HomeMy WebLinkAboutX2020-1135 - Permits��,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1135
*� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 1 3 5 Project No : 0854-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date: 06104/2020
SMITH ANGUS
Combination Type - MFP
12342 CANYON TERRACE
Bus Lic:
Inspection Area : 3
Phone:
714-538-1191
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/0512023 OR PERMIT WILL BEINVALID
Building Setbacks
Rear: I
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
61
Job Address:
4 SUMMERWIND CT NB
$1.00
Description:
MFR, REBUILD AND INCREASE DECK ON GROUND LEVEL TO 220 SF
In -lieu Housing Fee
Legal Desc.:
TR 7817 LOT 1 UNIT 104 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER
C
Owner:
MOMOT MARK Contractor: SMITH ANGUS CONSTRUCTION Architect:
$0.00
Address:
4 SUMMERWIND CT #104 Address: 12342 CANYON TERRACE Address:
0
NEWPORT BEACH, CA 92663 SANTA ANA CA 92705
State
$0.00
Phone:
714.686-5859 Phone: 714-538-1191 Phone: Lie:
San Dist:
Applicant:
SMITH ANGUS
Address:
12342 CANYON TERRACE
Bus Lic:
SANTA ANA, CA 92705
Phone:
714-538-1191
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 5
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Con State Lie:
637440
Lie Expire:
02/2612022
Bus Lic:
BT01101101
Lie Exp Date:
0913012020
2019 Worker's Compensation Insurance
V -B Carrier:
EMPLOYEE SERVICE
R211.1 Policy No:
AMX080003000
0 Expire:
10/01/2020
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: /
$0.00
Left: I
$1.00
Right: /
Construction Valuation: $13.700.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
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: $818.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Engineer: XIAO QIANG
Address: 1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705
Phone: 714.662-0510 State Lic:S-005289
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
$40.00
Additional Fee:
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
v <.
awc
$405.00 Fee Due at Permit Issuance : $413.00
:F PR'IBI-ld WORKS ,48 ADVAL:
PLAN CHECK BY:
.APPROVAL TC, I66U&..
u '
Fire Department
$40.00
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
$405.00 Fee Due at Permit Issuance : $413.00
:F PR'IBI-ld WORKS ,48 ADVAL:
PLAN CHECK BY:
.APPROVAL TC, I66U&..
u '
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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
he 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
Irofessions 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
iot 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 (_) 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
riprovemenls 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
n roved for 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
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).
7 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. _
signature of Property Owner or Authorized Agent Da
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) pf Div'siong of the Business and Professions, o an my fc se -is in full force
nd effect. License Class License No Date (� '" d Contractor Signaturv
VORKERS' COMPENSATION DECLARATION
IARNING: 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 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
eprmance of the work for which this permit is issued. Policy No.
have and will Intain 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'
rance carrier nd, olicy numbeLare:
Expiration Date
of Agent
11 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 became subject to the workers' compensation laws of California, and agre
tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .� / ,( /
ignature of Applicant Ni /
DatK U
DECLARATION REGA G CONSTRUCTION LENDING AGENCY �' TT
hereby affirm under penally 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
y 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 or ancqs and state laws relating to building construction.
I authorize representatives of this city or coun�',yp'o a er h above-i',{r ntified property for inspection purposes. �//�
ignature of Propertv Owner or Authorized Agent /\ I It %V)) Print Property Owner's or Authorized Agent's Namezo' ,✓i 44 ,,141 77`' OV.LL 4
ACTION DATE BY LDECLARATION 01 I I REGULATIONS PA T0610 TIIT E 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY
PERMIT CANCELLED UEPA i w
PERMIT EMENDED 0AQMD `
PERMITFINAL 7 ,�*-X0 SASBESTOS NOTIFICAT ISN 1APPLICABLE TO
CERTIFICATE OF POSED DE OW"510
OCCUPANCYISSUED SIGNATU : • •-
•• u• • c •e •s` n••
' m a? a 'N o
fEA N �•U 0 Q N
L °
O
C O U T A N
U 72 a7 l0 O O
mx a>$N
rn W N a) O m �p 7
F. °9 a c v m o O L °
"E .aL�
V O Nm�° Q
° o c
tY V o O o Xk E om vEn
W d M� g ° _U ° U c ; °a? o
W Z Z N J ° c •0 ND
0p� - U1°ns `oo
AOtn
om m�� L) moo mo
`c° Cl) L) a) °°
py aDemo m O LL.a Y �� 07 r o a L
�zXu QUO w �0N c;cL m
W Wacn
ma SCJ v m �N °>��
w d o r O c° v € a 0 c
A m a 3 F J �o v CJ 3 M .—°Q d
Q�" >c wU) 1 moo' Uvr °°/e a¢i ��`n° y
r C aa)j— =M U •O � L 9 C
F N a7 a in
° ° N O .t m N
Y m .� U �� U v rn Q
U O > O E aci 0�r' E c m m�
C] o .. U .r. N a) N C Vi y O
o N d m m 'D mCO N U mo E E
a� U = — C c o00
O N N CL
2 `
d.!i Jai Q O E CL
v r N of 'X� O
s CL r .5 U w U CO
E ii
ID
° � w M o L'
c O E o
N a) `
U
rooms
y 3 M T C
CL
CO (nn
y�
1
t
O T in
c ccO
1
3
O
t c
m
a.
O a) is
o o
O
Vim'
m >
L x 0
° E o
ai
yy
.0
3 °c0 a
o
y c
°
U) °d
0)
a00
5
c °,n
€m0
0�
0.0
m°rn
o`o
a)
w.,NO
ED c
E
E E E
�m
v
p
a) l4 l6
E
�m
a
O
L Y
N
Oof
c N
"� O C
a [p
a y
Z a m
_
o
d
° r
o M.0
c
o
aw
>1 CL
m a
E-2
c
U)
0CL•>
yy w�
° aH
•p— c
"m
u
v
a7
? C C
U
in
CL m
r O N
-- a s
o
Z -s; 5