HomeMy WebLinkAboutX2021-2636 - Permits(9)
City of Newport Beach - Building Division "X2021--2636` COMB Permit: X2021-2636
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 Project No : 2288-2021
Inspection Requests Phone (949)644-3255
Combination Type - SFP ` ,� R"' Issued Date : 1111612021
r' "`""PLE T 0 ° Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111512024 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: 328 HAZEL DR NB
Description: SFR INSTALL (3) NEW CAISSONS, NEW GRADE BEAM & CONIC SHEAR WALL
Legal Desc.: TRACT NO 673 BLK A LOT 52 FOR OF LOT AND POR ABAND STR (GLEN DRIVE)
Owner: GUPTA ANJULIA
Contractor:
TERRA STRUCTURAL DRILLING
Architect:
Address: 2808 MOUNTAIN LN
Address:
921 COAST VIEW DR
Address:
PLANO, TX 75093
LAGUNA BEACH CA 92651
Phone:
Phone:
949-395-5278
Phone:
State Lic:
Applicant: KREBER JOHN
Con State Lic:
1061448
Engineer:
SONG, ZHENYU
> >
Address: 921 COAST VIEW DR
Lic Expire:
12/3112021
Address:
12631 IMPERIAL HWY, STE E-125
LAGUNA BEACH, CA 92651
Bus Lic:
BT30077241
SANTA FE SPRINGS CA 90670
Phone: 949-595.5278
Lic Exp Date:
11/30/2022
Phone:
562-863-9999 State Lic:S-005266
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STATE COMP.
INS
Address:
Occupancy Group: R3/U
Policy No:
9300433
'
Added /New sq.ft. Bldg: 0
Expire:
11/05/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 10
Special Conditions: LANDSLIDE AREA
No of Units : 1
Front: 1
OFUEL MOD/HAZARD
Bldg Height: 0
Bldg Sprinklers:
Left: 3
REDUCTION ZONE
'
Right: 3
Flood Zone:
Use Zone: Parking S aces:
0
Fire Hazard Zone : Y
Construction Valuation: 5100 000.00
Building Permit Fee: $1,209.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,051.83
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist :
$0.00
Building Green Fee : $4.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $2,330.83
Plan Check Fee :
$1,519.69
Fee
Due at Permit Issuance :
$811.14
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK
BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
e Law for the reason(s) indicated below by the checkmark(s) have placed next to the applicable item(s)
'I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Licens
;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 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 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 this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.html. t
'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 Section 0), �nofa Business and Profs on Code, and my license is in full force
&nd Effact. License Class License No Dateontractor Signature
(WORKERS' COMPENSATION DECLARATION
.wA.iNINO: FAILURE iJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES ANO CIVIL FINES UP TO ONE HONORED THOUSAND DOLLARS ($100,000I, IN ADDITION TO THE
COST OF COMPENSATION,rDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
II n?reo,, affirm under penalty of perjury one of the following declarations:
have and w1;1 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
Drrrance of the,Nork for which this permit is issued. Policy No.
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'
pan. a carrier and policy number are:
Exoiration Date
Policy Number
meof Agent _
I certify that, in the p,
it, if I should become
mature of Applicant _
for ich 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
c pen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��� //`!!
Date p'(/ r 11
CLARATION REGARRRbIfRU�ONPTRUCTION LENDING AGENCY the hereby affirm under penalty of perjury that there is a construction lending agency fo Lendeer's Address of the work for which this permit is issued (Section 3097, e).
Civ I Cod
.ender's Name
3y my signature below, I certify 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 I have provided is correct.
I agree to comply with all applicable L+_LA
d county o ' as and state laws relating to building construction.
I authorize representatives of this citr the bove-identified property for inspection purposes.
signature of PrcpertOwner or AuthorizPrint Property Owner's or Authorized Agent's Name
ACTION DATE BYR ION OF COMPLIANCE WITHCODE OF FEDERAL FOR OFFICE USE ONLY
ULATION5 PART 61 OF TITLE 40 AND AQMD RULE
the
PERMIT EXPIRED I SUBMI7fD ASBESTOS NOTIFICATION TO
PERMIT EXTENDED AQM D
PERMITFINAL SBEST 5 IFICATI N OT AP PLICABLE TO
CERTIFICATE OF �, 0 ED LITION
OCCUPANCYISSUED -r , IGNATURE:
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