HomeMy WebLinkAboutX2022-0295 - Permits�w �, City of Newport Beach - Building Division 'X2022�-0295* COMB Permit: X2022-0295
t?, 100 Civic Center Drive, Newport Beach, CA 92660
p Project No : 0265-2022
�;.. ' L `, � Permit Counter Phone (949)644-3288
ca Inspection Requests Phone (949)644-3255
r:a „cam , Combination Type - SFP pg c ,&, 4 Issued Date : 02/07/2022
�draY 5 d 6 5 � 3s11
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/07/2025 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: 316 ISLAND AVE NB
Description: SFR ADD PATIO COVER TO EXTG ROOF DECK
Legal Desc.: EAST NEWPORT BLK A LOT 78
Owner:
GLADDY KRISTY
Address:
410 112 CLUBHOUSE AVE
NEWPORT BEACH CA 92663
Phone:
Applicant:
HORNE JEFFREY
Address:
6676 VAN BUREN BLVD
RIVERSIDE CA 92503
Phone:
951/906-2774
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Contractor:
DIAMOND WEST CONSTRUCTION
Address:
6676 VAN BUREN BLVD
RIVERSIDE CA 92503
Phone:
951-906-2774
Con State Lic:
927263
Lic Expire:
07/31/2022
Bus Lic:
BT30075938
Lic Exp Date:
07/31/2022
2019
Workers Compensation Insurance
V-B
Carrier:
NO EMPLOYEES
R3/U
Policy No:
0
Expire:
0
Building Setbacks
Rear: I
Front: I 7
Left: / s
Right: 13
X-0.2PCT
Use Zone:
Parkina Spaces: 0
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$1.27
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $565.04
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone:
State Lic:
Engineer:
XIAO QIANG
Address:
1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705
....
Phone:
714-662-0510 State Lic:S-005289
Designer:
Address:
° °®
Phone:
,
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Special Conditions:
HIGH DENSITY AREA
LIQUEFACTION ZONE
°
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•e
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$52.00
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:
$50.75
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 :
$565.04
PUBLIC WORKS APPROVAL
PLAN CHECK BY: \
�Qr
APPROVAL TO ISSUE: �b 2
a
° •
0
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0
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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 U 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).
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 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:hffp://www.leginfo.ca.gov/calaw.html.
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 OO) of Division 3 of the Business and Pr a sions d'my license is in full force
and effect. Licep%%Qlass License No Date ZZ Contractor Signaturey
WORKERS' CQUIJOXNSATION DECLARATION
'il$" FAILURE ;;O SV41RE 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
SOST OFCOMPENSATiON, IIAMAGES 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:
• 141•dve and Nyls Qlaintain 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 the
performance oft the wr rig for which this permit is issued. Policy No.
• I Ifave 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
ii ILHilcip carn4,0d policy number are:
Policy Number
%Agent
Date
erti(y that, i"a 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 agree
I# I should become•subject to the wor compensation provisions of Section 3700 of the any
Code, shall forthwith comply with those provisions.
•, • .
nature of Applicant • Date
CLARATION REGA�IN N TRUCTION LENDING AGENCY
�reby affirm under penalty o 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 toe er the bo e-id-entifiad property for inspection purposes.
nature of Propertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Cat % 7'
ACTION
DATE
BY
D9!i-ARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY " 1
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
15UBMITTED ASBESTOS NOTI FICATION TO
PERMITC4NCELLED
EPA
PERMIT EXTENDED
AQMD
PERMITFINAL
�J !„t
BEST S NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPO ED�
OCCUPANCYISSUED
SIGNATURE•