The URL can be used to link to this page

Home My WebLink Aboutx2021-0840 - Permits'rxv City of Newport Beach - Building Division C+' try 100 Civic Center Drive, Newport Beach, CA 92660 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM �IIIIIIIIIIIIIIII�IIIIIIII�I'llll (I COMB Permit: X2021-0840 x 2 0 2 1 0 8 4 9 Project No : 0779-2021 Issued Date : 07129/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712912024 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: 1201 OUTRIGGER DR NB Description: SFR ADD TO 2ND FLOOR 1,198 SF Legal Desc.: N TR 6634 LOT 48 Owner: PRICE SANDRA & JAMES Address: 1201 OUTRIGGER DR CORONA DEL MAR, CA 92625 Phone: 949-230-6760 Applicant: HOWELL ELIZABETH Address: 20561 SUBURBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-9634600 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 1198 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $3,037.00 Plan Check Fee: $2,215.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $149.80 CA Seismic Safety: $27.82 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $9.00 TOTAL FEE: $10,477.84 PROCESSED BY: ZONING APPROVAL: Contractor: PACIFIC WEST CONCRETE INC Address: 3672 PROVINCETOWN AVE IRVINE CA 92606 Phone: 714/396-0088 Con State Lie: 639232 Lie Expire: 05/31/2023 Bus Lie: BT30071085 Lie Exp Date: 12131/2021 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical.%: Plumbing W Rear: / Front: / Left: / Right: / larking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $212.59 $121.48 $273.33 Architect Address: Phone: State Lie Engineer: BERHE MAICHEL Address: 1700 E GARRY AVE STE 104 SANTA ANA CA 92705 Phone: 949-335-9698 State Lic:C-076445 Designer: HOWELL ELIZABETH Address: 20561 SUBURBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-963-4600 Special Conditions Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share : SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $101.50 San Dist: $1,016.00 NMUSD Fee: $2,204.32 Fire Department $208.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0: 0 Lp� e e v� $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,519.40 Fee Due at Permit Issuance: $7,958.44 ® a o " 3 � PU3L;C WORKS APPROVAL: O Q G O PLAN CHECK BY: GRADING APPROVAL: 'SaPpROVAL TO ISSUE: �r c o OWNER -BUILDER DECLARATION t 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 Je 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 'rofessions 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 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 portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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: ly 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 legalh ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f Division 3 of the Business and Pr es s ode, nd I)'cense is in full force nd effect. License Class License No Date �7A 7.erL1 Contractor SignaturF✓ IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 th erformance 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' rance carrier and policy number are: Policy Number of Agent Date certify 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 agre t, if I should become su ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat CLARATION REGPROING 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 corIinty to wfter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Na • "rn7•I ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED -6SUBMITFED ASBESTOS NOTIFICA I Y• C PERMIT CANCELLED OF'RA • • • • • • • e • • e PERMIT EXTENDED D PERMITFINAL^I_u ASBES'0 NOT ICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSE D ITION ♦•• • • • +se •e OCCUPANCY ISSUED SIGNATU E: • • s a • e e • o e 0 o e o o n• o coo 00 00 0 0 oao no