Loading...
HomeMy WebLinkAboutX2021-1060 - Permits`�na City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1060 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 0 6 0 Project No : 0974-2021 w' 'j; Permit Counter Phone (949)644-3288 s. Inspection Requests Phone (949)644-3255 f'IzKa514sti Combination Type - SFP Issued Date : 05/04/2021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510412024 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: 1614 RUTH LN NB Description: SFR - R/R 5 WINDOWS (E) OPENINGS. R/R STUCCO W/ SIDING @ FRONT ELEVATION Legal Desc.: N TR 1645 LOT 18 Owner: LEE Address: 1614 RUTH LN NEWPORT BEACH, CA 92660 Phone: Applicant: DICKENSON DAN Address: 11 BARONESS LN LAGUNA NIGUEL CA 92677 Phone Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3IU Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $246.00 Plan Check Fee: $214.02 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: $507.27 g02 Q. 4 PROCESSEI9 Br ZONING APPROVAL: GRADING APF'k0't Af . `- n moo 00o c c on ©o a,cr� Contractor: DICKENSON CONSTRUCTION Address: 11 BARONESS LANE LAGUNA NIGUEL CA 92592 Phone: 949-444-4734 Con State Lie: 633934 Lie Expire: 09/3012022 Bus Lie: BT30067666 Lie Exp Date: 06/30/2021 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) 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: / Front: I Left: I Right: / 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.26 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $507.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: } 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 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 '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 lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 Tlprovements 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 reproved 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 Ipply 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). 1 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.govlcalaw.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 Section 70M ov,Dir'ion'3 of the Business and Profess ns Code ar= IT license is in full force Ind effect. License Class License No Date— Contractor Signetry>�/ 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 ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 the erformance of the work for which this permit is issued. Policy No. 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 workers' rance carrier and policy number are: Policy Number Expiration Date of Agent 211 c rtify that, in the perfornflance of the ork for w ich this permit 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 V.hat, I should become subj t to the wo er ' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. GG ,�II Signature of Applicant Da�7T4 /Zr )ECLARATION REGA I G CONS UCTI LENDING AGENCY 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 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 h ve providep is correc . t "� l t�SC;J I agree to comply with all applicable city and count ordinanc a st t laws relating to building construction. I authorize representatives of this city or cou t refer the a ov ide f d property for inspection purposes. Signature of Property Owner or Authorized Agent 1, . Print Property Owner's or Authorized Agent's Name ate,5 ZG2 ACTION DATE BY DECLARATION O COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ' ` • • `•• ••• :., '•• ••• •� PERMITCANCELLED 0EPA PERMIT EXTENDED QMD PERMITFINAL BESTOS NOEIFICATIOIN5 OT PUCABLE TOCERTIFICATE OF �,'� PROPOSED DEMO •�! • ••• �•• �`• OCCUPANCYISSUED SIGNATUR :