HomeMy WebLinkAboutX2021-0706 - PermitsCity of Newport Beach - Building Division 'X2021-0706'
Civic Center Drive, Newport Beach, CA 92660
04"w."te)Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 A r ^ ��Combination Type - SFP MECH ELEC PLUM '\JS9CT^
COMB Permit: X2021-070100
Project No: 0650-2021
Issued Date: 04/2012021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2024 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
Job Address: 232 POINSETTIA AVE NB
Description: SFR REMODEL 1,350 SF
Legal Desc.: RESUB OF CORONA DEL MAR BILK 143 LOT 32
Owner: GLASGOWIMARE Contractor:
SEA POINTE CONSTRUCTION Architect:
'
Address: 114 CANYON CRK Address:
576 WALD STREET Address:
IRVINE CA 92603
IRVINE CA 92618
Phone: Phone:
949-279-0421 Phone:
State Lic:
Applicant: HOVE BRYCE Con State Lic: 665114 Engineer:
WILSON KALEN
'
Address: 576 WALD Lic Expire:
02/2812023 Address:
23152 VERDUGO DR #102
IRVINE CA 92618 Bus Lic:
BT30016203
LAGUNA HILLS CA 92653
Phone: 949-861-3419 Lic Exp Date:
07/3112021 Phone:
714-576-6624 State Lic:C-083753 "'
Code Edit: 2019 Worker's Compensation Insurance Designer:
HOVE BRYCE
Type of Construction: V-BSPR Carrier:
EVEREST NATIONAL Address:
576 WALD
Occupancy Group: R3/U Policy No:
7600001365211
IRVINE CA 92618
'
Added /New sq.ft. Bldg: 0 Expire:
0310112022 Phone:
949-861-3419
Added /New sq. ft. Garage: 0
No of Stories: 3 Building Setbacks
Rear: I Special Conditions: HIGH DENSITY AREA
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: I
Flood Zone: X Use Zone:
Parking Spaces: 0 Fire Hazard Zone: N
Construction Valuation: $157,000.00
Building Permit Fee: $1,579.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $1,373.73 Additional Fee :
$0.00 Plan check Fee :
$46.25 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: $16.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm $26.00
Energy Compliance: $109.90 Grading PC Fee:
$0.00 Public Works Department -
General Service $219.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication : $0.00
Refund Deposit $564.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$110.53 San Dist: $0.00
Building Green Fee : $7.00 Mechanical %:
$63.16 NMUSD Fee: $0.00
$0.00
Plumbing %:
$142.11
$0.00
TOTAL FEE : $4,256.68
Plan Check Fee : $1,483.63 Fee Due at Permit Issuance : $2,773.05
PROCESSED BY:
ZONING APPROVAL:
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 applicau�e items)
(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 U 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 f-cm 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
=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
Frofessians Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signal ire of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I berehy affirm under Htnalty ofygrlury that I am licensed under provisions of �I t r 9 (commencing with Sectio 000 f Ivi of the Business and o ssi nd n'ly ' s is in full force
and effert. Lice. Ee Closs /S License No !!J�'�/��� Date i Contractor Signatu
�JVORKERS' COGMFENSATION DECLARATION
'WAPNING: FAILURE'. U JLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
' hereby affirm under Density of perjury one of the following declarations:
I have and v:i;; mEmtain 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 thi
�perforrri of the work for which this permit is issued. Policy No.
e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which t s p mit is issued. My workers' compensatior
nsurance carrier and policy number are: ,�.7 ���/ q/ (� p //h{, �L
Carrier , yCJ �r lly/1� Policy Number 7C' JL/l 2�� Expiration Date J / � W)
Name of Agent Phone #
I certify that, in the performance of the work for which this a it is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensati rt laws o California, and agree
that, if I should becom s bjec a workerrss�ory�pensati p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant / Date
DECLARATION REG NSTR CTION LENDING AGENCY
I hereby affirm under p y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's be I.
I have read this application and the information I have provided is Co re
I agree to comply with all applicable city and cou.nn/ty or Inanc s an at
a laws relating to building construction.
I authorize representatives of this city or counl� W e The v ptified property for inspection purposes.
PERMIT EXPIRED
DATE By 7 WITH CODE OF RECLARATION OF COMPLIANCE GULATIONS PART 1 OF TITLE 40 AND ACMD RULE AL FOR OFFICE USE ONLY
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED QMD
PERMIT FINAL 4J C�/I Nt? SBEST 5 OTIFICATIO ISN TAPPLICARLE TO
CERTIFICATEOF 11//(( �•J� O SED T/�p�sN
OCCUPANCYISSUED SIGN TURF• I/'