HomeMy WebLinkAboutx2022-1422 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`is cgs* Combination Type - MFP
COMB Permit: X2022-1422 IIIII�IIIIIII�IIIIIIIIIIIIIIIIIIIIIII II
Project No : 1310-2022
Issued Date : 06/01/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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:
517 35TH ST NB
Description:
MFR REPAIR (4) POSTS & 2ND FLOOR DECK & DRAINAGE
Legal Desc.:
CANAL SECTION BLK 535 LOT 12
4�
Owner:
GANZ GERALD W Contractor:
SIDING MILLWORK INC
Architect:
DENGHAUSEN HOWARD
Address:
2618 N LOS COYOTES DIAGONAL Address:
22686 S CANADA CT
Address:
P.O. BOX 3381
LONG BEACH, CA 90815
LAKE FOREST CA 92630
NEWPORT BEACH CA 92659
Phone:
Phone:
949-633-9036
Phone:
949-735-2580 State Lic:C014281
0
Applicant:
DENGHAUSEN HOWARD Con State Lic:
1034616
Engineer:
MORRIS KYLE
Address:
P.O. BOX 3381 Lic Expire:
01/3112024
Address:
1401 DOVE ST #520
DD
- NEWPORT BEACH CA 92659
Phone: 949-735-2580
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Bus Lic: BT30066901
Lic Exp Date: 04/30/2023
2019 Worker's Compensation Insurance
V-B Carrier:
NORGUARD INS
R3/U Policy No:
SIWC253845
0 Expire:
1211312022
0
Building Setbacks
Rear: /
Front: I
Left: I
Right: I
Building Permit Fee: $501.00
Plan Check Fee: $435.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
II TOTAL FEE: $1,443.87
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
Designer:
Address:
Phone:
NEWPORT BEACH CA 92660
949-502-5323 State Lic:C-072911 ....
Special Conditions: LIQUEFACTION
HIGH DENSITY AREA
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$237.00
In -lieu Housing Fee
Grading PC Fee:
$199.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PfW Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Zone
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$686.87 Fee Due at Permit Issuance : $757.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
D •
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DDD000
D o 0
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OWNER -BUILDER
I hereby affirm under penalty of perjury th t 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 C ode: 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
the permit to file a signed statement that he c r 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
Professions Code) or that he or sheds exemr t 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
not more than five hundred dollars ($500).
I, as owner of the property, or my emplo es 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 Contra tors' 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 fo 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 exclusiv ly 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 i proves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the C ntractors' State License Law for the following reason:
ly my signature below I acknowledge that, cept 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 Section 0 ) I. i ' 'y�of the Business and Profe Io, d2 y lice II ®rc
nd effect. LicegMCI2gs License No Date L�Contractor Signature
IfORKEAS' COVFVNSATION DECLARATION
'gRNINGI I:AILURE TO SECLQE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION{DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
tler%V affirm underpenalty of perjury one of the following declarations:
1 haye and v;jlf ma%ain 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,
crrfo?rpglfce of theft for which this permit is issued. Policy No.
and will;WW§r Aa4TCompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Policy Number
of
Date
:I"?tlTtjthat, in Te performance of the work for which this mit i hall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agre,
tat! rk4 should be dome �ubj t t yu s' cgj1/pensati o /qf�S\ect n 3700 of the Labor Code, shall forthwith comply with those provisions.
Iignature of Applicant /,iJ L �' / Datey y —�
IECLARATION REGAR ING C UCTTMN LEND— I AGENCS' G
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, Civl Code).
Ender's Name Lender's Address
iy 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 ordina s and state I building construction. / //�
I authorize representatives of this city or counk4to 1 h . abdye-identifl /for in action purposes. V � ,Ill A�, x �� ! / !/ 1
Iignature of Property Owner or Authorized Agent '&11111 I—Kolrit HOOP
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED I r AQMD
CERTIFICATE OF
OCCUPANCY ISSUED
FOR OFFICE USE ONLY
Name