HomeMy WebLinkAboutX2021-3353 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
i5 Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIII COMB Permit: X2O21-3353
Project No : 2915-2021
Issued Date : 02/02/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210212025 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 Hol(days'
Job Address:
2419 SANTIAGO DR NB
Description:
SFR PATIO COVER 377 SF W/ GAS/ELEC
Legal Desc.:
NEWPORT HEIGHTS LOT 287 NWLY 78.75 FT SELY 315 FT
Owner:
VANDERHOOK RUSSELL Contractor: DIG LANDSCAPE CONST. INC Architect:
o
Address:
2419 SANTIAGO DR Address: 2732 E COAST HWY #A Address:
➢`--'r-
NEWPORT BEACH, CA 92660 CORONA DEL MAR CA 92625
Phone:
Phone: 949-673-5450 Phone: State Lic:
Applicant:
O'HARA BILLY
Address:
2732CPAST HWY STE A
NEWPORT BEACH, CA 92625
Phone:
949-831-5937
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:
Flood Zone:
11 Construction Valuation: $5
Building Permit Fee: $389.00
Plan Check Fee: $267.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $773.74
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
932954
Lic Expire:
01/31/2023
Bus Lic:
BT30026912
Lic Exp Date:
01/31/2023
Worker's Compensation Insurance
Carrier: OAK RIVER INS
Policy No: DIWC222523
Expire: 06/01/2022
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing W
Rear: / �?
Front: I I S
Left: /
Right: I j
4inn Bnonoc
10
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.23
$0.00
$35.01
Engineer: STOVNER ERIC n o 0
Address: 1350 CORONADO AVE
LONG BEACH CA 90804
Phone: 310-530-3050 State Lic:S-004204 o 0
Designer: MONTRELLA BENJAMIN
Address: 2732 E COAST HWY, STE A
CORONA DEL MAR CA 92625
Phone:
Special Conditions:
Fire Hazard Zone : N
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
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $319.00 Fee Due at Permit Issuance : $454.74
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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
:he 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
iot 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,
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
mprovements 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
mproved 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 Iegalll
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://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Lr.ADr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professions Code, an rjn full force
ono EF.ect. License Class License No Date 7i�- Contractor Signature
"VORKERS' COMPENSATION DECLARATION
NAPPING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND DOLLARS ($100,000I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 'ierehy affirm under penalty of perjury one of the following declarations:
1) 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 thl
pp71fo, mance or the work for which this permit is issued. Policy No.
u 51 have 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' compensatio
i rance carr':er ant policy number are:
Policy Number
Date
1e of Age,,t
certify that,'in the performance of the work for 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
if I should become subject to the workers' Compenationyrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant Date �. (7>. ��
CLARATION RE I.DINu CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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.
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 ter the above-ide "e roperty for inspection purposes. c�
nature of PmDertv Owner or Authorized Agent Print Property or Authorized Agent's Name
DATE BY REGULATIONS PA T061 OF IITLE 40 AND QMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
2 ns�
1'2' Ll
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Civil Code).