HomeMy WebLinkAboutX2021-3300 - PermitsCity of Newport Beach - Building Division
i 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u:. Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
*X2021-3300*
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COMB Permit: X2021-3300
Project No : 2860-2021
Issued Date : 01/27/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/27/2025 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: 20 COLONIAL DR NB
Description: SFR FREE-STANDING PATIO COVER 255 SF
Legal Desc.: N TR 15389 LOT 44
Owner:
DBP FAM LLC
Address:
PO BOX 26211
HONOLULU HI CA 96825
Phone:
Applicant:
LUSHBAUGH WILLIAM
Address:
17191 CITRON
IRVINE, CA 92612
Phone:
949-584-2166
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
ARTISAN OUTDOOR LLC
Address:
1653-B SUPERIOR AVE
COSTA MESA CA 92627
Phone:
949-424-5870
Con State Lie:
1001086
Lie Expire:
02/28/2023
Bus Lie:
BT30055442
Lie Exp Date:
06/30/2022
Worker's Compensation Insurance
Carrier: TECHNOLOGY INS
Policy No: TWC3954494
Expire: 02/06/2022
Building Setbacks Rear: 10
Front: 10
Left: 5
Right: 5
Architect: LUSHBAUGH WILLIAM
Address: 17191 CITRON
IRVINE, CA 92612
Phone:
949.584-2166 State Lic:CO24887
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Engineer:
JAMIL BASHARS
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Address:
751 SHASTA DR
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CORONA CA 92881
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Phone:
714-883-4124 State Lic:C-083129
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Designer:
Address:
Phone:
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Special Conditions:
3 FEET SETBACK FOR OPEN
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BEAM TRELLIS TO SIDE AND
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Floodone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
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Construction Valuation: $25,000.00
Building Permit Fee: $389.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $267.00
Additional Fee :
$0.00
Plan check Fee :
$52.00
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: $12.00
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: $0.00
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$27.23
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $748.23
Plan Check Fee
: $319.00
Fee Due at Permit Issuance :
$429.23
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 fo`r
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 the Business and
Professions 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
not more than five hundred dollars ($500).
❑ 1, as owner of the 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,
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 Iicensure 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:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED C6WTMCTOR'S DECLARATION
1:+ ;abyaffirm urifler penalty of perjury that (yam lice�lsad under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions Code, and m license is in full force
end effect. Licditt Class q e e p ✓� License No Date Contractor Signature
WbRItERS' COMPENSATION DECLARATION
WARNING: FAILURE ZO SFF,IURE 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
COST OF COMPENSATION, RAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I:heraby aff rm untler penalty of perjury one of the following declarations:
d i ila a and %Il' 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
ltcfifb ante of the work for which this permit is issued. Policy No.
;lia've and wilt 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' compensation
Insurance carri&X8 pplicy number are:
Policy Number
Agent*
Date
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 agree
t, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y
nature of Applicant X /// Date � -i' 7 z
CLARATION REGARDIN IOO6pLENDING CY
ereby 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).
Ider's Name Lenders 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the I le rt ; insnactxw purposes. q
nature of Prooertv Owner or Authorized Agent Print Property Owners or Authorized Agent's Namjo-
ACTION
PERMIT EXPIRED
PERMITC4NCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY 4 3 LATION5 PART 61 OF TLE 40 AND AOMD RULE
COMPLIANCE FOR OFFICE USE ONLY
REGULATIONS
ASBESTOS NOTIFICATION TO
NOTIFICATION 15 NOT APPLICABLE TO