HomeMy WebLinkAboutX2021-0921 - PermitsCity of Newport Beach - Building Division *X2021-0921" COMB Permit: X2021-0921
p 100 Civic Center Drive, Newport Beach, CA 92660 { �'C Project No : 0853-2021
n. Permit Counter Phone (949)644-3288
m, Inspection Requests Phone (949)644-3255 *qSJ Issued Date : 0412012021
a,zyriw+'" Combination Type - BLDG PLUM Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2024 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: 1862 BRAEMAR WAY NB _
Description: SFR PRE-FAB DIRECT -VENT ISOKERN FIREPLACE
Legal Desc.: N TR 3282 LOT 42
Owner:
TIPPETT BLAKE
Address:
1862 BRAEMAR WAY
NEWPORT BEACH, CA 92660
Phone:
Applicant:
WRIGHT JC
Address:
833 DOVER DR #7
NEWPORT BEACH CA 92663
Phone:
949-795-0648
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $331.00
Plan Check Fee: $287.97
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $702.01
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor_ __wl DSCAPESry Architec 1`Carlie-
s: 833 DO R DR STE7 Addressh app
t$E�T EACH C�— O 1 CO% fel
Phone. Phone: ❑ SO/0 Of State Lic:
Con State Lic: 84258fi t gineer: RADVAR SHAHROKH
Lic Exp ,n, 0a4r 120%C dress: 6, [
us Liz `' Y*A53 t0 IRVINE CA 90630
Vc Ex Spate Q2 + Phone: 714-270-6780 State Lic:C-066139
rion Insurance _ram,Design a� �'�Carrier: 1,
FALLS LAK �'^ re
Policy Nf y �.A 9'I
a.
.J ire a O'BfO
Bu ,lathe Special Conditions:
Left: I
Right: I pAc
-
ment-
(nowOly,
Fire Department
al Fee : Cwfl:
kHousing
F$011n-lieu
$46.25
0 0'
Bonds Fee:
Fire Plan Re ,
a '
PC Consultant: Si
o,.....;. �eeFee:
$0.00
$0.
4ns B QUtO
Building De $0.00
nap. Fee :
Plumbing %:
$0.00
Public Works D ariwien
eY1PF ervice
$0.00
$0.00
edication�i&B9"'�
Refund Deposit
$0.00
I'31Pf= elk : $0.00
Grading Bond:
$0.00
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$29.79
$0.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$702.01
PUBLIC WORKS APPROVAL:
_
11
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 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
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 Sec ign,.7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section �.5by�11 � ermit subjects the applicant to a civil penalty of
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 „gr<toa eaeJT'[F- not intended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner w o, through employe@@¢g gJ[A,q FF, builds or improves the,groperty, provided that the
rovements are not intended or offered for sale. If, however, the building or i s ithin one year of completion, thpl O COUilder willClhhave,(t6pr f (rF�ti 4fhg that it was not built or
roved for the purpose of sale). n� [ffi�r V uuU
I, as owner of the property, am exclusively ggplcaef+ng'rl licensed Con s to oust ct t ectien 7044, Business a�r �19FD�s�ioTis Cade: The Contractors' State License Law does not
ly to an owner of property who builds or im(9�roves thereon, and who contract or c s with a licensed Contractor-pursuantTo the Contractors' State License Lam
I am exempt from licensure under the Cont
By my signature below I acknowledge that, exc
sell a structure that I have built as an owner-buil'�
Professions Code, is available upon request whf
Signature of Property Owner or Authorized Ager
LICENSED CONTRACTOR'S DECLARAT
I hereby affirm under penalty of perjury that I am
and effect. License Class
Irr��''�ff��t��A,iGe or a following reason „F`.'-I�RrA';.
DU personal residence in which 4,m ust`I ave resided for at least -one yea��r� _p_,rgil t t of the improvements covered by thi permit, I cannot
if it has not been conW. cted In Its entirety by licensed contractors. I undeJS(tlTIC that a copy of the applicable law, Section 7044 of the Business and
his subbed or at the following Web. site;http//www.-leginfo.ce.gov/calaw.html. °
der: provisions of Chapter 9 (commencing
License No
Business ancifPnN:eftions Code, anQAhy lict•:nse is in full force
JORKERS' COMPENSATION DEC LARATI N ,?,
DST OF: FAILURE TI ScWRE WORKERS' COMPENSATION VERAGE IS, UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE O IMINgL PENALTIES AND CIVIL FINES UP TO ONE HUNORF� THO SAND DOLLAR515100,eDuT, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR INS TION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. t
+rah• affirm under penalty of perjury one of the fo wing declarations:
I have and will raci.itain a certificate of consen to self�nsure for workers' compensation, issued by the Director f Ind tri g la[ioDs as'prdvided for b1(-Section 3700 of the L bor Code, for thI
=rtormence of the,work for which this permit is issue Policy No. Start�Q /
I and will malq:ain workers' compensation in ra e, as requi y epiigrr,f�00 qi ep a s de, for the performance (&1QeVbR for which this permit is issued. M ce '-compensatior
anca carder pclicy number are:
PRIPr - olicyP
�Expiration Date
PEEP. of Agents 11tt]]
P oz ty that, m t)re perto nce of the wo for which is permit is issued, I shall not employ any person in er so as to become subject o411E�Fiorkers c ensafion-laws of California, and agreE
at, if I should hecome sir ect to the wor rs' compens ion provisions of Section 3700 of the L e, I shall forthwith compl w' provisie _ t,
Ignatwe of Applicant, _ FDat
:reby affirm under penalty of perjury that there is a cons
Ider's Name
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the pn
I have read this application and the information I have
I agree to comply with all applicable city and co of
I authorize representatives of this city or noun ent
nature of PrODertv Owner or Authorized Anent
009-"90
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
this permit is issued (Section 3097,
owner's behalf.
ad is correct. , 1
;as a e laws relating to building construction. "1
abo -1 rt for inspection purposes.
ILI t PropertOwners or Authorized Agent's Name Dal
ON OF COMPLIANCE W F FEDERAL FOR OFFICE USE ONLY
DNSP 3OF TITLE40 AND AOMO RULE
I SUBMITTED
EPA
TO
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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