HomeMy WebLinkAboutX2022-0368 - PermitsCity of Newport Beach - Building Division �itill111111111111111111111111111111111111111111� JillCOMB Permit; X2022-0368
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 3 6 8 Project No: 0327-2022
F n: Permit Counter Phone (949)644-3288
y 9 Inspection Requests Phone (949)644-3255 Issued Date : 03101/2022
`'+isry.t..`. Combination Type - CIP MECH ELEC PLUM Inspection Area : 4
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: 2122 DESCANSO NB
Description: MFR ADD 89 SF, REMODEL 475 SF
Legal Desc.: TR 5741 (L.L.84-214029) PAR 36
Owner: STEFFENS FAMILY HOLDINGS LLC
Contractor:
OWNER/BLDR
Architect:
Address:
BAILEY DAVID
231 B3 LA CADENA DR 9101
Address: 2848 CAROB ST
Address:
STEFFENS HEATHER
LAGUNA HILLS CA 92653
NEWPORT BEACH CA 92660
Phone:
949-751-8176
Phone:
949-573-1050 State Lic:CO27404
Phone:
Applicant: BAILEY DAVID
Con State Lic:
O/B
Engineer:
Address:
WILSON KALEN
23152 VERDUGO DR #102
Address: 23183 LA CADENA DR #101
Lic Expire:
-
LAGUNA HILLS CA 92653
LAGUNA HILLS CA 92653
Bus Lic:
Phone:
714-576-6524 State Lic:C-083753
Phone: 949-573-1050
Lic Exp Date:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Phone:
Added /New sq.ft. Bldg: 89
Expire:
Added /New sq. ft. Garage: 0
Special Conditions:
f
NO TJ '�/
R
No of Stories: 1
Building Setbacks
Rear: 0
No of Units : 2
Front: 0
Bldg Height: 0
Left: 0
Bldg Sprinklers: N
Right: 0
Use Zone: Parkin Spaces:
0 Fire Hazard Zone : N
Flood Zone: X
Construction Valuation: $124 000.00
Building Permit Fee: $1,408.00
Excise Tax:
$0.00
Planning Department -
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $1,224.96
Additional Fee :
$291.00
Plan check Fee :
Fair Share:
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant :
$0.00
$0.00
SJH Trans :
$0.00 Demolition Fee
Investigation Fee: $0.00
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
General Service
$0.00
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
$0.00
Refund Deposit
$0.00 ,
CA Seismic Safety: $34.72
WQ Insp. Fee:
$0.00
Park Dedication :
P/W Plan Check : $0.00
Grading Bond:
$0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %:
$197.12
San Dist: $0.00
$0.00
Building Green Fee : $5.00
Mechanical %:
$164.88
NMUSD Fee: $0.00
$0.00
Plumbing W
$126.72
TOTAL FEE : $3,442.40
Plan Check Fee :
$1,515.96 Fee
Due at Permit Issuance : $1,926.44
-�`
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
1PP'20VAL TO ISSUE:
GRADING APPROVAL:
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 L) 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
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
!ya
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
m exempt from licensure under the Contractors' State Lice Law for the following reason:
y signature below I acknowledge thatexcept for my perso "dence in whichImust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall, structure that I have built as an owner -builder if it has no in c nstructed 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 th plic mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi,
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION e —3I TiZ
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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
performance of the work 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:
of Agent
e Ify that, in the performance
if I should become subject to I
of Applicant
Policy Number Expiration Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ZZ,
ENDING AGENCY pdp/ 1 /i�\
Ireby affirm under penalty of pe'dury thatZtlt�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
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the or
I have read this application and the information I have
I agree to comply with all applicable city and county o
I authorize representatives of this city or count% to ent
Signature of Property Owner or Authorized Agerlt�
ACTION DATE I RY D
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
ier's behalf,
is correct.
ean state laws relating to building construction.
e-Identified property for inspection purposes.
13F COMPLIANCE WITH CODE OF FEDE.
PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
IS NOTAPPLICABLE TO
Owner's or Authorized Ao
I FOR OFFICE USE ONLY