HomeMy WebLinkAboutX2020-1924 - Permitsw
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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:Inspection Requests Phone (949)644-3255
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Combination Type - SFP ELEC
(Illl�llul�ll�l�ul��l�lll COMBoPerm
it: 020-1924
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Issued Date : 10/08/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 1010912023 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: 6 VERNON NB
Description: SFR PATIO COVER 360 SF (USING ALUMINUM ONLY)
Legal Desc.: N TR 15333 LOT 24
Owner:
BAGHERI SAEEDISUSAN
Address:
6 VERNON
NEWPORT BEACH, CA 92657
Phone:
949-706-3313
Applicant:
CALHOUNA CHRISTINA
Address:
840 S ROCHESTER AVE #C
ONTARIO, CA 91761
Phone:
909-390-0555
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Contractor:
ROOMS N COVERS ETC
Address:
840 S ROCHESTER AVE STE C
ONTARIO CA 91761
Phone:
909-390-0555
Con State Lic:
517575
Lic Expire:
09/30/2021
Bus Lic:
BT3007731638
Lic Exp Date:
1013112021
2019
Worker's Compensation Insurance
VB
Carder:
PACIFIC COMP
R3/U
Policy No:
WA00702200
0
Expire:
0611412021
0
Building Setbacks
Rear: 10
Front: 10
Left: 5
Right: 5
X
Use Zone:
Parkin Soaces:
Building Permit Fee: $381.00
Plan Check Fee: $266.75
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$22.00
Energy Compliance:
$0.00
CA Seismic Safety:
$1.30
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $792.47
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect
Address:
Phone: State Lic
Engineer:
ROSEPINK DUSTIN KEITH
Address:
109 EAST ESCALONES
SAN CLEMENTE CA 92672
Phone:
949-388-9333 State Lic:S-005885
Designer:
Address:
Phone
Special Conditions: SPECIAL FIRE PROTECTION
Hazard Zone: Y
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
PAN Plan Check:
$0.00
Electrical %:
$26.67
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $313.00 Fee Due at Permit Issuance : $479.47
PUBLIC WORKS APPROVAL:
aPLAf$ C;1ECK° B.: a 3 �.(.1t./j•
° ° ° �. A• APPROVAL TO ISSUE:o °
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 Hem(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 Iicensure 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).
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,
.usiness 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). !,
1, 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 am exempt from Iicensure 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 Iegalll
ell a structure that 1 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://Wv .leginfo.ce.gov/calaw.html.
;ignature of Property Owner or Authorized Agent - Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licenseQQunder provisions of Chapter 9 commencing with Section 7 )Ill of D Isi n 3 of the Business and Pro ssi e, lice Is I oPi r
nd effect. License Class � 1!� G `d`'i License No S� TE 7� Date 8 ZO Contractor Signatu
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML 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 ATTORNEYS FEES.
hereby affirm under 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 th
erforDiance of the work for which this permit is issued. Policy No.
Xhave and will ail lain 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' compensatioi
surance carrier a licy numberpas;, p
amer P ! Expiration Date
ame of Agent k Phone #
]I certify that, in the p"pednury
hi this p Issued, I sh ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
iat, if I should becomensatio roo s of Se n 0 of the Labor Code, 1 shall forthwith comply with those provisions.
ignature of Applicant Da�
DECLARATION REGALE CY
hereby affirm under pis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod .
ender's Name Lenders Address
y 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 p . d is core
I agree to comply with all applicable city and county or n ces and a laws to b ' i construction.
I authorize representatives of this city or county t t e a Iden ied y fo ction purposes.
ignature of Property Owner or Authorized Agent I Print Property Owners or Authonzed Ag
1CTION DATE BY ECLARATION OFCOMft1AIrCE71TMbEOF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EMENDED OMD
PERMIT FINAL ASBESTOS N •MAII
CERTIFICATE FI TE OF � g� �'T �"� PR PO ASBESTOS
NDE,, 6 I
OCCUPANCYISSUED SIGNATURLI// /