HomeMy WebLinkAboutX2021-2439 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
k Permit Counter Phone (949)644-3288
... * InspeLPion Requests Phone (949)644-3255
Combination Type - BLDG ELEC
IIXII�III0�IIIIIIIIIIIIIIIIIIIII�IIII�1II COMB Permit: X2021-2439
Project No: 2104-2021
Issued Date: 09/28/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/28/2024 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: 1721 MARLIN WAY NB
Description: SFR NEW DETACHED CABANA W/ ELEC 252 SF (NON -CONDITIONED SPACE) ....
Legal Desc.: N TR 3097 LOT 35
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Owner:
EMMEL DREW & CHRISSIE
Address:
1721 MARLIN WAY
NEWPORT BEACH, CA 92660
Phone:
949-285-3292
Applicant:
SLOAN STEVEN R
Address:
462 FLOWER ST
COSTA MESA CA 92627
Phone:
949-646-9900
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
JENKINS CONSTRUCTION
Address:
168 MONTE VISTA AVE
COSTA MESA, CA 92627
Phone:
714-345-9371
Con State Lic:
901221
Lic Expire:
07/31/2023
Bus Lic:
BT30035239
Lic Exp Date:
04/30/2022
2019 Worker's Compensation Insurance
Carrier:
STATE COMP
U Policy No:
9076367
0 Expire:
10120/2022
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
X Use Zone:
Parkina Soaces:
Construction Valuation: $30,000.00
Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,148.46
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
SLOAN STEVEN R
Address:
462 FLOWER ST
COSTA MESA CA 92627
Phone:
949-646-9900
State Licay506
lJ
Engineer:
SKUDLARSKI JASON
Address:
9751 OLYMPIC DR
6d
HUNTINGTON BEACH CA 92
Phone:
949-752-1612
State Li 7712
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
P/W Plan Check :
$0.00
Electrical %:
$39.13
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$538.33 Fee Due at Permit Issuance : $610.13
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 U 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).
❑ 1, as owner (9"nroperty, 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).
Q. bsm Exam eWoom licensure under the Contractors' State License Law for the following reason:
by my signature tteL l 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 b s permit, I annot legal
p%a%ructure thrtt 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, Sectrn74 oft B ass and
Professions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Properiy owner or Authorized Agent
LftbNSED CCIATRACTOR'S DECLARATION
hereby affirm jA4dr�nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 D •Isi 3 o] the Business and Profe Ion o Is in U orce
and effect. License Class License No Date 1 �-A' .�- 1 Contractor Sianature�
16OWO RS' COMPENSATION DECLARATION t / I `
VARNIN(; FAILUI.E*ro J9t IRE 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
:DST OF COMPENSJ QON,pAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
HOW. ffrm u der p>2naity of perjury one of the following declarations:
Pave
....ave d will m2lntain 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,
nce of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatior
nce carrier and policy number are:
.arrier Polic umber Expiration Date
Jame of Agent Phone #
:1I certify that, in the performan tithe ork for w this pe s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
hat, if I should become s jec o t e wo ers' c pensation isions of Section 3700 of the L or Code, I shall forthwith comply with those provisions.
G`
Signature of Applicant Date
)ECLARATION REGARDI G C RUCTION LE IN AGE
hereby affirm under penalty o perjury that there is a construe lon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ender's Name Lender's Add s
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pr erty ner's b alf.
I have read this application and the information I he prov ad is Tact.
I agree to comply with all applicable city and count o di nice nd stat s a' o building construction.
I authorize representatives of this city or county t yr the ov ntifie y for inspection purposes.
Signature of Property Owner or Authorized Agent Print Propert ner's or Authorized Agent's Nam ate
ACTION DATE BY DECLARATION OF COMPL,1A4CE WITH CODE ERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 FTITLE 40 QMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED QMD
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF �31 ED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: