HomeMy WebLinkAboutX2022-0523 - Permits�wrov City of Newport Beach - Building Division
4 .r% 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
A Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM
*X2022-0523" COMB Permit: X2022-0523
Project No: 0470-2022
Issued Date : 0310912022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310912025 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: 8 SUMMER HOUSE LN NB
Description: SFR ATTACHED TRELLIS 102 SF, & EXT. FIREPLACE -
Legal Desc.:
Owner. MCCANN DANIEL
Address: 8 SUMMER HOUSE LN
NEWPORT BEACH CA 92660
Phone:
Applicant:
DARREN/SALT & SEA POOLS
Address:
22 KENDALL
LAGUNA NIGUEL CA 92677
Phone:
949-910-6125
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Valuation: $15,000.00
Building Permit Fee: $550.00
Plan Check Fee: $407.07
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: $1,059.57
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SALT AND SEA POOLS
Address:
22 KENDALL ST
LAGUNA NIGUEL CA 92677
Phone:
949-910-6125
Con State Lic:
1044957
Lic Expire:
09/30/2022
Bus Lic:
BT30078180
Lic Exp Date:
03131/2023
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
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: /
Front: I
Left: I
Right: I
eking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$49.50
0
Architect
Address:
Phone: State Lic
Engineer:
LACHERTODD
Address:
1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone:
714-630-6100 State Lic:C-067656
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
Plan Check Fee: $459.07 Fee Due at Permit Issuance : $600.50
`PUBLoCJ/ORKS APPROVAL:
0
PLAN CHECK BY:
0 0
° APPROVAL TO ISSUE:
oe° o 0 0� o0
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 applicant 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 3of the 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 civil penalty of
not more than five hundred dollars ($500). 1201 N TUSTIN AVE '
❑ 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,
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).
❑ I 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 leg —all)
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://ww .leginfo.ca.gov/calaw.htmi.
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 Sectioryry7000) f Division 3 of the Business and Professloao Code c y li e s in full force
and effect. License Class License No e-Bafe �i`i' Contractor Signaturg) _
WORKERS' COMPENSATION DECLARATION ✓/
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 thi
3erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
Date
�rtify that, in the performance of the work for which this permit is issued, Ishall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
lot, f I should become subject to the ers' compen visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant _ �i✓—,� Date)/
IECLARATION REGARDING NSTRUCTION LENDING AGENCY
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, Civil Code).
ender's Name Lender's Address
sy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 coun for inspection purposes.
ignature of Property Owner or Authorized Agent ��--______ Print Property Owner's or Authorized Agent's Name Datev��� L
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f
REGULATIONS PART 61 of TITLE 40 AND AQMD RULE
1403 CWL 14V9I\LX5
PERMITEKHRED U I SUBMITTED ASBESTOS NOTIFI(•AYjON 10
PERMIT C4NCELLED UEPA
••
PERMITEMENDED QMD • ••• • � • • ••
POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • • •• • •.
INSTALLED PROPOSED DEMOLITION.
SIGNATURE: • ° ° ° o
PERMITFINAL-
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