HomeMy WebLinkAboutX2021-1961 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)544-3255
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Combination Type - SFP MECH ELEC PLUM
*X2021-1961*
COMB Permit: X2021-19
Project No : 1714-2021
Issued Date : 04/1312022
Inspection Area : 3
PERM'I7 EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0411312025 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m, to 6:00 p.m. No work on Sundays or Holiday.§...,
Job Address: 1720 CANDLESTICK LN NB
Description: SFR ADD 62 SF, REMODEL 100 SF "
Legal Desc.: N TR 3763 LOT 31
Owner:
SHARPE IAN/MARYANN
Contractor:
OWNER/BLDR
Address:
1720 CANDLESTICK LN
Address:
SHARPE IAN
NEWPORT BEACH, CA 92660
O/B FORM ATTACHED
Phone:
Phone:
949-642.3815
Applicant:
SHARPE ]AN
Con State Lic:
O/B
Address:
1720 CANDLESTICK LN
Lic Expire:
NEWPORT BEACH, CA 92660
Bus Lic:
Phone:
949-642-3815
Lic Exp Date:
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
62
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation:
$90,000.00
Building Permit Fee:
$1,869.00
Plan Check Fee: $1,608.71
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$30.00
Energy Compliance:
$63.00
CA Seismic Safety :
$11.70
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $4,269.71
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
337
CN C
Worker's Compensation Insurance
Carrier:
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: 20
Left: 6
Right: 6
'arking Space
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$ 0.00
$130.83
$74.76
$168.21
0
Architect:
Address:
Phone
Engineer: YAGHI SHUCRI I
Address: 112 E. CHAPMAN #D
ORANGE CA 92866
Phone:
714-997-9120
Designer:
IREY LANCE
Address:
1126 CORONDO
UPLAND CA 91786
Phone:
714-337-2247
Special Conditions:
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $101.50
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee : $1,603.71
State Lic:
State Lic:C-043205
Fire Department
$208.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,666.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
/y iz-
M y
r-
OWNER -BUILDER DECLARATION
I hereby affirrn 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
Kof
more than five hundred dollars ($500).
as owner of the property, or my employees with wages as their sole compensation, will do C_) 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 rct 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
imiravFb 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 tb 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' be,ow 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 rmit, I annot legalh
sill a structure that I have built as an owner -builder if it has not b tru ed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044pf a Bus' ass and
Prnfe eons Core, is av3ilable upon request when this Be Ian su ite:http://www.leginfo.ca.gov/calaw.html.
natnre L�-
Slnof Property Owner or Authorized Agent Dat
I ICENSED CONTRACTOR'S DECLARATION
I hereby affirm urrder penalty of perjury that I am licensed un rovisions 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. Licers� Cl, ss 'Cerise
No Date Contractor Signature
WORKLRS' CCMP NSATION DECLARATION
WARNING: 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 $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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'
urance carrier and policy number are:
of Agent
artily that, in the performance of the work
if I should become subje e w r ers
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 laws California, and agre
Ttion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a� t )
�— Dater \
hereby affirm under penalty of pert' Xat 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
y my signature below, I cej 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 count or an state laws relating to building construction.
authorize representatives of this city or county t ent the abov Ids Fd property for inspection purposes.
ignature of Progertv Owner or Authorized Agent X Pfint Property Owner's or Authorized Agent's Name
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
1-10-74
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
EMITTED ASBESTOS NOTIFICATION TO
PROPOSED
NOTIFICATION 15 NOTBPPUCABLE TO
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