HomeMy WebLinkAboutx2022-0397 - Permitshaw Pta City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'S v. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2022-0397
IIIIXIIIIIIIIIIIII��IIIIIIIIII�IIIIII�IIII II
Project No :
NO CONSTRUCTION NOISE Issued Date : 02109/2022
4.99a7 Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210912025 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satutd trre�n� 0� ,p, � No work on Sundays or Holidays
Job Address: 615 VIA LIDO SOUD NB �....11'' 9 � Vvr:
Description: SFR RE -COAST (E) DECK 620 SF, WIESR#2701
Legal Desc.: TR 907 LOT 4 SELY1/2 THEREOF(AND FOR OF LOT 5
Owner:
BRISBOIS BRENDA
Contractor:
CRANK WATERPROOFING
Architect:
Address:
718 HI LLCREST AVE
Address:
134 COMMERCIAL WY
Address:
LA CANADA FLINTRIDGE CA 91011
COSTA MESA CA 92627
Phone:
Phone:
949-646-9356
Phone: State Lic:
Applicant:
CRANK WATERPROOFING
Con State Lie:
1038420
Engineer:
Address:
134 COMMERCIAL WY
Lie Expire:
04/3012022
Address:
COSTA MESA CA 92627
Bus Lie:
BT30063958
Phone:
949-646-9356
Lie Exp Date:
06/3012022
Phone: State Lie,
Code Edit: 2019
Type of Construction: VB
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: AE
Construction Valuation:
Building Permit Fee: $331.00
Plan Check Fee: $0.00
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: $332.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: FALLS LAKE
Policy No: FLA01345002
Expire: 01126/2023
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: I
Front: I
Left: /
Right: I
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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
PIW Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $332.00
e o &61_16 INO&K,S APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: o° o V o 0 %ARPROVAL TEASUE:
0 0
0 0 °
0 0
°oc ono 0 0 0o co° cao
Z
�tyy
i--7
6 qq 1
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4
0
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)
(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--a_ppimant for
the 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 thee, Business and
Professions 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 civifperzllty of
iot more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
improvements 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
improved 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
apply 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:
By 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 legal
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of 'vissn 3 of the Business and P of s +Co, my license is in full force
and effect. License Class License No Datee Z L• Contractor Sig natur
WORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANUOLLARS ($100,000), IN ADDITION TO
: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:
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
yrdnce of the work for which this permit is issued. Policy No.
have and Wi41.01aintain 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'
Date
of
certify that, in the performaWeoich this permit is issued, I shall not employ any person in any manner so as to become subject tD the workers' compensation laws of California, and agree
I, if I should become subjeensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of Applicantii2JCLARATION REGARDIN NDING AGENCY
Ireby affirm under penalty of construction lending agency for 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 correct.
I agree to comply with all applicable city and county din nc s an .etate laws relating to building construction.
I authorize representatives of this city or county t ire a bpve-i ntified property for inspection purposes. \ �,N� SL�-
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na "r 1 ate
ACTION DATE BY ' DtCLAJION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULA DNS PART 61 OFTITLE 40 AND AQMD RULE
1403 . 0.. . .. ... ...
PERMIT EXPIRED I SUBMITTED AS E OS ftTI IC I N j0 . • • • °
PERMIT CANCELLED LIEPA ° • • • • • • • • • • s
PERMIT EXTENDED QM D
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF ' ! %n PROPOSED DEMOLITION•:• ••. ••• °•. .•• ••
OCCUPANCYISSUED 10 U(� SIGNATURE: : .• .0 : : ..