HomeMy WebLinkAboutX2020-2971 - Permits�w�o!4 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM GRAD
11IIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111 JillCOMB Permit: X2020-2971
x 2 0 2 0 2 9 7 1 Project No : 2367-2020
Issued Date :0311212021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0311212024 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: 4708 NEPTUNE AVE NB
Description: MFR INTERIOR ALT 410 SF. REMOVE (E) DECK, CREATE NEW PATIO COVER 365 SF 8 YARD DRAINAGE _
Legal Desc.: R S 032-50 PAR BAND RIVER SECTION BLK 47 LOT 8
Owner:
GASSEL DARCY
Contractor:
STN BUILDERS INC
Architect:
Address:
4708 NEPTUNE AV
Address:
13681 NEWPORT AVENUE #8
Address:
NEWPORT BEACH CA 92663
TUSTIN CA 92780
Phone:
949-500-2252
Phone:
714-713-1097
Phone:
Applicant:
MADDUX KYLE
Con State Lic:
817262
Engineer:
Address:
35 ARGONAUT STE B2
Lic Expire:
02/2812023
Address:
ALISO VIEJO CA 92656
Bus Lic:
BT30056339
Phone:
805-815-8131
Lic Exp Date:
0813112021
Phone:
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
2
No of Units :
2
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
0.2 %
Building Permit Fee: $1,279.00
Plan Check Fee: $1,112.73
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$38.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9111360
Expire: 09/0412021
Building Setbacks
Use Zone: R-2
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 10'
Left: 3'
Right: 3'
Parking Spa<
$0.00
$0.00
$0.00
$0.00
$232.00
$195.00
$0.00
$89.53
$51.16
$115.11
State Lic:
MADDUX KYLE LAWRENCE
35 ARGONAUGHT, STE B2
ALISO VIEJO CA 92656
805-815-8131 State Lic:C-086632
Designer:
Address:
Phone:
Special Conditions:
LIQUEFACTION AREA
High density form on
cover sheet
Fire Hazard Zone :
N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$86.00
San Dist:
$0.00
NMUSD Fee:
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
IITOTAL FEE : $3,249.78 Plan Check Fee : $1,201.98 Fee Due at Permit Issuance: $2,047.80
PROCESSED BY: \ PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
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 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).
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,
Iusiness 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
n roved 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
poly 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which 1 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.htmi.
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 Section 70 0) Di ision of the Business and Prool�iL�psIons Cp�ddee� and rny.Ji me is IG� 'n full force
Z
nd effect. License Class License No Da t lZ ( Contractor Signatures G—C-���_
VORKERS' COMPENSATION DECLARATION
'ARNING: 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.
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
erWmance of the work for which this permit is issued. Policy No.
have and will maintain workers'
rance carrier a?NkDolicv number
of Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
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
, if I should become j;U ect to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of
ate
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
�reby 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
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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or Coun to nter aboy�-identified prope�rt °r Inspection purposes. / r
nnhlre of Pronertv Owner or Authorized Apent y � / `�'PTint Pronertv Owners or Authorized Aoent's - e Wr\.
Civil Code).
IS&N
ACTION
DATE
BY `
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION YO
LJEPA
OMD
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
! i
J Q
CERTIFICATEOF
OCCUPANCY ISSUED
PR POSED DE`MO� TION /
SIGNATURE: V e—e.'C--..v.._.
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