HomeMy WebLinkAboutX2022-0387 - Permitsw(°„�, City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
t:a<wuir+'c� Combination Type - SFP ELEC PLUM
*X2022--0387` COMB Permit: X2022-03
Project No : 0347-2022
Issued Date : 02/1612022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/16/2025 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
Jab Address: 408 HOLMWOOD DR NB
Description: SFR REMODEL (E) DETACHED GARAGE: REPLACE DOOR HEADER FILL IN (E) BREEZEWAY 66 SF ADDITION. ADD DECK & STAIRS (429 SF) *121-3304 STOPWORK*
Legal Desc.: N TR 1136 LOT 44
Owner:
ROBINSON CARTER
Address:
435 REDLANDS AVE
NEWPORT BEACH, CA 92663
Phone:
949-903-9153
Applicant:
ROBINSON CARTER
Address:
435 REDLANDS AVE
NEWPORT BEACH, CA 92663
Phone:
949-903-9153
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg: 66
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $3f
Building Permit Fee: $631.00 ,�rp
Plan Check Fee: $548.97
Overtime Plan Ck: $0.00 '
Investigation Fee: $631.00
Record Management: $12.00
Energy Compliance: $0.00
CA Seismic Safety : $4.68
Disabled Access: $0.00
Hazardous Mat $0.00
Building Green Fee : $2.00
TOTAL FEE: $1,982.61
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp, �J4,ate:
Worker's C�noensat
I
Fee:
Grading �rPit Fee:
Grading Pi: Feg�
WQ Insp.Feed'";
t x�
Electrical %: 4r��
Mechanical .1
Plumbing %:
DOCTOR REMODEL Architect:
27171 SOLEDAD Address:
MISSION VIEJO CA 92691
949.584-5919'- - Phone:
-406279 ��� Engineer: YAGHI
0313112923 r. Address: 112 E.
RT3nn3AAaA., nRAN(
$0.00
$44.17 4�r
$ Ok i
Plan CheFk Fee:
Phone: 714-997190
Designer: D�L / Al
Address: DX O 0D
10 EJO,C
Phone: •'Wg-50 919
� cor
�iaCndit'I(yhs: DETAC D
121-3 4
lu Ire Haiard Zone . N sp "o
State Lib
State Lich-0�4320� J
ELL '
Planning Department- y/ Fire Department -
Plan eck Fee : $52.00 Fire Inspection: $9A0
Fair h e : $0 Fire Plan Rev $101), -
ans : .0 Demolition Fee
�$.reu Housing Fe $ Building Dept Adm $0.00
P�lic Works Dep ant- a General Service $0.00
' 4edicatio $0 0 Refund Deposit $0.00
,,Plan Ch `$ Grading Bond: $0.00
Dis ' spxo
NMUSD .00 $0.00
$0.00
60 Fee Due at Permit Issuance : $1,381.64
i
ti ,�'
O ��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 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 isspance, also requires the applicant for
he 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
iot more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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 legall)
sell a structure 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Division 3 f the Business and Pr e ' w de, and m) ice 's full force
and effect. License Class License No D�_ 1�., Z� Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO. E�iCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
b��-"-I,�e7v affirm under penalty of perjury one of the following declarations:
k ] 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 th
performance of the work for which this permit is issued. Policy No.
!:11 have and v. ill 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' compensatiol
irtsuralce carrier andpolicy number are:
Policy Number
e of Age, It
!citify that, fn the performance of th work for which this permit is
r I shoula beco;ne subje to the o cers' compensation Fir isic
-lure of Applicant n-
_LARATION RL RDIN O STRUCTION LENDING AGENCI
hereby affirm under penalty of perjury that there is a construction lendinn''g 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 theproperty owners behalf.
I have read this application and the information I ha a provided is correct.
I agree to comply with all applicable city and ounty dinances and ate law rel t ng to building construction.
I authorize representatives of this city or cony the above-i e tified pp for inspection purposes. f�
,nnafurn of Drnnarhi rTemcr nr Anthnrivad Ananf 1�C iii��� Print Prooertv Owner's or Authorized Agent's Name 'ANY Y
ACTION DATE BY/ I
DECLARATION OF I REGULATIONS PART CO61 OTITLE 40 AND AQMD RU ECE WITH CODE OF RAL I FOR OFFICE USE ONLY
PERMITEXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LJEPA
PERMIT EXTENDED
QM D
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BESTOS N TIFIC ON IS NOTAPPLI I
POSE DEM L 10
SIGNATUR
Date
not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date22-
Date