HomeMy WebLinkAboutX2022-1230 - Permitsrcr__..
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2022-1230
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 2 3 0 Project No : 1128-2022
Permit Counter Phone (949)644-3288
I tiR t Phone (949)644-3255
nspec on eques s
Combination Type - BLDG ELEC GRAD Issued Date :
Inspection Arearea :2022
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
Jab Address: 512 TUSTIN AVE NB
Description: SFR -NEW GARAGE 720 SF W/YARD DRAINAGE
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 36 LOT 4
Owner: KNIGHT RICH
Address: 512 TUSTIN AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant: GUIDERO WILLIAM
Address: 425 30TH ST, STE 23
NEWPORT BEACH CA 92663
Phone: 949/675-2626
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $58 000.00
Building Permit Fee:
$661.00
Plan Check Fee: $363.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$22.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.50
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE : $1,583.77
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
OWN ER/BLDR
Address:
KNIGHT RICHARD
Phone:
949.933-1061
Con State Lic:
O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear:
IS
Front:
IZ&
Left:
14'
Right:
l e¢l
Use Zone: Parkinq Spaces
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$237.00
Grading PC Fee:
$199.00
WQ Insp. Fee:
$0.00
Electrical %:
$46.27
Mechanical %:
$0.00
Plumbing %:
$0.00
Architect
Address:
Phone: State Lic
Engineer:
GABRIEL MICHAEL R
Address:
483 E 20TH STREET
COSTA MESA CA 92627
Phone:
949-646-6596 State Lic:S-002939
Designer:
GUIDERO WILLIAM
Address:
425 30TH ST, STE 23
NEWPORT BEACH CA 92663
Phone:
Special Conditions
Planning Department -
Plan check Fee :
Fair Share :
SJH Trans :
In -lieu Housing Fee :
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
n
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $415.00 Fee Due at Permit Issuance : $1,168.77
PUBLIC wor�KC nP-ROVAL'. '
PLAN CHECK -BY:
4oPROVAL 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
le 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,
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
Tprovements 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).
66 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
p 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).
m exempt from Iicensure under the Contractors' State License Law for the following reason:
y m signature below I acknowledge that, except for my personal residence in which I m t have reside for t least one year prior to completion of the improvements covered by this permit, I cannot lega11,
structure that I have built as an owner -builder if it has not been consfwcted in it enti ty by licens d cc tractors. I understand that a copy of the applicable law, Section 7044 off the Business and
rofessions Code, is available upon request when this 'cation is ub itted at fo wi(Ig Web te: /www.leginfo.ca.gov/calaw.html. ,�( - 1 e I Zz
ignature of Property Owner or Authorized Agent `` 11 ECX
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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
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
'ormance 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
rtify that, in the performance o the work f which this
should become subject to wD kers' mpensatioi
ure of Applicant
Date
not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1700 oft Labor Code, I shall forthwith comply with those provisions.
Dal
: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, 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 provided is correct.
I agree to comply with all applicable city and county ordinances andistate laws relating to building construction.
I authorize representatives of this city or county ter t above- a lifted �opertfor inspection purposes.
z, ��
nature of Prooertv Owner or Authorized Aoenb_ /l Print Prooertv Owner's or Autharized Anent's Name
FA@Ytlor. omsIl �
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF �O
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 _
1 S�J L'9MITT<D ASbFSTOS NOTIFIC TiON TO
>SbES-I CS NOTIFICATION IS NOT APPLICABLE TO
A PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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