The URL can be used to link to this page

Home My WebLink AboutX2022-1264 - Permits��wro4� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 K., . Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1264 x 2 0 2 2 1 2 6 4 Project No : 1161-2022 Issued Date : 06/1412022 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: 1507 MARINERS DR NB Description: SFR ALT 458 SF, RELOCATE GARAGE ENTRY & DRIVEWAY. ADD SIDE DOORS @ GARAGE. W/YARO DRAINAGE Legal Desc.: N TR 3004 LOT 39 Owner: KAHN MADISON 8. ALEX Contractor: WELD DAVID A Architect: BAILEY DAVID Z Address: 1507 MARINERS DR Address: 213 CALLE MARINA Address: 23183 LA CADENA DR#101 P!) NEWPORT BEACH, CA 92660 SAN CLEMENTE CA LAGUNA HILLS CA 92653 6� Phone: 949-943-0521 Phone: Phone: 949-573-1050 State Lic:CO27404 71 Applicant: BAILEY DAVID Con State Lic: 608259 Engineer: WILSON KALEN rn Address: 23183 LA CADENA DR #101 - Lic Expire: 12131/2022 Address: 23152 VERDUGO DR #102 LAGUNA HILLS CA 92653 Bus Lic: BT30079002 LAGUNA HILLS CA 92653 Phone: 949-573-1050 Lic Exp Date: 06/30/2023 Phone: 714-576-6524 State Lic:C-083753 .� Code Edit : 2019 Workers Compensation Insurance Designer: Type of Construction: V-B Occupancy Group: R3/U Carrier: Policy No: NO EMPLOYEES Address: DAVID WELD 0 Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $60,000.00 Building Permit Fee: $889.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $773.43 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 : $26.00 Grading Permit Fee: $237.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $199.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %i $62.23 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,292.41 Plan Check Fee : $1,075.18 Fee Due at Permit Issuance : $1,217.23 PROCESSED BY: - .: PU.BL!C INORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ � � � � . � . � • A?PRCVAL 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) 1 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 :he 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 Cade) 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 .mprovements 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). ❑ 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Profgssi'o ode, and my lice A is in full force and effect. License Class License No Date / Contractor Signature _011 INORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: ❑ 1 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 the 3erformance of the work for which this permit is issued. Policy No. ❑1 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 nsurance carrier and policy number are: Policy Number Date 1I 4 a of Agent -L 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 agre hat, if I should becomes ject to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (('' � Signature of Applicant Date <_ �_ � ��%�o�.( �.. )ECLARATION REG G CONSTRUCTION LENDING AGENCY �� hereby affirm under enalty 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). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: 1 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 cou ordinances and state laws relating to building construction. I authorize representatives of this city or cou t enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam a U u--;et C� uYl ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ PERMITEXPIRED ISUBM ED ASBESTOS NOTLICATION TO PERMIT CANCELLED EPA _ PERMIT EXTENDED PERMIT FINAL rrr q Q A5BESTO NOTIFICATION IS NOTAPPLICABL� CERTIFICATE OF lV'I'fXri PROPOSED M LITI ; OCCUPANCYISSUED SIGNATU