HomeMy WebLinkAboutX2021-1069 - Permitst�Ir City of Newport Beach - Building Division *X2021-1069* COMB Permit: X2021-1069
-^ G,� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0987-2021
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255 �' -
"tuau'' Combination Type - BLDG PLUM ELEC Issued Date : 0512512021
0
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512512024 OR PERMIT WILLBEINVALID
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 o ndays or Holidays
Job Address:
1726 CANDLESTICK LN NB
......
Description:
SFR DETACHED PERGOLA 260 SF 8 MASONRY FIREPLACE. GASIELEC TO BBQIFIRE PIT a�
Legal Desc.:
N TR 3763 LOT 32 y4o
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Owner:
Address:
SHALLA HILARY Contractor: IBUILD OUTDOOR INC Architect:
1726 CANDLESTICK LN Address: 2831 EAST GRETTA LANE Address:
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NEWPORT BEACH CA 92660 ANAHEIM, CA 92806 '
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Phone:
949-331-5327 Phone: 951-345-3505 Phone: Stay Ic_-.�,-�
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Applicant: MOORE JAMES Gorr-Stat-e-'Cwc.�'�CV3d%9- q Engineer: RAHMAN MOKSUDUR ° • •
Address: 2831 EGRETTA LN Lic Expire: 09/3012022 / yddress: 1461 °G°oo
ANAHEIM CA 92806 a By, BT30075363 U-112
C•g CHIN 9'° S
Phone 951-345-3505 r LraEzp'D Phone 213-400-807r8 S i 263 *-_ ° • • °
Code Edit. 2019orkersC nsation nce ^ e r Of
Crv�v i@ui°
Type of Construction: V-B 'Garner. T fd�e
Occupancy Group: U ,Polio 5 "� a
Added /New sq.ft. Bldg: 0 '? Expire:''°" ' ^ P.hpl's %"`'o whom: r
Added /New sq. ft. Garage: 0
No of Stories 0 Building Setbacks Rear 6 S eaaI Cond' ions: No of Units : 0 _ F 3 rx ts,.
Bldg Height 0 tj 6 �` '�
Bldg Sprinklers: 4 r °r _`'
Flood Zone: Ise Z_. : g- Pal, e 3 ae : N
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Construction Valuation: $15,700.00
Building Permit Fee: $348.00 Excise 'P x: $0.00 Planning Department - Fire Departm nt
Plan Check Fee: $302.76 Addition' I Fe $0.00 an che�cFee : 46 5 s i n: $0 00 e-
Overtime Plan Ck: $0.00 Grading and a: � a fe8 $0 0plan $0 00 T
Investigation Fee' $0.00 Grading C C U. t : s $0.00 Demolition�Fee,
Record Management: $34.00 Grading J a mi "'$0�.00y' ,�,..lieu Housing Fee : $O.Qno wool,@ $i 0^�' 'dm $tkFLO
Energy Compliance: $0.00 Grading C F e: $yerl,a�€�:RNt�jlic Works Department- General Service $000
CA Seismic Safety: $0.00 WO Ins Fee: ° $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00 PNV Plan Check : $0.00 Gradin Bond:
Hazardous Mat $0.00 Electrical' / Note:
Building Green Fee : $1.00 Mechani I %: $0.00 NMUSD Fee: $0.00 insp. initial .0
Plumbin7 %: $31.32 0.00
TOTAL FEE : $1,459.69 ee : 984.56 Fee Due at Permit Issuance : $475.13
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: 1 1 J V \ / 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)
ction 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
fessions 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
more than five hundred dollars ($500). !
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;mass 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
rovemgptsare 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
rovedfol;W purpose of sale).
I, as gvggerof the property, am exclusively contracting with licensed Contractors to construct the project (Section
• ly to a abn dwrPF of property who builds or improves thereon, and who contracts for the projects with a licensed Cont
• I am exerppt from lioensure under the Contractors' State License Law for the following reason:
By my signature,bolow I acknowledge that, except for my personal residence in which I must have resided for at least
sell a structurelha= I have built as an owner -builder if it has not been constructed in its entirety by lien-_.-„ "antraetor.
Professions Code, is available upon request when this application is Ing Web site: http://www
� Sgnature offjdjl'e@y Owner or Authorized Agent :e'
.. •ISf_NSE® COATRACTOR'S DECLARATION; e
hereby affirm ander penalty of perjury that I am licejhsed ' n Vision mencing with Section 7
2adrffect. Licem?&Class License No
ORKERS;OOMPENSATION DECLARATION 1, �
R G: FAILURE TO CURE WORKERS' COMPENSATION CQVERA�E IS UNLA L, AN HAL SU T". Z Et2 r6'i3 [MIN, L
C� 'r�OF COMP21SST.SI DAMAGES AS PROVIDED FOR IN SECTION 3 60F THE TOR NI E, WT S TT NE E
I hereby affirm under penalty of perjury one of the following eclaratlq :
I have and will maintain a certificate of consent to set —Y workers' compensation issued by the Duec
performance of the work for which this permit is issued Policy No. — e .... ._
I have and will maintain workers' compensation insuranci a ad b ect�ion 3 ofVD,
'to
insurance carrier and policy number are: p q i _ ,.:.
Carrier Policy) tuber
a of Agent A"
I rtify that, in the performan Ifthe work for which this permit is issued, I shall not employ any person in any ms
, if I should become spbject a workers' compensation rov' 'ons of Section 3700 of the La r o shall foi
Signature of Applicant a o1 R
;reby affirm under penalty4f perjury that there is a con:
ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pr,
I have read this application and the information I have
I agree to comply with all applicable city and county of
I authorize representatives of this city or county tS w4
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE
Business and Professions Code: The Contractors State License Law does not
pursuant to the Contractors' State License Law).
a copy of the
Division 3 of V4Tq ' S @M �
�NBr> EonCractorSignature
law, Secylon 7044 of tI% Business and
in full force
TO
as provided for by Section 3700 of;the tabor. Code, for
work for which this permit is
Date
b Jws 4f CAJif&r ,jo, and
;riding a encxy p� t e of the work for which this permit is issued (Section 3097, Civil Code).
U r`L d r ss
iers behalf. g .(o,
Gi, Cor � IS et15 4 �
and state laws relating to building construction. _
-identified r purposes.
wner's or Authorized Agent's Na cites
I OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
;PART 61 OF TITLE 40 AND AQM D RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION