HomeMy WebLinkAboutX2021-2561 - Permits,T
City of Newport Beach -Building Division
A
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
`X2021-2561`
COMB Permit: X2021-2561
Project No: 2219-2021
Issued Date : 09/23/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912312024 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: 20282 RIVERSIDE DR NB
Description: DEMO DETACHED GARAGE W/ KENNEL 661 SF
Legal Desc.:
Owner:
LANGFORD JONATHON
Contractor:
SLATER BUILDERS INC
Architect:
DWYER MARK
Address:
20282 RIVERSIDE
Address:
3100 - B PULLMAN STREET
Address:
3244 BROAD ST UNIT A
NEWPORT BEACH, CA 92660
COSTA MESA CA 92626
NEWPORT BEACH CA 92660
Phone:
949-322-5333
Phone:
714-615-6108
Phone:
9491887-2292 State Lic:CO23283
Applicant:
BUTTS JENNIFER
Con State Lie:
675832
Engineer:
KIRK MATT
Address:
3100-B PULLMAN ST
Lie Expire:
08/31/2023
Address:
17520 NEWHOPE ST. STE 140
COSTA MESA, CA 92626
Bus Lic:
BT30025319
FOUNTAIN VALLEY CA 92708
Phone:
949-306-6662
Lie Exp Date:
02/28/2022
Phone:
714-460-7259 State Lic:C-051619
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:
Construction Valuation: $2,500.00
Building Permit Fee: $130.00
Plan Check Fee: $113.10
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $244.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: CYPRESS INS COMPANY
Policy No: SLWC245302
Expire: 0211612022
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 %:
Rear: /
Front: /
Left: I
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Designer:
Address:
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
P= Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
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 : $0.00 Fee Due at Permit Issuance : $244.10
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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
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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal
ell a structure lnai 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 CaCL, is available upon request when this application is submitted or at the following Web site:http://ww'w.leginfo.ca.gov/calaw.htm1.
iggr'ture of P-cpert; Owner or Authorized Agent Date
.ICENSED COMlRACTOR'S DECLARATION >
hereby affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section I 3 of the Business and P h i s '� in full force
nd effect. License Class License No Date Contractor Signa r
VORKERS COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO TH
05'r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h=i-eby affirm under penalty of perjury one of the following declarations:
Piave 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 370C of the Labor Code, for tl
erfo mance Df tha vork for which this permit is issued. Policy No.
L� nave 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' compensation.
u. nce ca, de, ai,a policy number are:
mer Policy Number Expiration Date
me of Agent Phone #
I certify that, in the perfornruji4e 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' com ensation laws of California, and agre
t, if I should becoma u e o rs co ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Da
Cr ARATI11N RFG Rill .. Cr1NSTRl I Ir1N I FN NG AGFNCV 11
hereby affirm under peftfty of perjury that 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
y 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 COLD rdinances and state ws relating to building construction.
I authorize representatives of this city or count t t d pr party for inspection purposes. {ry
ionature of PrODertv Owner or Authorized Agent r Print Prooertv Owner's or Authorized Agent's Nam`/ =lij_.F U
ACTION
DATE
BY
ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
ACME
PERMITFINAL
A BESTO TIO T
I ABLE TO
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