The URL can be used to link to this page

Home My WebLink AboutX2022-1449 - Permitsn�� City of Newport Beach - Building Division *X2022-1449* COMB Permit: X2022-1449 0 100 Civic Center Drive, Newport Beach, CA 92660 ', Permit Counter Phone (949)644-3288 Project No: 1328-2022 u Inspection Requests Phone (949)644-3255 ra ` Combination Type - SFP Issued Date : 06/27/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2015 COMMODORE RD NB Description: SFR ALT -REPLACE SIDING W/ HARDIE BOARDS. REPLACE STUCCO.ADD WOOD SIDING TO GABLES Legal Desc.: N TR 3082 LOT 36 Owner: VANDAELE GREGORY Contractor: OWNER/BLDR Address: 2015 COMMODORE RD Address: VANDAELE GWEN NEWPORT BEACH, CA 92660 O/B FORM ATTACHED Phone: 949-5565490 Phone: 949-556-5490 Applicant: VANDAELE GREGORY / GWEN Con State Lic: O/B Address: 2015 COMMODORE RD Lic Expire: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-556-5490 Lic Exp Date: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3111 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 6 Front: 20 Left: 6 Right: 6 Architect: NIEMERSKI KENNETH Address: 2031 ORCHARD DR #100 NEWPORT BEACH CA 92660 Phone: 949-553-9100 State Lic:CO23971 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: o m m a a m m as ao m a a P as oae m° aeo�o c o+aam o a o o a PaaC°Q m a Hood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $559.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $486.33 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: - $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,105.33 Plan Check Fee : $538.33 Fee Due at Permit Issuance : $567.00 PROCESSED BY: -) PUBLIC WORKS APPROVAL: ZONING APPROVAL: 11% PLAN CHECK BY: GRADING APPROVAL: 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 items) (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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or Im oved for the i of sale). I, as owner Slij�eptoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not applyfpan owrle� �f property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I a T exemr$ flByllfi;ensure under the Contractors' State License Law for the following reason: 8yin signature be low 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 tell 3 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 Ftofessions Cgd'e, ls'*ailable upon request when this appli at is ubmit or at t e following Web site:http://www.leginfo.ca.gov/calaw.htmi. �/ �' Bignetu're of Property ®wner or Authorized Agent Date X Z ?.Z WCFNSED COVilRACTOR'S DECLARATION 1,hP;gM affirm-undeapenalty of perjury that I am license and r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force jrld,%f ect. License Class icense No Date Contractor Signature WORr.ERS' OOM€4ENSATION DECLARATION V4RJ rlG: FAILURA eO 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 COST CF COMPEVATIONi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. f Hereby affirnTllrjdarrenalty of perjury one of the following declarations: 111 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 thi performance of the work for which this permit is issued. Policy No. :3I 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' compensatior nsurance carrier and policy number are: ;arrier Policy Number Expiration Date ea of Agent Phone # 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 agree hat, if I should become subject to he wor r ' c/ompen(saationprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant X. �� / r^ Amj Date �� Z-� 1 �-Z )ECLARATION REGARDIN CO TRUCTION LENDMG AGENCY hereby affirm under penalty ofpe#dry 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. 1 have read this application and the information I have provided is correct. �,, .�-t'1 _ (/�� I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 6j�IN:if' c r" V u I authorize representatives of this city or count to e r `above-idey fled property for inspection purposes. Q' : {r Z^ - OA� Ia 3 2 Z signature of Property Owner or Authorized Agent \ / r ser Print Property Owner's or Authorized Agent's Name 1 Y�7 uate ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EMENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED ♦11 �� 11 // / f BESTOS NOTIFIC TION IS NOT APPLICABLE TO PROPOSED DEMOY /I LITI n I II SIGNATURE: