HomeMy WebLinkAboutX2021-1229 - Permits�wr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�. Permit Counter Phone (949)644-3288
u. Inspection Requests Phone (949)644-3255
f txst,v �`a Combination Type - SFP ELEC PLUM
COMB Permit: X2021-1229
Project No : 1081-2021
Issued Date : 08/04/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/04/2024 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: 1411 LINCOLN LN NB
Description: SFR NEW DETACHED CABANA 360 SF
Legal Desc.: N TR 3851 LOT 23
..•.
. •
Owner: OLSON NICHOLAS
Address: 1411 LINCOLN LN
NEWPORT BEACH, CA 92660
Phone: 9496420857
Applicant: MCNEELYJOHN
Address: 242 HARTFORD DR
NEWPORT BEACH, CA 92660
Phone: 949-233-3435
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 360
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
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:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$3.90
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,243.42
PROCESSED BY:
ZONING APPROVAL:
Contractor:
GRISSINGER FINE HOMES
Architect:
Address:
11912 ARROYO AVE
Address:
SANTA ANA CA 92705
Phone:
949-225-5755
Phone:
Con State Lic:
807874
Engineer:
Lic Expire:
05/31/2022
Address:
Bus Lic:
BT30043274
Lic Exp Date:
05131/2022
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
WIC EXEMPT
Address:
Policy No:
(NO EMPLOYEES)
Expire:
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical
Plumbing %:
Rear: AD r
Front: 14O
Left: /(S /
Right: / ( Q
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$39.13
$0.00
$50.31
State Lic
MANSHADIFARHAD
1800 E 16TH ST UNIT B
SANTA ANA CA 92701
714-835-2800 State Lic:C-036840
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
PIW Plan Check :
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,119.97 Fee Due at Permit Issuance : $123.45
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
jot more than five hundred dollars ($500).
'J 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
'mproved for the purpose of sale).
L7 I, as owner oft4® 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 own9epfptoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
® d e4exempt tromJicensure under the Contractors' State License Law for the following reason:
ly my signaturd'bdlay( ?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 legal
V9.a structure tha;l 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.
Signatwre of Prppe"%Nner or Authorized Agent Date
CIMNSED CONTRACTOR'S DECLARATION
LWpb,v affirm & M=penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) S 3 of the Business and Profe si s C , and ense is in full force
jrjd.% eCt. Licen"6less License No DabContractor Signature _
XQF3KZRS' COMPENSATION DECLARATION
iNING; FAILUREE! 'TO'',,fSfll'MRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
:T OF COMPEN94TJA, IIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. (/V�.f
gel ):affirm urider penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thf
formance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
trance carrier and policy number are:
ua of Agent
certify that, in the performance of the
- if I should become subject to the wo
of Applicant
Policy Number
Date
v rwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
r `ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DKe ��n///
'TION LENDING AGENCY \
I hereby affirm under penalty of pe$�that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
Lender's Name %% Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is cor t.
I agree to comply with all applicable city and county ordinances s to laws r ating to building construction.
I authorize representatives of this city or count enter the a e= a property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name G Dat JJJ
ACTION DATE BY ATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULA NS PART 610E TITLE 40 AND AgMD RULE
1403
PERMIT EXPIRED
V I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
QMD
PERMIT FINAL
IO'pjyZ
ASBE T O S NOTIFICAT1 15 NOT APPLICABLE
CERTIFICATE OF
.PROPOSE DEMOLITION
OCCUPANCY ISSUED
004
SIGNATLIk E.