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HomeMy WebLinkAboutX2021-2073 - PermitsCity of Newport Beach - Building Division 'X2021-2073* COMB Permit: X2021-2073 51100 Civic Center Drive, Newport Beach, CA 92660Project No : 1796-2021 , Permit Counter Phone (949)644-3288 ; T..,. Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 0812012021 1NSP c:r%_r0rh% Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/20/2024 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 Z Job Address: 412 HELIOTROPE AVE NB 11 0 Description:: DEMO DETACHED GARAGE - • , , Legal Desc.: CORONA DEL MAR BILK 335 LOT 14 . - '0 O , Owner: GREWAL KRISPAL Contractor: TIGHT QUARTERS INC Architect: TEALE MARK 'Z' Address: 412 HELIOTROPE AVE Address: 2031 SOUTH ANNE STREET Address: 2900 BRISTOL ST BLDG A203 CORONA DEL MAR, CA 92625 SANTA ANA CA 92704 COSTA MESA CA 92626 ;'co', C Phone: Phone: 714-557-7901 Phone: 949-975-0123 State Lic:CO22162 '� Applicant: AGUILAR PALOMA Con State Lic: 584915 Engineer: Address: 1220 S LYON ST Lic Expire: 01/3112022 Address: SANTA ANA, CA 92705 Bus Lic: BT00003482 Phone: 714-724-0703 Lic Exp Date: 10/31/2021 Phone: State Lic: /� ' J0... Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP INS FUND Address: cn Occupancy Group: U Policy No: 9243055 Added /New sq.ft. Bldg: 0 Expire: 01/0112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: ]� No of Units: 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $0.00 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 : $0.00 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $461.02 Plan Check Fee : $214.02 Fee Due at Permit Issuance : $247.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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) '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 :he 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 Drofessions 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 tot 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 tc 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 ar„ exempt f,om „censure 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 aeh p structure that 1 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 fallowing Web site:http://www,leginfo.ca.gov/calaw.html. Sig ratu.a of PropLrty Owner or Authorized Agent Date LICENSED CCP:—rACTOR'S DECLARATION I hereby affirm urc E-penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) 9f.DIV*LsIon 3 of the Business and Prof slot�eod and m li ensP/''9,m,,fu�ll fo e di,o effect License Class License No Date Contractor Signature \ V7 i /� v IN(,kK�RS' COMPENSATION DECLARATION WARNING: FAILURE -0 SEC'JRE 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 IC ET 3' JOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 1­e-11 try affirm ur. Ji pLnalty 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, forth performance of the work for which this permit is issued. Policy No. ve 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' compensatiol nncevsarift and policy numbayre: Policy Number Date I certify 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' com nsatio laws of California, and agre It, if I should become ubject to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )nature of Applicant .e e 12A :CLARATION REGARDMI;5-_CCMSTRUCTl4M LENDING AGENCY ereby 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). rider'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 owner's 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. \, �/ k I authorize representatives of this city or couft enter the above -identified property for inspection purposes. Y I��Mr� �1� I C11 Ua Z�% Z mature of Prooertv Owner or Authorized Aoent I/� Print Property Owners or Authorized Agent's Nark 4A��[C 1 11L' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMITFINAL 3—ZZ,L YLL BESTO TIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROP D OL NO _ OCCUPANCY ISSUED SIGNATURE: C