HomeMy WebLinkAboutX2021-0942 - PermitsCity of Newport Beach - Building Division
04+,A 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
°ate v� Combination Type - SFP ELEC
*X2021-0942*
COMB Permit: X2021-0942
Project No: 0877-2021
Issued Date : 04/22/2021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/22/2024 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: 306 ST ANDREWS RD NB
Description: SFR DETACHED PATIO COVER 256 SF
Legal Desc.: N TR 1220 LOT 44
Owner: ALLISON WILLIAM
Contractor:
MARINO LANDSCAPE & DESIGN
Architect:
Address: 306 ST ANDREWS RD
Address:
26632 DOROTHEA
Address:
NEWPORT BEACH, CA
MISSION VIEJO CA
Phone:
Phone:
Phone:
State Lic:
....
Applicant: MARINO SERGIO
Con State Lic:
878244
Engineer:
THOMPSON MATTHEW
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Address: PO BOX 4888
Lic Expire:
0513112022
Address:
12021 N TUSTIN AVE
® ..
MISSION VIEJO, CA 92690
Bus Lic:
BT30075065
ANAHEIM CA 92807
....
Phone: 949-413.6134
Lic Exp Date:
04/30/2022
Phone:
714-630-6100 State Lic:C-086051
Code Edit: 2019
Worker's Compensation Insurance
Designer:
ee e
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Type of Construction:
Carrier:
INS CO OF THE WEST
Address:
Occupancy Group: U
Policy No:
WPL505668900
Added /New sq.ft. Bldg: 0
Expire:
06/0212021
Phone:
Added /New sq. ft. Garage: 0
°
No of Stories: 0
Building Setbacks
Rear: 10
Special Conditions:
No of Units : 0
Front: 20
: • • • °
Bldg Height: 0
Left: 4
e
Bldg Sprinklers:
Right: 4
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone: N
Construction Valuation: $18.000.00
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: $4.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department-
General Service
$0.00
CA Seismic Safety: $2.34
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 %:
$26.67 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $728.01
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $728.01
PUBLIC WORKS APPROVAL:
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) 1 have placed next to the applicable item(s)
Iction 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
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
ifessions 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
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,
siness 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
frovements 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
)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
fly 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).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
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 Iegalb
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
,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of P,fdddt .Owner or Authorized Agent Date
:ErJSED Ct7 "RACTOR'S DECLARATION
kel�y affirf order penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 Ob) of vision of the Business and Pr f Code, a �`ti�c-��Se'cis in full r e
I effect. Liceasa Class License No Dat�\5-�' Contractor Signat -r== i� C/' '�( I��
&ERS' COMPENSATION DECLARATION
XG: FAILURE T06dCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
F COMPEI f# MO$ DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
4by affirm yndgpenalty of perjury one of the following declarations:
I6have and•witi rwaintain 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 th
*mance of the work for which this permit is issued. Policy No.
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number
me of Agent �� Phone #
Dale
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 workers' compensation laws of California, and agre
It, if I should become ubject to the wor SE%Wton isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. QQ %% i
(nature of Applic - - g 2d I, ✓k o Date] 64 � `W 7 \�
:CLARATION REGARD Z CONSTRQCTRYR_L E DING AGENCY JJ��
ereby affirm under penalty of perjury that there Ise construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
rider'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 correct.
I agree to comply with all applicable city and
I authorize representatives of this city or cou
6
ature of Prooertv Owner or Authorized Alien
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
-u I x f@P
relating to building construction.
purposes.
mrtv Owners or Authorized AD
DECLARATION OR'COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
.E TO
Name