�?. ` ERA;,, l i0 VV! rQirl: 13 I have and will maintain a certificate o connsure rk co nsat,o issue y t e ,rector of Industrial Relations as provided for by Section 37 0 of the Labor Code, for th performance of the work for which this perm is issued. Policy No. I have and will maintain workers' comps sati , as 9SeF�ori; EE e a t rmance of the work for which this permit is issu . My workers' compensatio, insurance carrier and policy number are: carrier N o umb _ +� P -a wa Expiration Date ame of Agent Phone # certify that, in the performance of the w k for which permi ' 'sued, 1 shall not employ any person in any manner so as to become subject to the workers' compensatio lawsbf C tha , if I should become ject to the works ' co ns Ion ns of Section 3700 of the Labor Code, I shall forthwith co ply with those provisions. `` ,' Signature of Applicant I _ g q r �7 DECLARATION REGARDING CONSTRUC ON G A t#2 - -�4 ; 9 I hereby affirm under penalty of perjury that ere i run d 'a ericy he performance of the wo h,ch this permit is issued (Sectign� 097, Civil Code). Lender's Name / r.. .,- ....a- gder's Address (., "U!-r' b .r iv Ca IB y my signature below, 1 certify to ea of following: v y, k —cap, cam. I I am the property owner or authorized to ct on the property owner's behalf. I have read this application and the info ark( ve provided is correc I agree to comply with all applicable city m�33 {i tJ b ws re a mg o building construction. v U� I authorize representatives of this city or ounty� -i :d property for inspection purposes. I , SD. i i ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFI017E OF OCCUPANCY ISSUED DATE 1403 PART 61 OF TITLE 40 AND AQMD RULE �IFlCPJIVN Tqr • • • ••• NOTIFICATION IS 0 and ' c- o o 6 o CO CC0 /O 00 06 OG0