HomeMy WebLinkAboutX2022-0331 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - MFP
*X2022-0331* COMB Permit: X2022-0331
Project No: 0298-2022
Issued Date : 02/0412022
Inspection Area : 6
sees
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02(04(2025 OR PERMIT WILL BE INVA(.1Q e
e
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:
33 VERNON NB
SFR NEW PATIO COVER 200 LF
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Description:
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Legal Desc.:
N TR 15333 LOT 5
INA
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Owner:
SIDEBOTHAM ERIC
Contractor:
INSTANT LANDSCAPES
Architect:
•
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e o m
• • °
Address:
33 VERNON
Address:
833 DOVER DR STE7
Address:
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NEWPORT COAST, CA 92657
NEWPORT BEACH CA 92663
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Phone:
Phone:
949-347-0700
Phone:
State Lic: •
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Applicant:
INSTANT LANDSCAPES
Con State Lic:
842586
Engineer:
WALLACE SCOTT e° • • •
e
° °
Address:
833 DOVER DR STE7
Lic Expire:
07/3112022
Address:
22706 ASPAN ST #402 ° ° °
• • ° ° °
NEWPORT BEACH CA 92663
Bus Lic:
BT30072973
LAKE FOREST CA 92630 m ° e ° •
• ° ° °
Phone:,
949-347-0700
Lic Exp Date:
09/30/2022
Phone:
949.455.9875 State Lic:S-003613 • •O
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $20,000.00
Building Permit Fee: $389.00
Plan Check Fee: $267.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $713.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: PREFERRED PROF
Policy No: ON1166201
Expire: 08/15/2022
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: 10
Front: 10
Left: 5
Right: 5
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
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
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$713.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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)
'action 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
le 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 Iicensure 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).
1, as owneroi {he property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
psiri:se and Prt fbMons 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
iprovements ✓7fe rot 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
aproyed for th6purp4e of sale).
.1,A 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
Dply 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,p?n exempt from Iicensure under the Contractors' State License Law for the following reason:
y jr1y 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, cannot legal
•II a ®tructure tl j 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
�of�ssions Cody is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
14PaSure of Property Owner or Authorized Agent Date
ty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 f i isioD13 the Business and
License No Date ntractor Signa,
ATION DECLARATION
is in full force
'ARNING: 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 3706 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 th
erform the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
me of Agent
I certify that, in the performaKthe.,
e work
d, if I should becomes jectorke
mature of Applicant
Policy Number Expiration Date
Phone #
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
i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGPt(t1NNG`CON�9"fjlY1CTION LENWNG AGENCY
;reby affirm under penalty of pe ry that there is a construction eenr ing age
ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's eha
I have read this application and the information I have proviprls correc
I agree to comply with all applicable city and county rdin ces and state
I authorize representatives of this city or countyNfnter he above-identif
Dat)-_� —Z Z
or the pe or the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
relating to building construction.
o arty for inspectioneffvoses. ` L Wv��� ,f/'
�dlat-RreDr�eOwner's or Authorized Agent's Name d � Date�j_
ACTION DATE BY DECLARREGULAATI T61 OFTITLE 40AN AQMD RULE
WITH CODE OF RAL
PERMITEXPIRED i iI SUBM ITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED i EPA
CERMFICATAL -27_V *b�- PeA BEEDO�Ef;j�' OLIITIOTION IS NOT APPLICABLE TO
OCCUPANCYISSUED SIGNATUREY_—/�'
FOR OFFICE USE ONLY
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