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HomeMy WebLinkAboutX2021-3171 - Permits} ��,.truQ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3171 x 2 6 2 1 3 1 7 1 Project No: 1811-2021 Issued Date : 11/23/2021 Inspection Area : 2 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/23/2024 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: 2731 BAY SHORE DR NB Description: DEMO 2780 SF, 4 BDRM SFR W/ATT GARAGE, INCLDS SEWER CAP 9�T Legal Desc.: N TR 1014 LOT 19 r CILi i 0 rR Owner: WEST JAN Contractor: SAILHOUSE HOMES INC Address: 2731 BAY SHORE DR Address: 170 NEWPORT CENTER DR #260 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 Phone: Phone: 949-281-6045 Applicant: SAILHOUSE HOMES INC Con State Lic: 1007531 Address: 170 NEWPORT CENTER DR #260 Lic Expire: 09/30/2023 NEWPORT BEACH CA 92660 Bus Lic: BT3005585 Phone: 949-281-6045 Lic Exp Date: 06/30/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: VB Carrier: INS CO OF THE WEST Occupancy Group: R3/U Policy No: WSD505264401 Added /New sq.ft. Bldg: 0 Expire: 12129/2021 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units: 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 11 Construction Valuation: $13.000.00 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 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: Engineer: FORBES DALE L Address: 1800 E 16TH ST #B State Lic: Phone: Designer: 714"855- 51qk [A4.4 MON NOISE Address: Phone: ON THE tf�VNE6f\e1VD Special Conditions: JD DEMO TO HAUL DEMO SHALL COMMENCE 30 DAYS AFTER NOTIFICATION Fire Hazard Zone : N 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 PNV Plan Check : $0.00 Electrical %: $8.54 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $104.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $2,442.54 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,442.54 / `-i !--- PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) (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 civic 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 L) all of or U portions of 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 7044, 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). ❑ I 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 one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions Code, is available upon request when thisapplication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business d Professions Code, and my license is in full force and effect. License Class License No Die Contractor ature 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 th, agerformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date :ertify that, in the performance of the work for 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionnss - 3ture of A I� Jl Date_ CLARA EGARDING CONSTRUCTION LENDING AGENCY :reby affirm udder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se tion 3097, Civil Code). 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 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 rllt�{or county to enter the above -identified property for inspection purposes. (� ,.- nature of Property Owner or Author�iee Aqent Print Property Owner's or AuthorizehLFlyerft's Name ACTION DATE BY DECLARATION OF II REGULATIONS PPARTfi OF COMPLIAIITLE 40 AND QMD RULE CE WITH CODE OF RAL I FOR OFFICE USE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC1INCELLED DEPA PERMITEXTENDED QAQMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED li �LI ��I BESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPO DDEMOUTION SIGNATU o- - - In .. 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