HomeMy WebLinkAboutX2022-0235 - Permitst„�,wrri4, City of Newport Beach - Building Division
r
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
@ Inspection Requests Phone (949)644-3255
Combination Type - SFP
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST W
Construction Hours: Monday - Friday 7:00 a.m. to
Job Address: 305 GRAND CANAL NB
Description: SFR CHANGE OUT 29 WINDOWS
Legal Desc.: BALBOA ISLAND SEC 4 BLK 14 LOT 34
Owner: HAYES KEVIN
Address: 305 GRAND CANAL
NEWPORT BEACH, CA 92662
Phone: 949-683-5400
Applicant: HAYES KEVIN
Address: 305 GRAND CANAL
NEWPORT BEACH, C,�
Phone: 949-683-5400
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:
Flood Zone:
*X2022-0235' d
NGa�,e��OOele�
COMB Permit: Xe
Project No : 0211-2022
Date : 01/2512022
tion Area : 2
ECTION. PROJEC ST BE COMPJeETED BY 0112512025 OR PE T WILL BE INV)
p.m. `and Saturda m 8:00 a.�l,• o 6:00 p.m. No work on Sunda or Holidays
m pt \O
OWNER(BLDR '
XCoun
�,iLic: O/B.'
Lic Expire
Architect:
Address:
Phone:
j Q
2662 'Bus Lic .F4,
J
P° Lic Exp"Date: _'a hone
Worker's Compensation Insurance e n
' Carrier *ddr�
Policy No:
Expire Phone:
Ilding Setbacks' Rear I < ��y� SFront I
/pe/ci2
Left: I
Construction Valuation:
$80,000.00
Building Permit Fee:
$1,049.00
Exc a Tax:
Plan Check Fee: $912.63
Addit al
Overtime Plan Ck:
$0.00
Gradin end.
Investigation Fee:
$0.00
Grading Cc
Record Management:
$20.00
Grading Pe n
Energy Compliance:
$0.00
Grading PC
CA Seismic Safety:
$0.00
WO Insp. Fee
Disabled Access :
$0.00
Hazardous Mat
$0.00
Electrical %:
Building Green Fee :
$4.00
Mechanical %:
Plumbing %:
TOTAL FEE : $2,037.63
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
�t
State Lic:
4
ATTACHED
r P riming D rt t- Fire Department
0. 06' Plan ck $52.00 Fire Inspection:
.00 `(/� F h $0.00 Fire Plan Rev
pult!nt : $0.00 J ans : $0.00 Demolition Fee
Fee: $0 - ieu Housing Fee: $0.00 Building Dept Adm
0.00 ublic Works Department- General Service
Park Dedication : $0.00 Refund Deposit
PAN Plan Check: $0.00 Grading Bond:
0 San Dist: $0.00
.00 NMUSD Fee: $0.00
$0.00
s.J
$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 : $2,037.63
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea s) indicated belowP$y the checkmark(s) I have placed next to the applicable i!em(s)
>ection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alte prove, demolish, or r@@Q@pair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrac State License Law (Ch q$r 9`(commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exempti ny violation of Section by any,. applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).Ze
fie;. ��pIC�
I, as owner of the property, or my employeesages as their sole compensation do L) a� ) porti he work, and a str\ildha
intended or offered for sale (Section 7044,
lusiness and Professions Code: The ContractorsLicense Law does not appl n owner kb erty whibugh employe or persoilds or improves the property, provided that the
nprovements are not intended or offered for salowever, the building or i vement j>�sithin or�(v r of completio , he Owner-Bve the burden of proving that it was not built or
nproved for the purpose of sale).` {r��OIO
I, as owner of :t.e property, am exclusively cng with license ontractors to cons[rucjtYte�fdject (Secton 4, Business and Profe: The Contractors' State License Law does not
pply to an owner or .property who builds or imprereon, an o contracts fo he projects h a licensedCtio tractor pursuant to the Conte License Law).
' rm�exempt from licensure under the Contratat ense Law for followir� reason: rly my signature Below I. acknowledge that, excersonal reside e in whichI must have resrtde for at least one year prior to completion of the im ovements covered by this permit, I cannot legal
P , a siructure that I have built as an owner-buildas not been nstructed in its entirety by licensed contractors. I understand that a copy of the applic le law, Section 7 44 of the Business and
�.-ofecs:ons Code, is available upon request wpplicatio s submit(ed or at the following Web site:http://wm.leginfo.ca.gov/calaw.html.
Iicnai of Property U"mer >SD
ed n- _ Dat �Y s OZZ
.�CtNSED CONTRACTORAT,EQ
herehv affirm uiiuer penalty that lunder provisions of Chapter 9 (commencing with Section 7000) of Dlvisio 3 o h Iness and.Professi s Code, and my license is in full force
no effect. Lice,ise Crass License No Date ntractor Signature
DST OF COMPENSATION, D4MAC
7ereoy ?ff rm BIT' er pRI'l
I have and WE; lnaii,tain
erformance of the work for
I have and will maintain 1
Isurance carrier and oolm
me of Agent '�..
I certify that, in the performaf
it, if I should become subject
I DERATION
S1 ATION
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A' D Cl UP TO ONE
PROVIDED Fpft IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANP ATTORNEYS FEES.
Nthmit
the following declarations
consent to self -Insure for workers�xompensation, Is by the.Pirecto,Q lhdustrial Rela' s as
is issued. Policy No.�sation.: insurance, as required by Section 3700 of the L 'r Code, fo the perfo ce ofvt�le ork
nature of Applicant
CLARATION REOA D RUCI
;reby affirm under pena erju -�Jiatt
ider's Name ..
my signature below, I certify to each oral
I am the property owner or authorized to
I have read this application and the infor
I agree to comply with all applicable city
I authorize representatives of this city or
of Prooerty Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
I DATE I
_ Policy.Number
Date
($100,000), IN ADDITION TO THE
Section 3700 of the Labor Code, for
this permit is issued. My workers'
this permit is ue hall not employ any perso any ma r s o become subject to the workers' compensation laws of California, and ogre
I prov' s f S tiW700 of the Labor de, I shall h comply with those provisions.
Dat Zr Zr>Z2
Nfff} CGj00
1§WCtiortl�l g agency for pertom e o work for which this permit is issued (Section 3097, Civil ode).
ct on the property owner's half.
lion I have provided' correct.
3n counts es and at
a lating to building construction.
cou eF the an "' -inspection purposes.
Sent Print Property Owner's or Authorized Ag
BY AT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
q.. EGUk6A 0NS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
EPA
CERMFICATEOF ROPTDOSLITION BESD DE O ION 15 NOT APPLICABLE TO
OCCUPANCY ISSUED SIGNATURE:
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