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HomeMy WebLinkAboutX2020-2736 - PermitsCOMB Permit: X20 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II aw(,� - G 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 7 3 e Project No Permit Counter Phone (949)644-3288 h Inspection Requests Phone (949)644-3255 Issued Date : 1112412020 r:,irya�,P Combination Type - BLDG Inspection Area : 5 EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112512023 OR PERMIT WILL BE INVALIi PERMIT Friday 7:00 to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Construction Hours: Monday - a.m. Job Address: 3713 OCEAN BLVD NB Description: SFR TIO GRAVEL, INSTL GRAVEL ROOF 16 SQ Legal Desc.: CORONA DEL MAR BLK A POR OF BILK Owner: WILLIAMSIPEARLMAN Contractor: TECTA AMERICA SO CAL INC Architect: 1217 E WAKEHAM AVENUE Address: Address: 3713 OCEAN BLVD Address: SANTA ANA CA 92705 CORONA DEL MAR, CA 92625 Phone: 714-973-6233 Phone: State Lic: Phone: Applicant: TECTA AMERICA SO CAL INC Can State Lic: 811111 Engineer: 08/31/2022 Address: Address: 1217 E WAKEHAM AVENUE Lic Expire: Bus Lic: BT30045213 SANTA ANA CA 92705 Lic Exp Date: 11013112021 Phone: State Lic: Phone: 714-973-6233 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R311J Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: $6 500.00 Building Permit Fee: $343.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.0( Disabled Access : $0.0( Hazardous Mat $0.0( Building Green Fee : $1.0( TOTAL FEE: $344.00 PROCESSED BY: J\ ZONING APPROVAL: GkADING APPROVAL: Worker's Compensation Insurance Designer: Carrier: LM INS CORTY CO/VS Address: Policy No: WA5C4D4354rgY0 one: Expire: 0313112021 "/-PP+/h one: Building Setbacks Rear: I �� SPec1911QAVt oV (IIGDENSITY Front: I V �'OJ K Left: / e Right: I &qA 741 .. _ n �l Ikkakiazard Zone: N Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 Planning Department- $0.00 Plan check Fee: $0.00 Fair Share: $0.00 SJH Trans : $0.00 In -lieu Housing Fee $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $344.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 hem(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 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 L) all of or L) 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 Erfor 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). ❑ 1 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 legall 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.ce.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Division 3 of the Business and Professions ,and my license is in full force and effect. License Class License No Dat��I-ZK—Zu Contractor SignatusE / WORKERS' COMPENSATION DECLARATION ` / �� NARNING: 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 COST 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: 1 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 th ±�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' compensatio carrier and policy number are: _ �` (K%SI Gr�� Policy Number WY�LC L{ IN-ti �j40-31?() Expiration Date —,F-/ Genf LJI 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 agre 'hat, if I should become subject to the work rss/compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignature of Applicant_//Gv DECLARATION REGARDING C6PKTRUCTION 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, vi Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 county to enter the above -identified property for inspection purposes. 3ignature of Prope Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name,V'CE Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED IU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT PERMITFINAL 1 b �ql ,/f,J ® ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF l U li 'vv hPR'OPOSED)EMOLIT�pp� OCCUPANCY ISSUED on_unri map