HomeMy WebLinkAboutX2022-0478 - PermitsCity of Newport Beach - Building Division
T
J , !� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
f:r,ya,u„r' Combination Type - SFP
1111111111111111111111111111111111p1111111111p1111111COMB Permit: X2022-0478
x 2 0 2 2 0 4 7 8 Project No: 0421-2022
Issued Date : 03/01/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112025 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: 2419 SANTIAGO OR NB
Description: SFR ALT (E) GARAGE DOORS TO DOUBLE & SINGLE. ALT (E) FRENCH DOORS TO SLIDER DOORS.
Legal Desc.: NEWPORT HEIGHTS LOT 287 NWLY 78.75 FT SELY 315 FT -
Owner:
VANDERHOOK RUSSELL
Contractor:
CROWN RECONSTRUCTION SVCS
Architect:
Address:
2419 SANTIAGO DR
Address:
45 VANTIS DR
Address:
NEWPORT BEACH, CA 92660
ALISO VIEJO CA 92656
Phone:
714-906-3026
Phone:
949-273-6782
Phone:
State Lie:
Applicant:
BATHOLOMEW RYAN
Con State Lic:
1051230
Engineer:
LANGSTON JIM L
Address:
1575 VIA CAPRI #5
Lie Expire:
03/31/2023
Address:
603 N PARKCENTER DR #108
LAGUNA BEACH, CA 92651
Bus Lie,
BT30066708
SANTA ANA CA 92701
Phone:
949-872-3007
Lie Exp Date:
06130/2022
Phone:
714-836-8655 State Lic:C-029373
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
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: $929.00
Plan Check Fee: $808.23
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$28.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access,
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $1,820.23
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9224420
Expire: 01/17/2023
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: A
Left: I
Right: /
larkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.a0
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAW Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Cta,
0
�2A
(rPJ
6
��1%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$860.23 Fee Due at Permit Issuance : $960.00
PUF}LIS WORKS APPROVAL:
PLAN CHECK BY:
APPPOVAL 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
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 built or
improved for the purpose of sale).
❑ I, 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).
❑ 1 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 legallt
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 and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! - 700 Division f the Business an r ersai i e d y cerise is in full force
and effect. License Class License No Date Contractor Sign at
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 th
perfomnance of the work forwhich this permit is issued. Policy No.
have and will m IrkworkersI coryp ation insurance, as require ¢, by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier ankpolicy number ar€: ) �•� //
Date
ie of Agent A
]I certify that, in the p—errormance of the w k t which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
lot, if I should become su act to thew ers' c m on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
ignature of Applicant � L
ECLARATION REGA DING CONST ING AGENCY "-
hereby affirm under qbnalty of pe at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
3y 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 d st laws relating to building construction.
lg�I authorize representatives of this city or county teyt -i tified property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION DATE BY ( DECLA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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