HomeMy WebLinkAboutX2022-1795 - PermitsCity of Newport Beach - Building Division `X2022-1795*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)544-3255
Combination Type - SFP ' N S P LC I OR
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MU T BE COMNETEC
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday fro 00 a.m. to 6:dkp.n
Job Address: 325 SANTA ANA AVE NB
Description: SFR ALT: R/R DECK, GLASS RAIL, STAIRCASE, SIDING, & HANDRAIL @ GARAGE. "STOf9 ORK 121-0871*
Legal Desc.: N TR 444 LOT 64 ,'�
Owner: HAMILTON RANDY
Address: 325 SANTA ANA AVE
NEWPORT BEACH, CA 92663
Phone
Applicant: BARGABUS KURTIS
Address: 24252 AMURRO DR
MISSION VIEJO, CA 92691
Phone: 949-350-7183
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers. N
Contractor:
Address:
Phone:
Con State
Lic Expire
Bus Lical
OUTDOOR C EPTS �:i' `:�k�chitect:
28241 CRyQN V'CALL.Ey, K7 r Address:
LAGUNA NIGU— EI,� 92677 `,J�
99;$3-7932 4:�>� Ph e:
COMB Permit: X2022-1795
Project No : 1654-2022
Issued Date : 06/30/2022
Inspection Area : 3
OR PERMIT WILL BE INVALID
work on Sundays or Holidays
-State Lic:
"IJ10 } Engineer: ZHANG YAO
02/29/2024 U 1_ry Address: 15375 BARRANC%
7060506 r\- IRVINE CA 92618
12022 vy� Phone: 949-788-0424
IN <0
ire:
'0611612023 �,
// ilding etb SC ., r 5
�t 14 1
Designer:
Address:`,yv,
Phone:•
Y, H106
teLlo:C-074572 -
r -
Construction Valuation; 1 15 60 - ?: 1) v- , „�.y. ,,::n`
Building Permit Fee $331. x�$0.01' Plann Drtmeni,•� F' apartment
Plan Check Fee: $287 Add, tonal Fee.(, $0 00 Plan Fee : 52. o Fire Inspection: $0.00
Overtime Plan Ck 0.00 Grading B Few $0 00 Fair Share . $0. S"' Fire Plan Rev $0.00
Investigation Fee $3 DO hrading Cgjssulfpt : $0.00 SJH Trans : 00 •• Demolition Fee
Record Management ; $6. 0 A. Grading 1 F ""r' $0 00 In -lieu Housing Fe $S6�u Building Dept Adm $0.00
Energy Compliance "$.0.0 ing P $0 0� "a ra Public Works Be rtment - ,'' General Service $0.00
CA Seismic Safety $ .00 4,�d W - p. F $n9,00 'ft Park D on : 0 Refund Deposit $0.00
Disabled Access : $O dO N `°«^a P heck : $�i2�0 Grading Bond: $0.00
Hazardous Mat $1110 le / ,; `k "d0.0 1 (�j1
5` 0.00
Building Green Fee : $1.00 an,cal /� $0.�' SD Fee:y�' $0.00 $
lumbing % „•.� t0 $0.00
TOTAL FEE : $1,008:97 ! Plan_ Fee,:: .00 Fee Due at Permit Issuance : $1,008.97
PROCESSED BY: ,, PUBLIC WORKS APPROVAL:
ZONING APPROVAL: %1Y 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
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 (_) all of or (_) 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).
❑ I am exempt fion, licensure under the Contractors' State License Law for the following reason:
By my siqnature L3'JA 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 legalll
s,e!' n 3'r cture ths't 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 Cone, 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
LICE\SED CONTRACTOR'S DECLARATION
I h..reb/ affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ision .eif-tJ,+e Business and Professions odeand my licens Is in full force
and effzct. License Class License No Date ontractor Signature
VPORKERS' COM?ENSATION DECLARATION
I <A3 R'47: 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 ATTORNEY'S FEES.
I hereby affirm under Fenalty of perjury one of the following declarations:
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
:e of the wcrn for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Te of Agent
certify that, in the performance of the work for
, if I should become subject to (hq wo/kers' co
nature of Applicant
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 law of Cania, and agre
lifor
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .2-
Date o
CLARATION REGARDING CWNSTRUCTION LENDING AGENCY
:reby 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, 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 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. ,�j
1 authorize representatives of this city or county to epter�the �/a�bov-e I e r p r, In ctlon purposes. V �[[f,
nature of Prooertv Owner or Authorized Agent ie I L_ u V t rB' rooertv Owner's or Authorized Agent's Name /�
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
WO
Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPq
PERMIT EXTENDED
M D
PERMITFINAL
laASBESTOS NOTIFICATION Iii NOT APPLICABLEA TO
CERTIFICATE OF
PROPOSED DEMOLI N �
OCCUPANCYISSUED
SIGNATURE: ¢'��