The URL can be used to link to this page

Home My WebLink AboutX2022-0626 - Permits�y�4cno4, City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 4 n Permit Counter Phone (949)644-3288 •y y,.,, - :e Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM COMB Permit: X2022-0626 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No : 0568-2022 Issued Date : 0511812022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1827 LEEWARD LN NB Description: SFR - DIET SOLID PATIO COVER 324 SF. DIET OPEN LATTICE PATIO COVER 266 SF. Legal Desc.: N TR 4463 LOT 17 Owner: THE MILLIGAN FAMILY LIVING TR Address: 1827 LEEWARD NEWPORT BEACH, CA 92660 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: 949-683-9861 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: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $30,000.00 Building Permit Fee: $389.00 Plan Check Fee: $267.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Contractor: FORM & FOCUS LANDSCAPE INC Architect: Address: Address: Phone: Phone: State Lic: Con State Lic: 1011064 Engineer: KOLODZIEJ KENNETH J Lic Expire: 03/31/2023 Address: 400 E ESTHER PLACE Bus Lic: ST30078775 PLACENTIA CA 92870 Lic Exp Date: 05131/2023 Phone: 714-996-1219 State Lic:C-064768 Worker's Compensation Insurance Designer: Carrier: STATE FUN INS FUND Address: Policy No: 9313774 Expire: 03/01/2023 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.23 $0.00 $35.01 IITOTAL FEE $778.24 Plan Check Fee PROCESSED BY: ZONING APPROVAL: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 IN Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $319.00 Fee Due at Permit Issuance : $459.24 PJB,I(. WORKS f.PPROVA-: 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) 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: 'y 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 ell 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 and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date - .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) f ivision 3 of the Business and Pro ss ns de, a d m icons i full force nd effect. License Class License No to 4A I 2L-- Contractor Signatur irORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 mance of the work for which this permit is issued. Policy No. and will maintain 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 and policy number are: Date ie of Agent certify that, in the perforifnance oAfe work rw ' h this it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subj ct t�thwoirker cpensati provi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tl -nature of Applicant D to CLARATION REGA IN TI ENDING AGENCY areby affirm under penalty of ry that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). 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 th op owner's behalf I have read this application and the information I ave prov ed orre I agree to comply with all applicable city and coun ordina es and s to s re Ing to building construction. , I authorize representatives of this city or county to r bove-i a ied p only for in purposes. r Date,/� a I2 Z ACTION DATE BY DEVAAITON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED is L:31AITE7 ASBESS CS NOLFI C4TI ON TO -PA J �_- PERMIT CANCELLED Q6 PERMITEXTENDED - 'QMD- PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF q N, / - PROPOSED DEMOLITION ' ` ` - - OCCUPANCYISSUED