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HomeMy WebLinkAboutX2021-0078 - Permits (3)City of Newport Beach - Buiidii;g DiJision. IIIIIIIVIIIIIIIIIIIIIIIIIIIII II a f 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 0 7 8 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD - +trya.iti PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE P ED B Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:0 :m. 6:00 p.m we Job Address: 1833 LEEWARD LN NB ne Description: SFR ADD 50 SF & REMODEL 1,040 SF W/CITY STD YARD DRAINAGE / '?%�" Legal Desc.: N TR 4463 LOT 18 + Owner: D'ANNA IGNATIUS Address: 1833 LEEWARD LN NEWPORT BEACH, CA 92660 Phone: Applicant: SIMONS RICHARD Address: 123 N LOOP DR CAMARILLO, CA 93010 Phone: 805-910-9826 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 50 , -00 Added /New sq. ft. Garage: 0 No of Stones. 2s No of Units . 1 Bldg Height: �a / Bldg Sprinklers: Flood Zone: X', 11 Construction Valuation: 1200,000.00 Building Permit Fee: $2,619.001 Plan Check Fee: $2,198.21 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $28.00 Energy Compliance: $140.00 CA Seismic Safety: $26.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE PROCESSED BY: ZONING APPROVAL: COMB Permit: X2021 Project No : 0081-2021 Issued Date : 0211612021 Inspection Area : 3 4 OR PERMIT WILL BE INVALID on Sundays or Holidays Contractor: B W C ASSOG,';A�ES Architect: $. Address: 16501 VENT VD STE Ic AddreP 9 ENCI�£#436 Phone: &}B=R0 97 e �Cf�%id •*�, Con State 248 l ��� 1; UNROE MA Lic E 0613012 \ `L A'd s: PO BOX B Ic: BT 74269LAC LI I s Date: /2812022 „ Phone: + gloer,�cers Cam sation Insurance Designer ONS kl Car' BENCHMARK INS CO. Addre • : LO�DR ISN - licyNo: , CST501 5 •_@;},. �'"C, RILLO '}r�. Expire: o f 0612 21 ho r,.., 5-910-982(30•, Gs't `''f�ck a Building Sipacks„'vP1 cCondihon 20' cgLek: 6'a"' le -1 State Lic: IseCA, e Tax: $0 00 `Plannm p tme } c'z Fire artment v,+ ddi Tonal Fee : $0.00 PIa$"Pt Fee �. a $ .0 re Inspection: Grading Bonds Fee: $0.00 v S $0.00 Fire Plan Rev II Grading PC Consultant : $0.00 . $0.00 Demolition Fee Grading Permit Fee: $232.00 In u Tiising F $ Building Dept Adm Grading PC Fee: $195.0Rxj',% Publi arks arfmant - General Service WQ Insp. Fee: . $�.9�1 Park De tion : sp Refund Deposit gO PNJ Plan Check: ,,$430.00 Grading Bond: Electrical %: $183.33 o1oci S n Dist: $0.00 Mechanical %: $1 4�79 a�t11USD Fee".$0.00 Plumbin o: �� .7,,1�r�y��`�✓� ,394.01 ..\ Q) Plan.. fdck Fee • $1,884.23 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: — - - N 1990_� APPROVAL TO ISSUE: $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $5,509.78 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 applic Wor 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 sale compensation, will do U all of or U portions of the work, and struct Is , 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 employe r personal a rt"1; s 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 completio a Owner -Builder Fi;., he burden of proving that it was not built or improved for the purpose of sale). '',, ❑ I, as owner of the roe y 9 project property, rty, am exclusive) contracting with licensed Contractors to construct the ro'ect Section ,Business and Profs si o ontractors' 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 ractor pursuant to the C7;tlctors' St as Law). LI 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by I Professions Code, is available upon request when this application is submitted or at the follow' Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapt& 9 (comme9� and effect. License Class License No .: / COMPENSATION DECLARATION at Ifig with Sec7000) of,[%)itision 3 of the Business and I Date v, Contractor Signal 7044 of the Business and YARNING: FAILURE TO SECURE WORKERS' COMPENSATON COVERAGE IS WFUL, AND SHA UBJECT AN EMPLOYER TO�_.gA�NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENLL ,OST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3T0 THE LAB NTEREST,ANp ATTORNEY 5 F,� hereby affirm under penalty of perjury one of the follo declara' .11 _ 7 I have and will maintain a certificate of co to sel ' or workers' compensation, Issued by in - r of Industrial Relations as pr by Secti�•3 '�ormance of the work for which this perm Issued. otrc o. tave and will maintain workers' pensation in nce, as re by "Sa��c,how-3700 of th `' e, performance of t Afow ch thl perm t Is iSSL ran trier an policy num are: v/ ® d �arrler .}yi r-�e,� � Poli Number � �D ` tigry0�' Vame of Agent•-_ ^'~ < PhoDar'lS.p �I certify that, in the p orma c f or w this pe I js ssued, I . a mpl ny person in an a r s to be PeCs`ubject to th orkerc'co an hat, if I should bean subje t r r s' compe lion oGlsio on of the Labor Code, I sh forth core it those provis' s. {{�`III, signature of Applica t \ at ]ECLARATION RE RDING CONSTR iON NDIN GEN a0� hereby affirm under p alty of pelf that there is a stiion le ency for the pe e f the work for which this per i Is issued ($ect�97, Civil Code). -ender's Name - Lender' 3y my signature below, I certify to each of the following. -^ I am the property owner or authorized to act on thfl;pr owner's behalf. ' �` I have read this application and the information w id is correc aascpp } I agree to comply with all applicable city and c unty o era a I relaTvtbYuilding constr Ion. I authorize representatives of this city or count - e ' ve--I e i led pppQtR for inspectio poses. Signature of Property Owner or Authorized Agent 0 Pri ropertO is uthorized A ent's Name ACTION DATE BY DECLAAAKf6N OF COMPILIANCE WITH E OF FEDE OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 4 D AQMD E 1403 PERMIT CANCELLED 'LIEPA ` "'.%- PERMIT EX(ENDED LIAQKD- PERMITFINAL ASBESTdk BLE TO CERTIFICATE OF PROPOSED 1 O OCCUPANCY ISSUED SIGNATURE: Ind my license is in full force n -(E100,000), IN ADDITION TO THE y+ea r bt(e Labor Code, for the may, 9d ers' compensatior n laws of California, and agree