HomeMy WebLinkAboutX2021-3255 - Permitsnrx,� City of Newport Beach - Building Division *X2021-3255* COMB Permit: X2021-3255
- 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2536-2021
a+ ' Permit Counter Phone (949)644-3288
v. Inspection Requests Phone (949)644-3255
gar av i> Combination Type - SFP ��''ii r- Issued Date : 1211012021
IN
S P-CT Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211012024 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: 1951 SANTIAGO DR NB
Description: SFR DELTA 1, INSTALL BEAM & FOOTING IN GARAGE
Legal Desc.: N TR 4710 LOT 6
Owner:
CNQST LLC
Address:
PO BOX 11176
NEWPORT BEACH, CA 92658
Phone:
Applicant:
KENT ART
Address:
61416TH ST
HUNTINGTON BEACH, CA 92648
Phone:
714-272.1624
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $242.49
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: BRYAN PACIFIC BUILDERS
Address: 413 CALLE DELICADA
SAN CLEMENTE CA 92672
Phone: 714-360.4488
Con State Lie:
585047
Lie Expire:
02128/2022
Bus Lic:
BT30066161
Lie Exp Date:
11/3012022
Worker's Compensation Insurance
Carrier: SIRIUS AMERICAN INS CO
Policy No: WC61613
Expire: 12118/2021
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
.••••
•. e
• ••
WU FRANK H
68BLUECOAT
IRVINE CA 92620 o•••a•
949-832-0250 State Lic:S-002025 '
••••
Rear: I Special Conditions:
Front: /
Left: /
Right: /
kina Soaces: 0 Fire Hazard Zone : N
State Lie:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
$0.00
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00 Fee
Due at Permit Issuance :
$242.49
PUBLIC WORKS APPROVAL:
_
PLAN CHECK BY:
APPROVAL TO ISSUE:
IFVL-
•
•••••
•
000mo
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 items)
(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
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
-ot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portion
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thrc
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contr
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signatum4Delow.1 acknowledge that, except for my personal residence in which I must have resided for at least
ell a structureVail n1ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors
IrofaAons Code, isavailable upon request when this application is submitted or at the following Web site:http:11www.
;ignat&e of PsbPeA owner or Authorized Agent
IPET(SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70
nd affect. Lity$rlse,(Tass License No Date
VORKERS' COMPIENSATION DECLARATION
IRRNMG: FAILURE TO AFFURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL F
QV,�cCOMPENSA1 N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4erpUy affirm urder penalty of perjury one of the following declarations:
of the work, and the structure is not intended or offered for sale (Section 7044,
gh employees' or personal effort, builds or improves the property, provided that the
)mpletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
ne year prior to completion of the improvements, covered by this permit, I cannot
I understand that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Pr d �n9 ny license is in full force
Contractor Signatur
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1D0,000(, IN ADDITION TO THE
I have arW'wig frjaintain a certificate of consent to self -insure for workers' compensation, issued by the Directr of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Rrtwance ofRrle work for which this permit is issued. Policy No.
andw4l.rtaalntain 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'
carrier andpolicy number are:
Policy Number
me of Agent
I certify that, in the perfo ante of a work V which this permit Is Issued, I shall not employ any person in any
It, if I should become ject to r ' compensation provisions of Section 3700 of the Labor Code, I shall
(nature of Applicant _.... _I __....
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
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 an fate a g to building construction.
I authorize representatives of this city or county�f)7 enter the abov fe perty for inspection purposes.
nature of Property Owner or Authorized Aaent X /) Print PmDertv Owner's
ACTION DATE BY REG�TIONS PART AMON OF 061 OF TITLE 40 AND ACMD RULE MPLIANCE WITH CODE OF AL FOR
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
CERTIFICATE OF t_�b�' SIGNATURE: ITFINAL 5_ N071ITICATI 5 O ABLE TO
OCCUPANCYISSUED (((///��'X^/
Date
so as to become subject to the workers' compensation laws of California, and agree
i comply with those provisions. V
Da
t this permit is issued (Section 3097, Civil Code).
j w4k r
G� Pr�i i7a'`
Authorized Aaent's Name �� A
ICE USE ONLY