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HomeMy WebLinkAboutX2020-2630 - PermitsCity of Newport Beach - Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2020-2630 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 6 3 0 P Project No : 2080-2020 �, r1 iri Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 08/04/2021 Combination Type - BLDG Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0810412024 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: 330 ONYX AVE NB Description: BLOCK WALL 6' HIGH X 53 LF INSIDE P/L Legal Desc.: BALBOA ISLAND SEC 4 BLK 13 LOT 15 Owner: NGUYEN CHINH MINH Contractor: KEYSTONE D C S INC Architect: HARRISON IAN J.N. Address: 2961 W MACARTHUR BLVD STE 210 Address: 2961 W MACARTHUR BLVD STE 210 Address: WPORT CENTER DR #11-342 SANTA ANA CA 92704 SANTA ANA CA 92704 NE CH CA 92660 Phone: Phone: 714-791-3771 Phone: 949-723- Ai�9eState Lic:C006947 Applicant: HARRISON IAN J.N. Con State Lid: 1013293 Engineer: REZAEI ALI Address: 220 NEWPORT CENTER DR #11-342 Lic Expire: 0413012022 Address: 18021 SKYPARK CIR #E74 NEWPORT BEACH CA 92660 Bus Lic: BT30076080 IRVII!jF�CA 92614,.,,, Phone: 949-723-1091 Lic Exp Date: 07/31/2022 Phone: 949-�($A394�� State Lic: C�6$ Code Edit : 2019 Worker's Compensation Insurance Designer: �� VV Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U9157538 Added /New sft Bldg: 0 Expire q. No 0412/12022 Phone: - Added /New sq. ft. Garage: 0 'tea V No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: y` No of Units: 0 Front: 8' Bldg Height: 24 Left: 3' '"4S Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: R-BI Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5 000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 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 : $0.0o 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 PNV 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 : $302.07 Plan Check F-se : $302,07 Fee Due at Permit Issuance : $0.00 PROCESSED BY: T1 - 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) 3ection 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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). D 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 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 '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 Section 7000) of Division 3 of the Business and Profe se is in full force nd effect. License Class License No DIj�► g `1-'�-t Contractor Signatur2► `—lam I/ORKERS' COMPENSATION DECLARATION -` A '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 thi <ormance 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 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' compensation laws of California, and if I should become s iLj&Q +g the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant )reby 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, Oivil 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 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 ordinaoces and state laws relating to building construction. I authorize representatives of this city or county to ant aril for inspection purposes, nature of Property Owner or Authorized Agent � _ Print Property Owner's or Authorized Aoent's NamewO S'—d �� W'� Date ACTION DATE BY — 9ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED Q.AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED 17/ $ .I // $ 1,4 PROPOSED DEMOLITION arMATIIRC.