HomeMy WebLinkAboutX2021-0039 - Permits6�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIulllllllllllllllllllllll II COMB Permit: X2021-0039
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 0 3 9 Project No: 0040-2021
t, Permit Counter Phone (949)644-3288
-- Inspection Requests Phone (949)644-3255
`+crap Combination Type - BLDG ELEC PLUM GRAD Issued Date : 02110/2021
n :J - ' Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211112024 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: 1859 PORT WHEELER PL NB
Description: NEW 4'6" H FIREPLACEWITH GAS AND ELECTRICAL WIVARD DRAINAGE
Legal Desc.: N TR 7029 LOT 61
CD
Owner: TINKLER STEPHEN
Contractor:
PROSCAPES
Architect:
Address: 1859 PORT WHEELER PL
Address:
2207 FLORIDA STREET UNIT A Address:
NEWPORT BEACH, CA 92660
HUNTINGTON
BEACH CA 92648
Phone:
Phone:
714.235.3294
Phone: State Lic:
Applicant: RAY SAVANNA
Con State Lic: 919876
Engineer: KNAPP LEONARD CHARLES
Address: 2029 VIA SOLONA
Lic Expire:
02/28/2022
Address: 12613 WABASH AVE
SAN CLEMENTE CA 92673
Bus Lic:
BT30067678
REDLANDS CA 92373
Phone: 949-412-0598
Lic Exp Date:
06/30/2021
Phone: 909-889-0115 State Lic:C-030577
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
LIBERTY MUTUAL Address:
Occupancy Group: U
Policy No:
XWS60931071
Added /New sq.ft. Bldg: 0
Expire:
12/21/2019
Phone:
-
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 10
Special Conditions: LANDSLIDE AREA
No of Units : 0
-
Front: 18
Bldg Height: 0
Left: 5
Bldg Sprinklers: N
Right: 5
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $12.000.00
Building Permit Fee: $381.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $266.75
Additional Fee :
$0.00
Plan check Fee : $46.25 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: $8.00
Grading Permit Fee:
$232.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$195.00
Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ 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 %:
$26.67
San Dist: $0.00 -
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing W
$34.29
_
$0.00
TOTAL FEE : $1,190.96
Plan Check Fee:
$313.00 Fee Due at Permit Issuance :
$677.96
PROCESSED BY:
`c o t�US30C JORL APPRAVAU °m
. .
ZONING APPROVAL:
. .
PLAN CHECK BY:
GRADING APPROVAL:
'APPEWALTiO E?SU[a:*' o"s
o`
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 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
is 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,
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
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
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0 _ f Divisip9,3�Gf the Business and Prof s' Code, n y li ense is in 11 force
nd effect. License Class License No Date Gf 1 0/ L 1 Contractor Signatu
IIORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA (5100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
an -of the work for which this permit is issued. Policy No.
ave and will t�In 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
urance carrier an oily number I `.
;arrier 1 P li r Expiration Date
lame of Agent l Phone #
�I certify that, in the performance of the work for whit this per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
tat, if I should become subjec the workers' compe sation pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applicant ' D'M-���b�2'
)reby affirm under penalty or•perlury that there is a nstru tion lending agencyo the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 co
I agree to comply with all applicable city and county ordinances an state Is s relating to building construction.
I authorize representatives of this city or county�tf�n �ter the abov 1 tifie prope clion purposes. f p
nature of Prooertv Owner or Authorized AgentfIy r s`� /1 n /1 rint roperty Owner's or Authorized Agent's Nam%
ACTION DATE BY Cj REGULATION!ERXTNI ACO 1 LIANC T'H CODE
AOMF FEDERAL EI FOR OFFICE USE ONLY
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PERMITEXPIRED LJISUB ITT OASBESTDSMOTCCATIONrTO
PERMITCANCELLED EP
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PERMIT EXTENDED UAQMD
PERMITFINAL /Y s ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOS5[T JEN k1IL:TIQA •
OCCUPANCYISSUED SIGNATI);RE} e • e'
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