Loading...
HomeMy WebLinkAboutX2021-0391 - Permits�rwrrl�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0391 yt 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 3 9 1 Project NO Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 02119/2021 Combination Type - BLDG ELEC Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/20/2024 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: 503 FERNLEAF AVE NB No Description: SFR BLOCK WALLS 1'X25' & 2' X 25' (WIIN T INSIDE P/L). CITY STANDARD DRAINGE. 4 OUTLETS CON pT Legal Desc.: CORONA DEL MAR BLK 532 LOT 3 9 1�}^1r f L.1 Owner: PULINO JULIE Contractor: PACIFIC BREEZE LANDSCAPE Architect: Address: 503 FERNLEAF AV Address: 15512 GRAHAM ST Address: CDM CA 92625 HUNTINGTON BEACH CA 92649 Qtb9LGA-rt Phone: Phone: 667-259-7718 Phone: apt®��S 61r-! Applicant: PACIFIC BREEZE LANDSCAPE Con State Lie: 1019675 Engineer: Address: 15512 GRAHAM ST Lie Expire: 04130/2021 Address: HUNTINGTON BEACH CA 92649 Bus Lie: NEW LIC Phone: 657-259-7718 Lie Exp Date: 0212812022 Phone: State Lie: Code Edit: 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Worker's Compensation Insurance Designer: ACEVEDO JOSE Carrier: MARKEL INS CO Address: 15512 GRAHAM ST Policy No: MWC017466001 HUNTINGTON BEACH CA 92649 Expire: 0912712021 Phone: Building Setbacks Rear: 5' Special Conditions: 121-0469 t� Front: 15' HIGH DENSITY �y{T Left: 3' Right: 3'� v J Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $154.86 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: $178.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $12.46 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 : $570.57 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $570.57 PROCESSED BY: PUBLIC WORKS APPROVAL: �Q _ _ ZONING APPROVAL: "" ` PLAN CHECK BY: GRADING APPROVAL: 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 is 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 for a permit subjects the applicant to a civil penalty of of 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, usiness 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). 1, 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: y 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 =_ll 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.htmi. ignature 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 Sectjpn Z000) of Division 3 of the Business and PrQfessi ode, and my license is in full force nd effect. License Class License No a 9 ✓/1 �( Contractor Signature _� /ORKERS' COMPENSATION DECLARATION (/`1, 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Trance 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 Expiration Date of Agent JI 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 agree iat, if I should become Hsu/bje/pC/jo the worr/kers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. signature of Applicant Ju / /� / L Dat� ?rr C-t —� I )ECLARATION REGARDI CON TR CTION LENDING AGENCY hereby 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). Ender's Name Lender's Address ly 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. I authorize representatives of this city or countytoenyefjhe abovP„I-'dentified property for inspection purposes. .. e _ _ _ �I Ir G n BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION