HomeMy WebLinkAboutX2022-0419 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Fequ s Phone (949)644-3255
°ai,vs Combination Type - BLDG GRAD
II XI�� IIIII 0��I IIIII IIIIIIII 0�� III I�I I�1 II
COMB Permit: X2022-0419
Project No : 0370-2022 c e
Jp ,
Issued Date: 03/1012022
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311012025 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: 3927 SANDUNE LN NB
Description: SFR-DEMO EXISTING LANDIHARD SCAPING. BUILD NEW MAX
7.5FT RET.WALL
WITH 6FT FENCE X 100FT, 6FT CMU FENCE X 42FT. 10-6FT PILASTERS.
YARD DRAINAGE
Legal Desc.: N TR 6425 LOT 77
Owner: QUESADA STEPHANIE D TR
Contractor.
OWNERIBLDR
Architect:
Address: 3927 SANDUNE LN
Address:
QUESADA STEPHANIE Address:
CORONA DEL MAR, CA 92625
Phone: 7141721-2417
Phone:
Phone: State Lic:
Applicant: BOLANIS VICKI
Con State Lie: O/B
Engineer: GRGURIC NENO
•••.
......
Address: 3927 SANDUNE LN
Lie Expire:
Address: 2880 S COAST HWY
NEWPORT BEACH CA 92625
Bus Lie:
LAGUNA BEACH CA 92651
Phone: 9491510-6606
Lie Exp Date:
a• a°
Phone: 949-715-0775 State Lic:C-059487 °
•
Code Edit : 2019
Worker's Compensation Insurance
�'
Designer:
.
as
Type of Construction:
Carrier:
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
....
°...
Added /New sq. ft. Garage: 0
a.
No of Stories: 0
Building Setbacks
Rear: 6
Special Conditions:
No of Units: 0
Front: 10
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $50,000.00
Building Permit Fee: $799.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $695.13
Additional Fee :
$0.00
Plan check Fee: $0.00 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: $44.00
Grading Permit Fee:
$973.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$846.51
Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$152.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check : $50.75 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $3,562.39
Plan Check Fee:
$1,541.64 Fee Due at Permit Issuance :
$2,020.75
PROCESSED BY:
PUBLIC WORKS APPROVAL:
Ss=
J
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
i'
-
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 issyta_rue,_.lso 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
not more than five hundred dollars ($500).
as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portion of the work, and the structure is not intended or offered for sale (Section 7044,
Busin s and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thro gh employees' or personal effort, builds or improves the property, provided that the
r`rT�r, ove ants 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
IAm roved for the purpose of sale).
I, a 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
appl�,& 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).
E301 am exempt from Iicensure under the Contractors' State License Law for the following reason: I
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 legall'.
sell a structure that I have built as an owner -builder if it has not been constr ed in Its an rety by licensed contractors.;I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whe a n Is sub to or at ```,,,CCC olloww'Sng p Web site:http://�.leginfo.ca.gov/calaw.html.
info.ca.g ov/calaw.html.
Signature of Propv*ftOwner or Author zed Agent v� 1 2it.L� i c./ / Dai�C
LICENSED CION:IACTOR'S DECLARATIb
I be"Y afhrm pnder,penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
hnd effEct. LiVptg Cfass License No Date Contractor Signature
WQRKERS' CQMPENSATION DECLARATION
KERS' 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
AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
relpy affirm under penalty of perjury one of the following declarations:
[*%ve and') ioaofntaln a certificate of consent to self -insure for workers' compensation,
ortnance of the work for which this permit is issued. Policy No.
MIS and will maiptain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. My workers' compensatior
rante carribi; j0d Qolicy number are:
Tel: . Policy Number Expiration Date
ie of Ageni ': Phone #
certify that, in the performance of the work for which this rmit is Issu I shall not employ any person in any man Iner so as to become subject to the workers' compensation laws of California, and agree
kif I should become su act to w ers' compensaf n rovisiions Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicanty
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
!reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
Ider's Name Lender's 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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordin5nces and state la elating to building construction.
I authorize representatives of this city or county o a Mer ve-identifie pr party or inspection purposes.
nature of Prooertv Owner or Authorized ADent Y 112 4iaf�9 Print Property Owner's
ACTION DATE BY f REGULATIONS PAT0MPLIANCE WITH CODE OF610 TIITLE 40 AND AQMD RULE FEDERAL I FOR
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQM D
PERMITFINAL _��t ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF \ PROPOSED DEMOLITION
OCCUPANCY ISSUED I SIGNATURE:
this permit is issued (Section 3097, Civil Code).
USE ONLY