The URL can be used to link to this page

Home My WebLink AboutX2019-1527 - PermitsrEw,r„f� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1527 ot. 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 5 2 Project No : 1088-2019 Permit Counter Phone (949)644-3288 Ins action Re uests Phone (949)644-3255 P q P p>> Combination Type - SFP ELEC PLUM Issued Date: Area : 2019 iri, r4 Inspection Area 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 20322 KLINE DR NB Description: DescriSFR ALUMINUM & FABRIC SHADE STRUCTURE 1152 SF Legal Desc.: INSPECTOR Owner: KLASSEN HAROLD AND DIANNE Address: 20322 KLINE DR NEWPORT BEACH, CA 92660 Phone: Applicant: ECHERT DAVID Address: 20322 KLINE DR NEWPORT BEACH, CA 92660 Phone: 949-689-0818 Code Edit : 2016 Type of Construction: VI$ Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 01 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $30,000.00 Building Permit Fee: $359.00 Plan Check Fee: $261.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $3.90 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee $2.00 TOTAL FEE: $733.34 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: JASON GOLSON CONSTRUCTION INC Architect: Address: 20352 KLINE DR NEWPORT BEACH CA 92660 Phone: 714-391-1392 Con State Lic: 993270 Lic Expire: 0513112020 Bus Lic: BT30056465 Lic Exp Date: 09/30/2019 Worker's Compensation Insurance Carrier: NO EMPLOYEES 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 W Mechanical %: Plumbing %: Rear: 25 Front: 20 Left: 5 Right: 5 Parking Sp. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.13 $0.00 $32.31 0 Address: Phone: State Lic Engineer: BOROS JANOS Address: 350 S MILLIKEN, STE A ONTARIO CA 91761 Phone: 9091974-4150 State Lic:C-054869 ., Designer: GOLSON JASON Address: 20352 KLINE OR NEWPORT BEACH CA 92660 Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $301.00 dl Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: - $432.34 PUBLIC WORKS APPROVAL: 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 (_) all of or C_) 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). ❑ 1, 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 exempt from Rcensure 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7090 -f ivi on the Busines�and Prof idh e, and my-ficense is in full force and effect. Licersa Class License No Da Contracto Ignature WORKERS' CCf.17ZNSATION DECLARATION VkF A:A3. FAILURE TO LEJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS j$100,0001, IN ADDITION TO THE COST OF �OMPENSAT,JN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby, affirm under penalty of perjury one of the following declarations: ❑ 1 have and w91 mai-itain 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 [QerdgTg1ce of the worts for which this permit is issued. Policy No. and w;ll mahltain 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' came- an[ policy number are: Policy Number Date ,%,fAgent _____ rnoneFF onrti°yAhat, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works s' compensation laws of California, and agre t if I should b6c5cme,`' bject to th orke '`ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Apj t/1 �— e� CLARATION RE ING CO STRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: +� I am the property owner or authorized to act on the property owners behalf. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ordinances a"tate laws relating to building construction. I authorize representatives oft s c" y-dr county o sole trd identified property for inspection purposes. nature of Property Owner or A rued Agent _ I Print Property Owner's or Authorized Agent's me _ Date J ACTION DATE BY // DECLARATION OF CQMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / v REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PER CANCELLED EPA PERMIT EXTENDED LIAQMD PERMIT FINAL 05/28/ZOpw` Ij.p BEST' S NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF yLg, p� DEMOLITION OCCUPANCY ISSUED r14_ � SI E: