HomeMy WebLinkAboutX2021-3001 - PermitsCity of Newport Beach - Building Division
. s 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3001
x 2 0 2 1 3 9 0 1 Project No:2615-2021
Issued Date : 1110812021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/08/2024 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: 112 43RD ST NB
Description: SFR *STOP WORK* REPLACE BALCONY GAURDRAIL AND REPLACE WATERPROOFING (I21-2818)
Legal Desc.: N TR 3813 LOT 47
Owner:
EMERALD FINANCIAL LLC
Address:
PO BOX 3691
DANA POINT, CA 92629
Phone:
Applicant:
HAZY STEVE
Address:
54 MEADOWBROOK LN
TROPHY CLUB TX 76262
Phone:
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $212.00
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$212.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor:
OWNER/BLDR
Architect:
Address:
PAYNE JAMES
Address:
Phone:
818-943-2432
Phone:
Con State Lic:
O/B
Engineer:
Lic Expire:
]N3�i33M 3]Hi N®
Address:
Bus Lic:
Lic Exp Date:
Phone:
FLANNERY CHARLES
27710 AVE SAN LUIS
WOODLAND HILLS CA 91364
818-997-4100 State Lic:C012638
Worker's Compensation Insurance Designer:
Carrier
Policy3SION Vkro HSNOD DeN Expire: Phone:
Building Setbacks Rear: I Special Conditions:
FrHIGH DENSI
Left: /
Right: 1
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 W
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
11 TOTAL FEE: $661.44 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL: M
State Lic:
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $661.44
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 have placed next to the applicable item(s)
3ection 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
le 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
nproved for the purpose of sale).
1, 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
oli'Iy o 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:
my signature below I acknowledge that, except for my personal res' which must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has n n o truc d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this a tion is ub i d or at the f o in W -site:http:/Avww.leginfo.ca.gov/calaw.html. /
ignature of Property Owner or Authorized Agent Date /c--/7✓-�t� ��
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under ovisio of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class ense No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 the
)erformance of the work for which this permit is issued. Policy No.
:1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
nsurance carrier and policy number are:
rrier Policy Number Expiration Date
Va a of Agent Phone #
I ertify that, in the pert ce ?workor which this 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 agree
h t if I should beco subject tot e compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
5 nature of Applica Date/L/0✓1=i14���2
)ECLARATION REGAR ION LENDING AGENCY
hereby affirm under penalty of rjury t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 1 "I Code).
-ender's Name Lender's Address
3y my signature below, jo6tify 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 IRnceancd
ect_I agree to comply with all applicable city an unty ordiale laws relating to building constmction.
I authorize representatives of this city or c unty to enterntified p e y for inspection purposes. L/ S �P Z
signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's N�m Date
ACTION DATE BY D RAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
EGULATI NS PART 61 OFTITLE 40AND AOMD RULE
1403 j
PERMIT EXPIRED ' SUBMII ED ASBESTOS NOTIFICATION TO
PERMITCANCELLED . _ =pq
PERMIT EXTENDED q'MD
PERMITFINAL—T.LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
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