HomeMy WebLinkAboutX2020-1015 - Permits�sw',FD� City of Newport Beach - Building Division *X20201015* COMB Permit: X2020-1015
100 Civic Center Drive, Newport Beach, CA 92660
[. Permit Counter Phone (949)644-3288 Project No:
t# Inspection Requests Phone (949)644-3255
`�e�a�r;us: Combination Type - MFP Issued Date: 04/22/2020
9
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY
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: 307112 GRAND CANAL NB
Description: MFR *DETACHED GARAGE W/LIV ABOVE* REMOVE WOOD SHINGLES AND SIDING, REPLACE WITH SMOOTH LAP SIDING, WEIGHTLESS THAN EXISTING MATERIAL,
SAME
THICKNESS
Legal Desc.: BALBOA ISLAND SEC 4 BLK 14 LOT 33
-
Owner: BUETTELL MICHAEL D
Contractor: SPECIALTY SIDING Architect:
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Address: 6110 WESTCO DR
Address: 1801 N ORANGETHORPE PARK Address:
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FRIDAY HARBOR,
R, WA 96250
ANAHEIM CA 92801
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Phone:
Phone: 714.680-3000 Phone:
State Lie:
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Applicant: SPECIALTY SIDING
Con State Lie: 656845.. Engineer.
Address: 1801 N ORANGETHORPE PARK
Lie Expire: 09130/2021- Address:
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ANAHEIM CA 92601
Bus Lic: BT30065101N® /1®A1� o°o eo
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e000:
Phone: 714-680-3000
Lie Exp Date: 06/30/2020 Phone:
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Code Edit: 2019
Worker's Compensation Insurance Designer:
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Type of Construction: VB
Carrier: STATE COMP. INS Address:
Occupancy roup: R31U
Policy No: 9228682
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Added /New sq.ft. Bldg: 0
Expire: 03/31/2021 Phone:
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ON SA UR®A"°
SATURDAY
Added /New sq. ft. Garage: 0
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No of Stories: 2
Building Setbacks Rear: I Special Conditions: HIGH
DENSITY AREA e° • e
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No of Units: 2
Front: I
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Bldg Height: 0
Left: I
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Bldg Sprinklers:
Right: /
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Flood Zone:
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $10.000.00
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Building Permit Fee: $232.00
Excise Tax: $0.00 Planning Department -
Fire Department
Plan Check Fee: $0.00
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: $0.00
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
WO 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 %: $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 : $233.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $233.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER43UILDER DECLARATION
I hereby affum undar penalty orperjurythat I am exempt from the Contractors' State License Law for the resson(s) indicated below bythe cheakmark(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
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 Suslneas and
Professions Code) or that he or she is exempt from licansure 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).
13 I, as owner of the property, or my employees with wages as their sole compensation, wilfdo U all of or U portions of the work, and the structure is not intended or offeredforsale (Section 7044,
Business and Professions Code: The Contrectors' 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 croffered for sale. If, however, the building or improvement is sold within one year of cpmpletion, the Owner-Builderwill have the burden of praying that it was not built or
improved forthe purpose of sale). -
❑ I, as owhej gr tpe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stabe License Law does not
apply to an owner ofproperty who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ ham exemP119m licensure under the Contractors' State License Law for the fallowing reason:
btl* signaddli ILelow I acknowledge that, except for my persona( residence in which l must have resided for at least one year prior to completion of the improvements covered bythis permit, I cannot legal'.
sell a structure thaWlave buil 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 ofthe Business and
prolValons Code, is available upon request when this application Is submitted or at the following Web ale:http:llwww.loginfo.ca.govicalaw.hlmL
UGENSEDsCONTRACTOR'S DECLARATION
1 hereby affirm uuderpenatty of perjury fiat I _a[1t licensed under provisionsAf Chapte 9 ( m1p�pe(ng with S4�t�oy+�100) f Divi fon 3 ofthe ]Bus] ss and Professtons Cod a rim license is in full force
�IjQeffact ,o�eit spia-- U , L/�l . Llcansallo f7 � b�t'elS`'f`� 1�@e ii o Co orSignatme
KERS"MMO'ENSATION DECLARATION
se TIM FAR.OftO RECOREWCRKERe' COMPENSATION COwaRAGEai umAwR14 AND sHALLSusiacrAN EMPLOYER To ORIMINAL PENALTIESAND CNILFnES UP TOONE HUNDRED NDDOLLARa(f100,00111r IN ADDITION TO THE
[Ya'L'iIF COMPEWAVVII, DAMAGESAS PROVIDED PORIN SECTION 5706 OFTHE LABORCODE, INTEREST, ANDATTORNEY'a I'M
e® 1 tl@'jPoy affinh Vgiftr$enalty of perjury one of the following declarations:
T i clave ambwillinaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 9700 of the Labor Code, for th
• rmand t[,ip, ylbrk forwhich this permitis Issued. Policy No.
ave and will Wiplutain 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' compensallm
Number g 2Z Expiration Date 3 -3) `a`-,
of the work for which this permit is Issued, I shalt not employ any person in any manner so as to become subject to the wo rs' compensation taws of Cal-domie, and
he workers' compensation ro ' 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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f6TRUCTION LENDING AGENCY
jury that there is a donstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Name
I am the property owner orauthonized to act on the property owner's behalf.
I have read this application and the information I have provided Is correct.
agree to comply with all applicable pey and county ordinances and s IS Sting to
I authorize representatives of thi a - tlor county "nter Jfta emifietl property for'.
BY
REGULATIONS PART61 OF TITLE 40ANDAQMD RULE
PERAITRIVALO R77FRAC 155t1EO I �pl� �% 15�''G SaESFOS NOTIFICATION IS N 70
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