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Home My WebLink AboutX2019-2689 - Permits'1$ City of Newport Beach- Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIillllllllllllll a�_ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 E Permit Counter Phone (949)644-3288 - d7 Inspection Requests Phone (949)644-3255 *�,xm1y,'" Combination Type -SFP 0 2 6 e 9 COMB Permit: X2019-2689 Project No: 2022-2018 Issued Date : 0 910 312 01 9 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Fire Hazard Zone : N 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: 521 ANGELITA DR NB Description:. SFR •ADD'L SCOPE* SOLID ROOF PATIO COVER (432 SF) (REV19-1448): Legal Desc.: cc VviIdjhg Permit gee, ° $359.00 Owner: STORAGE DIRECT PTRS III LLC Contractor: OWNER16LDR Architect: Planning Department - Address: 9834 RESEARCH DR Address: SHERER BARRY D Address: Fire Department IRVINE CA 92616 PlapGCheck Fee ° $261.00 - Additional Fee: Phone: Phone: Phone: State Lic: Applicant: DITOLLA JODI Con State Lic: O/B Engineer: MAD QIANG $0.00 Address: 22 LARCHWOOD Lic Expire: Address: 1520 BROOKHOLLOW DR #45 IRVINE CA 92602 Bus Lic: - SANTA ANA CA 92705 Phone: 714-904-8994 Lic Exp Date: Phone: 714-662-0510 State Lic:S-005289 Code Edit: 2016 Worker's Compensation Insurance Designer: Grading PC Consultant: Type of Construction: Carrier: Address: Occupancy Group: U Policy No: Demolition Fee Added /New sq.ft. Bldg: 0 Expire: Phone: $0:00 Added /New so. °ff.. Eeeage: 0 $0.00 A oo°f Stones: 0 Building Setbacks Rear: 10' Special Conditions: T- APc of Pmts : 1 Front: 10' $0.00 r 131dg Height � 0 Left: 4' General Service $0.00 @idg°S'r'rinklers: ° Right: 4' WQ Insp. Fee: $0.00 61aud Z pe: ° ° ° Use Zone: Parking Spaces: 0 Fire Hazard Zone : N VdAS'truction Ialuat on: $27.000.00 cc VviIdjhg Permit gee, ° $359.00 Excise Tax: $0.00 Planning Department - Fire Department PlapGCheck Fee ° $261.00 - Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 .Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 IIr vesii9ation Feat ` ° $0.00 Grading PC Consultant: $0.00 SJH Trans ; $0.00 Demolition Fee -R Manage crtant ° $0.00 Grading Permit Fee: $0:00 In Housing Fee : $0.00 Building Dept Adm $0.00 •EnergN`Complianec:= $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic S&etyj ° $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access :. $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee $2.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $662.00 Plan Check Fee : $301.00 Fee Due at Permit Issuance : $361.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: 'wa - PLAN CHECK BY: ,r 1 APPROVAL TO ISSUE: OWNER -BUILDER DEC 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 items) 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 ie 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 'rofessions 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 of 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 nprovements 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 nproved 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 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). am exempt from licensure under the Contractors' State License Law for the following reason: ly y signature below I acknowledge that, except for my personal residence in v�,hich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal[, ell structure that I have built as an owner -builder if it has not bee tryel€d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions Code, is available upon request when ��11I�s applic Is u r It d or at the follo site:http://www.leginfo.ca.gov/calaw.htmi. / 'signature of Property Owner or Authorized Agent iJ( Date 6 .ICENSED CONTRACTOR'S DECLARATION 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, and my license is in full force nd effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION VARNING: 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: 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 thl )erformance of the work forwhich this permit is issued. Policy No. •... - :1I have 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 w;rketg compemsA& nsurance carrier and policy number are: )arrier Policy Number Expiration Date • ° a of Agent - -Phone • o000 I ertify 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 9A NiUnia, art4.grrel ha if I should become subject to the wo pens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` /iter .... Signature of Applicanf�f / Dat& I - •- )ECLARATION REG A RU LENDING AGENCY I° 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, Civil Code). • ° ° ° ° ° _ender's Name Lender's Address .... c 3y 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 ordinances and state laws relating to building construction. _ I authorize representatives of this city or county toe abo - dentified property for inspection purposes. �/ r ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na e r V !� Dat ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED 0ACjMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED /Lp 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ROPOSED DEMOLITION /// SIGNATURE: