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HomeMy WebLinkAboutX2021-2797 - Permitsstye City of Newport Beach - Building Division J •5 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `taxj,;,,•,m�' Combination Type - BLDG PLUM ELEC IIII�IIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2797 Project No: 0987-2021 Issued Date: 10/14/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/14/2024 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: 1726 CANDLESTICK LN NB Description: SFR DETACHED PERGOLA 260 SF & MASONRY FIREPLACE. GAS/ELEC TO BBQ/FIRE PIT -CHANGE OF CONTRACTOR" Legal Desc.: N TR 3763 LOT 32 Owner: SHALLA HILARY Contractor BRADCM INC.. Address: 1726 CANDLESTICK LN EeL`TtiS�iN AVE STE C-901 Address: NEWPORT BEACH, CA 92660 ` NEWPORT BEACH, CA 9266 ,.t r ? i � ?:�y;r. Phone: 949-331-5327 1r�-{/PNfdrle� 949-835.5000 i a 3 ^rPYdne State Lie: I VI V _---- , nn0/ Applicant: MOORE JAMES .. 51431 (J ()oygoodO 'sRA#MRNIIS7tlKSUL U♦ g�pa Address 2831 E GRETTA LN Lie Expire, 03 2 i ® 1 p W'f81 3f`,_,y� Address: CHIN CA 917 8 A E ANAHEIM CA 9280fi Lid. Otl655't-4 n �* CHINO CA 91708 Phone: 951-345-3505 TT &ao,F�cp f f'e,, _' pQ30/2022't f: �, v ph��p S to Lie C-069263 wh Code Edit: 201t9 r rl ensa`udir Ins�ra ce "`�" Designer: Type of Construction: V ! a Carrier: STATE COMP Address: • ° ° ° ° Occupancy Group: U Policy No r 9,2566 Added /New sq. ft. Garage: O'�E'�;C'4i `g 04 Phone: s• i•. i ° No of Stories: 0 ' ir'i"' ildi etb, 6 Special Conditions No of Units: 0 '` 8�� Fn 20�' $ e°o• Bldg Height: 0 Left. 6' Bldg Sprinklers: Right: 6' @g Flood Zone: Use Zone' Parkins Snares: ...9..� ca�a.. • _17 u 14mavn�7 AW "MI ... Construction Valuation: 0. �a i�,�; q,",' ' °'°°'® i4 ; •°° Building Permit Fee: $0.0 - is g 0 Tanning D��qq��[[ttR��ik started) .;Ff�S m t� a°°°o• Plan Check Fee: $0.00 Additional Fee : ,�,ii $38.00 Plan che`ckrF-tge . $0.00F}':j;cti y n E • $0.00 Overtime Plan Ck: $0.v 0 ���.UFU 9 $0.00 Fair Share : $0.00 Fire Plan Revz $0.00 Investigation Fee: $0. radRi�ng PC Consultant : $551.04 SJH Trans : $0.00 a Record Management: $0. Grading Permit Fee: $0.00 In-li 0.00 n e A $0.00 Energy Compliance: $0. &�,�� Grading PC Fee: Public Works Departm nt- J $0.00 CA Seismic Safety: $0. i4o��. nsp. Fee : $0.00 Park Dedication : � �' t"�at3�$S" efund i $0.00 Disabled Access : $0.0 an Check : ing and: $0.00 Hazardous Mat $0.0. __ -EleetrieaF°/a�� 0. $0.00 Building Green Fee : $0.0 $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $38.00 Plan Check Fee: $38.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: AA K�' J PUBLIC WORKS APPROVAL: 70NING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: V[r e o o°oaae ° o o a • ao • o° • J w 0000a 0 0000• oa0000 e°°°• °°°° 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 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 3 of the Business and Drofessions 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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, thrc ugh employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of ompletion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale)..:-=-y`�"'n I, as owner of the property, am exclusively contracting with licensed Contractors to construct the_ To one= 84W.TfflRass and Professions Code: The Contractors'.-q-State License Law does not apply to an owner of property who builds or improves thereon an Ua GD ae - s-wi h a licensed Cont actor pursuant to the Contractors' State License Law). I am exempt from licensure under the Con adState License Law for of II 'ng r If !:4nn91Cab1_- 3y my signature below I acknowledge that, except for my personal residencew�iiic nxu a de bne year prwrrto completion of the improveme is co er " by this permit, cannot legall ell a structure that I have built as an owner-bui �h P not been e y licensed contractors( Igunder{tap tc�tl/ CP fr't e,"%e" lmn , 044 of the Business and rofessions Code, is available upon ret. whe Is a (cation is submitted or at the followingWeb site: a info.c h 1. Signature of Property Owner or Authorizers,Agent ,� _ t e LICENSED CONTRACTOR'S DECLRAT . v r:.2�9 hereby affirm under penalty of perjury thl anif icensed der p irlslons of� er 4` c e ng 7 c iv u ' an ofessions Co end rpy lit se is i full force and effect. License Class y! Licen No .-� ontractor Signature[3� NORKERS' QQyIpf1SATION DECLRA r: WARNING; FAILURE TO SECURE WORKERS' COMP SATION CO ERA S UNLAWFUL, AND SHALL SUBJECT A M TE0 L s AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLS j$100,000), IN ADDITION TO THE GOSTOFCOMPENSpTiON.DAMAGES AS PROVIDE GRIN SECT N 060FT L E D CPE� hereby affirm uwlec penalty of perjury one of th o g clay ns: - I i � ` 1 J;f, and wilt maintain a certificate con nt o insur or wor � io Fled V L c `Industrial Relations as provided for by Section 3740 of, the Labor Code, for th �ormance ofthe work for which this pemryt is i u No. W-e and will maiLn workers' comp sation nsurance, as required by Section 3700 of the Labor Code, forte performance of the work fo which IS er Is Ispue My workers' compensatio r�r�ce "IT, r2tly p:licy number are: € o :arse a Policymber JI Q WIC19 certify that, m� she performa of the wok fop is itS lss�uer, shalt no employ any person in any in �t(eCOmeSwjeLcf to6ilfe workers' corri`ota,�Jof California, and .f1 should become ct to the work` m ens^ation rpd�ya ��igfi��� of the Labor Code, I shall foddhwith comply with those provisions., :reby affirm under penalty of perjury that tt( riNbattrstruction lendin a an of the work for }vhich this permit Ider's Name 3 ` Lender's Address my signature below, I certify to each of theoliowing: _ I am the property owner or authorized to t oathe 1 �— I have read this application and the inforMj L= I agree to comply with all applicable city and count Ina es and state laws relating to building construction. I authorize representatives of this city or count enter ove-identifiedI.mpQr y for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE C� k403 PERMIT EXPIRED 0 15UBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED LJEPA PERMIT EXTENDED QMD PERMITFINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: