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HomeMy WebLinkAboutX2021-1329 - PermitsZA1'r< City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s7 4: Inspection Requests Phone (949)644-3255 �ItYraa�4` Combination Type - GRAD IIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1329 x 2 9 2 1 1 3 2 9 Project No : Issued Date : 05/24/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/24/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1214 OUTRIGGER DR NB Description: SFR CITY STANDARD DRAINAGE. 18' OF BOTTOMLESS TRENCH DRAIN Legal Desc.: N TR 6634 LOT 22 Owner: MANFRED BRIAN Address: 1214 OUTRIGGER DR Record Management: CORONA DEL MAR, CA 92625 Phone: $0.00 Applicant: LUNA JUAN Address: PO BOX 6224 Hazardous Mat SANTA ANA CA 92704 Phone: 714-920-8780 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 : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $1,200.00 Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $206.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LUNA & SON'S CONCRETE INC Architect: Address: P.O. BOX 5224 Address: SANTA ANA CA 92704 Phone: 888-890-5862 Phone: State Lic: Con State Lic: 875464 Engineer: Lic Expire: 04/3012022 Address: Bus Lic: BT30040792 Lic Exp Date: 09/3012021 Phone: _ State Lic: Worker's Compensation Insurance Designer: Carrier: PREFERRED PROF INS CO Address: Policy No: ON1119702 Expire: 04128/2022 Phone: INSPECTOR Building Setbacks Rear: I Special Conditions: Front: I Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $206.70 "Pf)By IC.WORIk9*PROVAL: PLAN CHECK BY: ° APPk0VAUTd (S%UE: . A s 15dy \ 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 m roved for the purpose of sale). I, 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). ❑ 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iega11. 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://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent at LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 0 ivis' f the Business and Profe sion Code,�flensefullforce and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND-60LLARS ($100,000), IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5100 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN ek ormance of the work for which this permit is issued. Policy No. ve 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' compensatior isurlipnce carrier and policy number are: :arri r Policy Number Expiration Date e of Agent Phone # :1I certify that, in the pe nce of t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa on laws of California, and agree hat, if I should become ubjec the rkers' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ql�"I )ECLARATION REGA I CO RUCTION LENDING AGENCY "v f hereby affirm under p malt of pe u that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y 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 prov is correct. I agree to comply with all applicable city an oun rdinan s and state laws relating to building construction. (oW l I authorize representatives of this city or co to ant t ove-' Ified property for inspection purposes. signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam Date ACTION DATE BY DEC ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LRE( TIO NS PART 61 OF TITLE 40 AND ACIM D RULE 3 • ••• • ••a •• M�•�g PERMIT EXPIRED LJ I SUBMITTED A BE TO aNOTlFICATI0N•IC• 1 • • ♦ • R PERMIT CANCELLED LIEPA • • a • • PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOUTIOII:• •�• ••• •�• :'• SIGNATURE; _ ', a • :—a—A,—.