HomeMy WebLinkAboutX2022-0459 - Permitswrrr�; City of Newport Beach - Building Division
m 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
^,z,z:ry„Yx Combination Type - SFP MECH ELEC PLUM GRAD
*X2022-0459`
IN SIDECTC R
COMB Permit: X2022-0459
Project No : 0402-2022
Issued Date : 0313112022
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313112025 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: 332 EVENING CANYON RD NB
Description: SFR ADD 36 SF, REMODEL 1,070 SF, REMOVE 8: REPLACE DRIVEWAY
Legal Desc.: N TR 1116 LOT 69
Owner: LILJESTROM JASON/CHRISTINA
Address: 332 EVENING CANYON RD
CORONA DEL MAR, CA 92625
Phone:
Applicant: AUSTON PAT
Address: 2732 E COAST HWY#B
NEWPORT BEACH CA 92625
Phone: 949-718-3528
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 36
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $1,387.00
Plan Check Fee: $1,206.69
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$48.00
Energy Compliance:
$86.93
CA Seismic Safety:
$16.14
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$5.00
TOTAL FEE: $3,666.16
PROCESSED BY:
ZONING APPROVAL:
Contractor: VOGEL CHARLES M
Address: 1601 MANZANITA LANE
MANHATTAN BEACH CA 90266
Phone: 310-613.3602
Con State Lic:
388241
Lic Expire:
0313112024
Bus Lic:
BT30054953
Lic Exp Date:
0613012022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
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: 6
Front: 25
Left: 6
Right: 6
Architect: CHILDS CYNTHIA
Address: 2732 E COAST HWY #B
CORONA DEL MAR CA 92625 "
Phone: 949-718-3528 State Lic:CO22985
Engineer: -
Address:
Phone: State Lic:
Designer: -
Address:
Phone:
Special Conditions: '
Hazard Zone : N
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$237.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$199.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $203.00
Grading Bond:
$0.00
$97.09
San Dist: $0.00
$55.48
NMUSD Fee: $0.00
$0.00
$124.83
$0.00
Plan Check Fee
: $1,282.53 Fee Due at Permit Issuance :
$2,383.63
DS
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: ,SEC_
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 llcensure 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 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).
❑ I 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 Iegall�
sell a s,ru, ture 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
Profess. i.d,s Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Slgna'ure o` Property Owner or Authorized Agent D e
LICENSFD CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f !vision 3 of the Busi�ness and Profession od Icense is in full force
and effect. License Class License No Date .affEractor Signature
WORKERSCOMPENSATION DECLARATION
WARNING: FAILLIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS E$100,0001, IN ADDITION TO THE
COST OF CTd^FNSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 the
performance cf 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'
ra�lce oanler and policy number are:
is of Agent
certify that, in the performanc f t e work for
if I should become subject t the or
Policy Number
Date
person in any manner so as to become subject to the workers' compensation laws of California, and
+-Eode, I shall forthwith comply with those provisions.
signature of Applicant & 41 Dat% e
DECLARATION REGARd1Nd_e15NSTF;IUtTION LENIJITZIG AGENCY
hereby 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).
.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 ord' nces and st ws relating to building construction. y
I authorize representatives of this city or county o en er a ov ied property for inspection purposes. s'
Signature of Property. Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name m Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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