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HomeMy WebLinkAboutX2022-0823 - PermitsCity of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM COMB Permit: X2022-0823 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 0748-2022 Issued Date : 03/21/2022 Inspection Area :_5- PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312112025 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: 225 JASMINE AVE NB Description: DEMO (E) SFR W/ATT GARAGE 2,154 SF (3 BEDROOM) Legal Desc.: RESUB OF CORONA DEL MAR LOT 25 BLK 136(AND SWLY 10FT LOT 27 BLK 1 36 Owner: 225 JASMINE LLC Contractor: NICHOLSON CONSTRUCTION CO Architect: Address: 1 CORPORATE PLAZA DR#110 Address: 1 CORPORATE PLZ #110 Address: NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-872-6637 Phone: State Lic: Applicant: GLASS NANCY Con State Lic: 660295 Engineer: Address: 1 CORPORATE PLAZA #110 Lic Expire: 12131/2022 Address: NEWPORT BEACH CA 92660 Bus Lic: BT98032850 Phone: 949-715-7474 Lic Exp Date: 04/30/2022 Phone: State Lic: Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $15,000.00 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 : $1.00 TOTAL FEE: $2,596.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Workers Compensation Insurance Carrier: STATE FUND Policy No: 9074265 Expire: 1010112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Plan Check Fee Designer: Address: Phone: Special Conditions: HAULER: JD DEMO NO CITY TREES ON SITE Hazard Zone : N rc 0 I- 0 LU 0 Z Planning Department - Fire Department Plan check Fee: $104.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Public Works Department - General Service $265.00 Park Dedication : $0.00 Refund Deposit $1,692.00 P/W Plan Check: $0.00 Grading Bond: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,596.98 P[IBLiC VvORKS APPROVAL: - PLAN CHECK BY: _ 4oPROVAL. TO ISSUF:, +4 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 ie 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). I, as owner of the property, or my employees with wages as their sole compensation, will do J all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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 pply 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: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll ell a structure that I have built as an owner -builder if it has not been constructed 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 application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of Division 3 of the Business and Pro(isslons Code, and my license is in full force nd effect. License Class License No Dat Contractor Signatuo"" VORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST 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: 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 th erformance of the work for which this permit is issued. Policy No. I 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' compensatioi Isurance car r aryd policy nu er re: :arrier R N mber Expiration Date lame of A nt ,� Phone It I certify that, in the perform nce the work forwhich this pens is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should beco sub' t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican / )ECLARATION REC�iARDI G CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I 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 c nt o e ter the abovEVenQed property for inspection purposes. Signature of Property Owner or Authorized Agen Print Pro ertOwner's or Authorized Agent's ACTION DATE B DECLAR ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI IS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBM' D;,SBESTCS NOTIFICATION TO PERMIT CANCELLED E"A PERMIT EXTENDED AQMD PERMITFINAL STOS OTIFICAT ON IS NOT APPLICABLE TO CERTIFICATE OF PROPOSEDD WLITI _ OCCUPANCYISSUED SIGN 7, �a� 9L9E BUT 0000 OL6'C�220L Hf � z L � h �t0 !V s p � LN C 'V �D £ OTE �NWCm C] - c 1L ILL L uuu❑ Oe6T T20L h LL) 'T a h W h Z)n x - x Y x L to<h .Cr�i L RJ W