HomeMy WebLinkAboutX2020-1014 - Permitsgatmrp City of Newport Beach - Building Division
a4" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
y - Inspection Requests Phone (949)644-3255
`"�trril<s. Combination Type - MFP
*X20201014* COMB Permit: X2020-1014
Project No:
Issued Date : 04/2212020
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/24/2023 OR PERMIT IMLL 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: 307 GRAND CANAL NB
Description: MFR REMOVE WOOD SHINGLES AND SIDING, REPLACE WITH SMOOTH LAP SIDING, WEIGHTLESS THAN EXISTING MATERIAL, SAME THICKNESS AS EXISTING MATERIAL
Legal Desc.: BALBOA ISLAND SEC 4 BLK 14 LOT 33
Owner:
SUETTELL MICHAEL D
Address:
600 WESTCOTT DR
Record Management:
FRIDAY HARBOR, WA 98250
Phone:
$0.00
Applicant:
SPECIALTY SIDING
Address:
1801 N ORANGETHORPE PARK
Hazardous Mat
ANAHEIM CA 92801
Phone:
714.680-3000
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $248.00
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:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $249.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
SPECIALTY SIDING
Address:
1801 N ORANGETHORPE PARK
Fair Share
ANAHEIM CA 92801
Phone:
714-680-3000
Con State Lie:
656845
Lie Expire:
09/30/2021
Bus Lie:
BT30065101
Lie Exp Date:
06/30/2020
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9228682
Expire: 03/3112021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Architect:
Address:
INSPECTOR
Phone: State Lie:
Engineer:
Address: NO CONSTRUCTION NaSE
Phone: State Lie: ....
Designer: ...
Address: ON SATURDe
q •°..
AYSPhone:
o .
0 00
Special Conditions: HIGH DENSITY AREA °
o e
oe o0
0
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
e
....
SJH Trans
Fire Inspection:
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $249.00
Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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0
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o
Fire Department
e
....
$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
Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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0
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OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors` State License Law for the resson(s) Indicated below by the checkmerk(s) I have placed next to the applicable item(s)
' (Section 7034.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair arty 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) ofDivision 3 of the Busines's 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 penally of
not more than five hundred dollars ($500). ,
12 1, 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 net intended or offered Por sale (Section 7044,
Business and Professions Code: The Contractors' Stale 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 oroffered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Bulderwlll have the burden of proving that A was not built or
int roved forthe purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct %a project (Section 7044, Business and Professions Code. The Contractors' State License Law does not
apply to an owner cWtproperly who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
ot«
11 Lam exempt frnom licensure under the Cortrectore' State License Law forthe fallowing reasom
` dy5tjy sfgnalwA['Kelow l acknowledge that, exceptfor my personal residence In which t must have resided for at least one year prior to completion of the improvements covered bythis permit, l cannot legall!
sell a structure EiLl-Phave built as an owner -builder If it has not been constructed In its entirety by ricensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
` Pror,salons Code, is available upon request when this application is submitted or at the fallowing Web ske:http:!lwww.leginfo.ca.govlcaiaw.htmL
Slgiature of Property, Owner or Authorized Allard. Date
LiCENSEOrCONTRACTOR'S DECLARATION
i hereby affiaa aider`penaky of perjury at 1,571 licensed under provisions Af Cerap[e 9 (rpmrp�tetng with S4�tjoy+l�700) f Diet ion 3 of the Busf as and Professions Cod apd'my license is in full force
JIAI
; andeffecte."40,46"',Was �F` LlcensoNof.7-bWTn1T Eme iv— CoorSignatureKEI;,S.L`0MPEN3ATION DECLARATION
)Ne: FAILUtIj�J�ria 9ECUREWORx@Ra`COr�ENSAmON COVERAGEM UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER m ORmINAL PENALTIES AND CIVIL FINES WTO ONBHUNDREO ND OOLIAIie ISf0a;00D1, IN ADDntON TO THE
,7FCOMPEr'9d�If1NDAMAGESASPROUIOEDPORINSWnON3MOFTHELABORCODEINTEItEUr.ANDATrORNE rXPEM
by a6ifil',urtieeoenalty of perjury one of thefollowing declarations:rlaveend ANinaintain 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
rmancd`dtftyurk forwhich this perk is Issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is Issued- My workers' compensa ci
neeiaM .sand,pDllcynptflbsrarp hZZ��$,�~fiber 'i'�i' 221 Policy Number '1 Exptra0onDate ofApAM••Phone#
ertlry that in e performance of the work forwhich dila permit )s Issued, lshalt not employ any person in any manner so as to become subject to the won rs' compensation taws ofCalffomla, end agre
IfIsh poresuhjecHothewodkenr'compensation ro dsions of Section 3700 of the Labor Code, 4 shall fodhv4th comply with those provisions.ture of plipantARAT ll LRDI C NSTRUCMON LENDING AGENCY
by affiI untler pane edury that there Is a construction lending agency for the performance orthe work far which thIs permit is Issued (Section 3097, Civil Code).
Lender's Name _ _....... _. - Lender's Address _
I am the prapedy owner or authorized to act on the property owner's behalf.
I have read this application and theinformation l have provided Is correct.
I agree to comply with all applicable y and county ordinances and srelating toilding cons
bu
I authorize representatives of IN or county enterhe-demfied property for inspection purposes.
iature ol'Property Owner orAuth antI PrintPros Own(
10N DATE jF BY 1WECIARATION OFCOM DANCEWITN CODE OF FEDERAL j FC
�•�Z I REGULATIONS PART61 OF TrrLE 40ANOAQMD RULE
CFRTIAG4TEOF It I„_ In. #at, MITIInN ONIS NOTAPPUGIBLE 70