HomeMy WebLinkAboutX2021-3232 - PermitsCity of Newport Beach - Building Division
e� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
na«rii4�'ca Combination Type - BLDG
*X2021-3232*
INS CDr
COMB Permit -. X2021-323
Project No : 1816-2021
Issued Date : 11/30/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/30/2024 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: 1465 GALAXY OR NB
Description,: SFR (N) DETACHED SPA TRELLIS 91 SF (X2021-2101)
Legal Desc.: N TR 4224 LOT 258
Owner:
HANRAHAN PATRICK
Address:
1465 GALAXY OR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
LAWRENCE ROBERT
Address:
760 W. 16TH ST
COSTA MESA CA 92627
Phone:
949-633-9560
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg: 91
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
_$1
Building Permit Fee:
$389.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $390.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
msw
Contractor:
REUTER HOMES
Architect:
LAWRENCE ROBERT
....
Address:
422 RIVERSIDE
AVE
Address:
760 W. 16TH ST
NEWPORT BEACH CA 92663
COSTA MESA CA 92627
Phone:
949.645-5824
Phone:
949-633-9560 State Lic:CO21447
Con State Lic:
760411
Engineer:
MORRIS KYLE
Lic Expire:..
0313112023
Address:
1401 DOVE ST #520
Bus Lic:
BT30043520
NEWPORT BEACH CA 92660
;
Lic Exp Date:
05/3112022
Phone:
949-502-5323 State Lic:C-072911
,
Worker's Compensation Insurance
Designer:
Carrier:
AMGUARD INSURANCE CO
Address:
1 3,
Policy No:
QWC1135963
..
'
Expire:
12/1012021
Phone:
Building Setbacks
Rear: /
Special Conditions: HAULER: LAL SERVICES
,
Front: /
Left: /
Right: /
Use Zone: Parking Spaces:
0
Fire Hazard Zane : N
Excise Tax:
$0.00
Planning Department
-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $0.00
Fee
Due at Permit Issuance : $390.00
PUBLIC WORKS
APPROVAL:
S ��
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 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 U 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).
❑ 1 am exemp. from ;icensure under the Contractors' State License Law for the following reason:
By my signature belov, 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 legal
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 Ccda, ;s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm 1.
Signa�ure of Property Owner or Authorized Agent Date
LICHNSED CONTRACTOR'S DECLARATION
I hereby affirm linfler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of of 3 of the Business and Profession nd m c is " orce
an.l effoct. Lioensc Class License No Date Contractor Signature
WORKERS' r.JMPENSATION DECLARATION
FAILURE rU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND�JOLLARS ($100,000), IN ADDITION TO THE
'OMPENSA?ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. /
hereby affirm order penalty of perjury one of the following declarations:
have and wh, 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
Tmange of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ie of Agent ?Xf -L
certify that, in the performance
if I should become subject to;
of Applicant
Policy Number Expiration Date
I shall not employ any person in any manner so as to become subject to the workers' compensati h law f California, and agre
:ctinn 3700 of the Labor Code, I shall forthwith comply with those provisions. ^
Date K 1/ /}UI
I hereby affirm under penalty of perjury T/lat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name I Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is corr t.
I agree to comply with all applicable city and county ornanc and to s r ing to building construction.
I authorize representatives of this city or county to an
ove= enti d pr or inspection purposes. _ Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name % Date
ACTION DATE BY DECIAFtTION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND P RULE
1403
PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED _ QMD
PERMITFINAL 2-�jZ� ASBESTOS NOTIFICATI IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITIO
OCCUPANCYISSUED (/ SIGNATURE: