HomeMy WebLinkAboutX2022-1787 - PermitsCit
oo y;Vic o cNewenterDport Bpea ortsha-Building Division
CA 92660
t;, s Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2022-1787
IIIIIIIIIIII�IIII�IIIIIIIIIIIIIIIIIIII II
Project No : 1641-2022
Issued Date: 06/28/2022
Inspection Area : 2
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: 10 WILD GOOSE CT NB
Description: MFR -BALCONY REPLACEMENT. RMV WINDOW, INSTALL SLIDER
Legal Desc.: TR 7852 LOT 1 UNIT 59 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER
Owner:
STAUDINGER DANIELLE
Address:
10 WILD GODS CT
NEWPORT BEACH CA 92663
Phone:
Applicant:
SMITH ANGUS
Address:
12342 CANYON TER
SANTA ANA CA 92705
Phone:
714-538-1191
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 7
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation: $25,000.00
Building Permit Fee: $501.00
Plan Check Fee: $435.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,003.87
PROCESSED BY:
ZONING APPROVAL:
Contractor:
SMITH ANGUS CONSTRUCTION
Architect:
Address:
12342 CANYON TERRACE
Address:
SANTA ANA CA 92705
Phone:
714-538-1191
Phone:
State Lic:
Con State Lic:
637440
Engineer:
XIAO QIANG
Lic Expire:
02/29/2024
Address:
1520 BROOKHOLLOW DR #46
Bus Lic:
BT01101101
SANTA ANA CA 92705
Lic Exp Date:
09130/2022
Phone:
714-662-0510 State Lic:S-005289
Worker's Compensation Insurance
Designer:
Carrier:
GIGA SOLUTIONS
Address:
Policy No:
AMX0800030005
Expire:
1010112022
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: I
7+ 3
$ l
Right: /
��
E
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
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 :
$0.00
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
a ad„ e
$0.00 Fee Due at Permit Issuance : $1,003.87
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: v
GRADING APPROVAL: .• APPROVAL TO ISSUE:
0
oVc
v>
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
ie 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
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 I am exempt from Ecensure 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 legally
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 Sectio 00 of I � iorrDF�Qf the Business and Profe sio de, a my Ii fihe is in full force
nd effect. License Class License No Da(� Contractor Signat r i
PORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
under penalty of perjury one of the following declarations:
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
Ice of the work forwhich 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 for which this permit is issued. My workers' compensa
carrier and policy number are:
IS of Agent
certify that, in the performance of
if I should become subject to the
of
Policy Number
Date
forwhich 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
C\ompen/sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e / 6 �
JsnMA� DateX "` � D . `_�- --Z-
CLARATION REGARDING G,6NSTRUCTION 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 proviM Is correct.
I agree to comply with all applicable city and county ordina ceq afNtate laws relating to building construction.
I authorize representatives of this city or county to enter th a ve entified pro arty foe inspection purposes. I II7 nature of Prooertv Owner or Authorized Agent '�/ /1 7 Print Property Owners or Authorized Aqent's Name JI/Gf/S J .,
ACTION DATE BY ✓ 119ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO -
PERMIT CANCELLED DEPA
PERMIT EXTENDED '
OMD
PERMIT FINAL El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF r414
PROPOSED DEMOLITION • • ••. ••.
•e•
OCCUPANCY ISSUED SIGNATURE
: : ; .•:
e