HomeMy WebLinkAboutX2019-3313 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-3313
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9 3 3 13
Project No i 2300-2019
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - SFP
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issued Date : 1011812019
Inspection Area : 8
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2201 ALTA VISTA DR N8
Description: SFR NEW DECK 357 SF
Legal Desc.: N TR 4705 LOT 79
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DECK PATIO Architect:1i
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Address: 2201 A TA VISTA DR
Address:
1044 CALLENRECO O STE B Address:
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NEWPORT BEACH, CA 92660
SAN CLEMENTE, CA 92673
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Phone:
Phone:
Phone:
State Lie:
Applicant: KNIGHT CAMERON
Con State Lie:
` 1037174
Engineer: KHOURY
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NADER
Address:- - 1044 CALLE RECODA STE B
Lie Expire:
03/31/2020
Address: 1278 GLENNEYERE ST#201
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SAN CLEMENTE,CA 92673
Bus Lie:
BT30063594
LAGUNA
BEACH CA 92651 m • ®®mm
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Phone 714-915-5545.
Lie Exp Dater
0613012020
Phone: 949-637-8357. State Lic:C-061402 °BO°
Code Edit: 2016
Worker's Compensation Insurance
Designer.
Type of Construction: ' V-B-SPR
Carrier:
EXEMPT
Address:
0.....
Occupancy Group: R3IU
Policy No:
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Added /New sq.ft. Bldg: 0
Expire: -
Phone:
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Added /New sq. ft. Garage: 0
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• C B
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No of Stories: 0
Building Setbacks
Rear: 6'
Special Conditions:
O O °
No of Units: 1
Front: 6'
•
Bldg Height: 0:
Left:6'_.
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Bldg Sprinklers:.
Right: 6'
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Flood Zone:
Use Zone: Parkin S aces:
0 - Fire Hazard Zone : N
Construction Valuation: - $15,000.00.
Building Permit Fee:. $359.00
Excise Tax:
$0.00 "
Planning Department-
Fire Department
Plan Check Fee: $261.00
Additional Fee :
$0.00
Plan check Fee : $40.00
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: $8.00
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
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabla ccess : $0.00
PAN Plan Check: $0.00 -
Grading Bond: $0.00
Hazardous Mat $0.00
Electrical W
$0.00 _
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 : $669.00
Plan
Check Fee
i $0.00 Fee Due at Permit Issuance : $669.00
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PROCESSED BY:
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PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:.
GRADING APPROVAL:
APPROVAL TO ISSUE:
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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)
fiction 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
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
ifessions 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 CIO penalty of
more than five hundred dollars ($500).
I, asowner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
movements 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
)roved 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
Ay 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 Iicensure under the Contractors' State License Law for the following reason:
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 legalll
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
dessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[.
nature of Property Owner or Authorized Agent Date
TENSED C4NTOCTOR'S DECLARATION
areby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeceINAL
) o Division 3 of the Business and /REDTHOUSAND
d my license is in full force
teffect. License Class License No Contractor Signat
)Rj<ERS' COMRENSATION DECLARATION-
(fn10VyCI! FAILURE T8 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRNALTIES AND CIVIL FINES UP TO ONE HUN DO IRS I$100,0001, IN ADDITION TO THE
IidF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
yely.effirm GActel•pgnalty of perjury one of the following declarations:
.•
I have andv0ilj t%ntaio 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
e
K'f T;.6mce of the work for which this permit is issued. Policy No.
,4%vp 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' compensatiol
grange carri%rapdpolicy number are:
ligr • Policy Number Expiration Date
pgpfAgent •• ' Phone#
....
certify that, in the perfo once f rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and ogre
II, iff I should become su act to ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. F I
nature of Applicant Date [ �� ff/ / 9
CLARATION REGA ING CONS LENDING AGENCY
!reby affirm under p ally 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).
lder's Name Lender's Address
my signature belo , 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 h ve p vid d is correct.
I agree to comply with all applicable city and coun or i a s and state laws relating to building construction.
I authorize representatives of this city or county t ant bove-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name rvA 6 4 Dat 10 M 79
TON - DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUjATIONS PART 61 OF TITLE 40 AND AQMD RULE -
EXPIRED
PERMIT EXTENDED LJAQM D
PERMIT FINAL ppp SBESTOS OTIF AT TAPPLICABLE TO
CERTIFICATE OF /�?,� OSEDD MOLT 10 OCCUPANCY ISSUED 1 ll/ R.. _.