HomeMy WebLinkAboutX2021-0581 - PermitsI City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'• Permit Counter Phone (949)644-3288
s3. Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII� II COMB Permit: X2021-0581
x 2 0 2 1 9 5 6 1 Project No : 0537-2021
Issued Date: 0311512021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311512024 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: 20441 BAY VIEW AVE NB
Description: SFR ADD 20 SF & CHANGE OUT (5) (E) WINDOWS
Leqal Desc.: N TR 1501 LOT 25
Owner:
WILFESTIEG STEVE/GWEN
Contractor:
Address:
20441 BAY VIEW AVE
Address:
Energy Compliance:
NEWPORT BEACH, CA 92660
CA Seismic Safety:
Phone:
949-757-1945
Phone:
Applicant:
WILFESTIEG STEVEN W
Con State Lie:
Address:
20441 BAY VIEW AVE
Lie Expire:
$0.00
NEWPORT BEACH, CA 92660
Bus Lic:
Phone:
949-757-1945
Lie Exp Date:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 20
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $195.00
Plan Check Fee: $169.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$12.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.79
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $528.69
PROCESSED BY:
ZONING APPROVAL:
OWNER/BLDR
Q/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
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: 25'
Front: 20'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone
Engineer: YAGHI SHUCRI I
Address: 112 E. CHAPMAN #D
ORANGE CA 92866
Phone: 714-997-9120
Designer:
Address:
Phone
State Lie:
State Lic:C-043205 : e e • :.
e
Special Conditions: COSTA MESA SANITATION
OWNERIBLDR ATTACHED
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$43.00
San Dist:
$0.00
NMUSDFee:
$0.00
Plan Check Fee : $230.65 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: i
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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Fire Department
$46.25
Fire Inspection:
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Fire Plan Rev
$0.00
Demolition Fee
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Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $230.65 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: i
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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 applicav item(
(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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or
�Vyoved for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply o an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that,6Nave built as an owner-buil er If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and
Professions Cod4, jr&gXa11able upon request whe is application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
S09gtyrgbf Pro%erty Owner or Authorized Agent �'?' Date
LICENSED CCfJTgJ6ETOR'S DECLARATI�
I hereby-affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
and ef$ad.. License Class License No Date Contractor Signature
WORKERS' C094fWASATION DECLARATION
VVAR14IN31 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
Cq%T(JFFOMPENSVCrI, 15JMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 4ggby affirm urf ler penalty of perjury one of the following declarations:
114 "wo 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
pfrfo?marjce of t4EFwgrkfor which this permit is issued. Policy No.
.
01•It�✓e�and will .� aintain 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' compensatior
insuraooe carrierAd4vIcy number are:
Carrier • Policy Number Expiration Date
Name of Agent Phone #
❑I 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 workermpensation laws of California, and agree
that, if I should becom su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REGAR CO TION LENDING AGENCY 7
1 hereby affirm under p q ally 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).
Lender's Name Lender's Address
By 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 co my ordinances and state laws relating to building construction.
I authorize representatives of this city or cot to enter the above-identified property for inspection purposes. _
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name L%� �'!n Ll=� ✓— Dat 1r 2
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS
IS NOT APPLICABLE TO
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