HomeMy WebLinkAboutX2020-1381 - Permits�� tr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r"'urau*�'p Combination Type - SFP ELEC GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1381
Project No: 1063-2020
Issued Date : 06118/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06119/2023 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: 2301 PRIVATE RD NB
Description: SFR RELOCATE GARAGE DOOR TO FACE STREET, NEW CURB CORE, REMOVE/REPLACE DRIVEWAY, YARD DRAINAGE
Legal Desc.: N TR 2513 LOT 5
Owner:
WHITE ANDREW
Address:
2301 PRIVATE RD
Record Management:
NEWPORT BEACH CA 92660
Phone:
$0.00
Applicant:
QUINTERO GIOVANNI
Address:
13637 RUTHER AVE #R
Hazardous Mat
SOUTH GATE CA 90280
Phone:
310-749.7536
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $869.00
Plan Check Fee: $756.03
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $2,484.36
PROCESSED BY:
ZONING APPROVAL:
Contractor:
TYLER CAFFEY
Architect:
BEST RICHARD ALLEN
Address:
346 OGLE ST #D
Address:
1225 BEVERLY ESTATES
$0.00
COSTA MESA CA 92627
BEVERLY HILLS CA 90210
Phone:
949.632.4685
Phone:
310-749-7536 State Lic:C017334
Can State Lic:
905171
Engineer:
Lic Expire:
1013112021
Address:
Bus Lic:
BT30071479
Lic Exp Date:
03131/2021
Phone:
State Lic:
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
'irking Spa
$0.00
$0.00
$0.00
$0.00
$322.00
$322.00
$0.00
$60.83
$0.00
$0.00
Designer:
Address:
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 : $127.50
San Dist: $0.00
NMUSD Fee: $0.00
INS ECT®Ft
Plan Check Fee : $1,076.03 Fee Due at Permit Issuance
om
PUBLIC WORKS APPROVAL: IN/__. .
PLAN CHECK BY:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,406.33
0
0 0 0
GRADING APPROVAL: APPROVAL TO ISSUE:
ce ccc c � o c
0 ooc oc o00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $1,076.03 Fee Due at Permit Issuance
om
PUBLIC WORKS APPROVAL: IN/__. .
PLAN CHECK BY:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,406.33
0
0 0 0
GRADING APPROVAL: APPROVAL TO ISSUE:
ce ccc c � o c
0 ooc oc o00
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 L) all of or (_) 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' Slate 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 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
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 700 ) of Divisllon 3 of the Business and Pro ions Code, a_ndJny license is in full force
and effect. License Class License No Date L �� Ct ' AFI' Contractor Signatur. ��l7.�(.._L� .
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will 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
'ormance of the work for which this permit is issued. Policy No.
have 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' compensa
Trance carrier and policy number are:
Agent
Policy Number Expiration Date
Phone #
:7ceiJiffy that, 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 workers' compensation laws of California, and agrer
2t, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l — �-
2ut,
of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county ant he above -i Pied property for inspection purposes. j�, p II_ 1I,r 9
nature of Prooertv Owner or Authorized AGenX . t.0 _ 4i'K i Print Prooertv Owner's or Authorized Apent's Namai " °r ` Date
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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