HomeMy WebLinkAboutX2021-0812 - PermitsCity of Newport Beach - Building Division ���������������������������������������������������������� COMB Permit: X2O21-0812
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0749-2021
r Permit Counter Phone (949)644-3288
(J1102-01
n Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM Issued Date : 0410712021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/07/2024 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: 1324 ESTELLE LN NB
Description: SFR - PERGOLA 180 SF 8 GAS LINE TO BEG) 8 FIREPIT
Legal Desc.: N TR 1646 LOT 16
Owner:
KENDALLRENEE
Address:
1324 ESTELLE LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
SOUTH COUNTY BUILDERS
Address:
32432 ALIPAZ ST
SAN JUAN CAPISTRANO CA 92075
Phone:
9491324-3369
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Contractor:
SOUTH COUNTY POOL BLDRS INC
Address:
31911 VIA BELARDES APT B
SAN JUAN CAPISTRANO, CA 92675
Phone:
949-324-3369
Con State Lie:
1023064
Lie Expire:
01/31/2023
Bus Lie:
BT30074892
Lie Exp Date:
0413012022
Worker's Compensation Insurance
Carrier: FALLS LAKE
Policy No: FLA013456
Expire: 01/2312022
Building Setbacks Rear: 6
Front: 20
Left: 6
Right: 6
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
LACHER TODD
1201 N TUSTIN AVE
ANAHEIM CA 92807
714-630-6100 State Lic:C-067656
Special Conditions:
Flood Lone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $15,000.00
Building Permit Fee: $331.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $287.97
Additional Fee:
$0.00
Plan check Fee:
$46.25
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: $0.00
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: $1.95
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PIN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$29.79
$0.00
TOTAL FEE: $697.96
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$697.96
PROCESSED BY: �� v� PUBLIC WORKS APPROVAL:
` C
ZONING APPROVAL: PLAN CHECK BY:
t'
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION 1
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 tlpplisgrlt 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 Divisien 3 of the $usings=s 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).
❑ 1, 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,
Business 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
improvements 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 buil# or
Elroved for the purpose of sale).
1, 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
apply 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).
111 am exempt from licensure under the Contractors' State License Law for the following reason:
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 legally
sell 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 ar-Td
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Proper'y Owner or Authorized Agent Date
LICENSED CCHTRACTOR'S DECLARATION
I ooiaJ; affirmtt74Pr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70,00) o Div' ion 3 of the Business and Professioode, and my license is in full force
and effect. Licensd Class License No Date Contractor Signature -
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURF TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. IN ADDITION TO Ttir
COST OF COMPEASATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
r I ' have and will maintain 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 the
xrTance of the work for which this permit is issued. Policy No.
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
and will maintain workers' compensation
carrl=r ana policy number are:
is of Agent
certify that, in the performance of the work for
if I should become sybjeot to the workers' co
of
Policy Number
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califoomia, and agre
on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 7 /,Z )
/i Date
hereby
affirm
der penalty that here is a construction
hereby affirm under penalty of perjury that there is a construction lending agency for the pe-rMrmance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 and state laws relating to building construction.
I authorize representatives of this city or county to e//-identified property for inspection purposes.
lianature of Prooertv Owner or Authorized Agent �v2�_ Print Property Owner's or Authorized Agent's Name F
ACTION DATE BY D RATigA OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED I I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
LIAUMU
PERMITFINAL
J
SBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
Z9•
PROPOSED DEMOLITION
OCCUPANCYIS5UED
I
SIGNATURE: