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