The URL can be used to link to this page

Home My WebLink AboutX2021-0192 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0192 .� d 100 Civic Center Drive, Newport Beach, CA 92660 _ X 2 0 2 1 0 1 9 2 Project NO : 0204-2021 ,..;:, Permit Counter Phone (949)644-3288 T Inspection Requests Phone (949)644-3255 Issued Date : 2021 Combination Type - BLDG ELEC PLUM Area : Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/16/2024 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: 1521 KATHLEEN LN NB Description: SFR BUILD NEW GARAGE W/STORAGE 683 SF Legal Desc.: N TR 1806 LOT 4 Owner: WEICHMAN BARRY Contractor: HAVEN DEVELOPMENT GRP INC Architect: OLSON DAVID ROLF Address: 1048 IRVINE AVE#148 Address: 14271 JEFFREY RD#502 Address: 470 WALD NEWPORT BEACH CA 92660 IRVINE CA 92620 IRVINE, CA 92618 Phone: Phone: 949-788-9227 Phone: 949-450-0093 State Lic:C019424 Applicant: OLSON DAVID ROLF Con State Lic: 827901 Engineer: EOSAKUL DISSAKORN Address: 470 WALD Lic Expire: 01131/2022 Address: 15 STUDEBAKER IRVINE, CA 92618 Bus Lic: ST30046360 IRVINE CA 92618 Phone: 949-450-0093 Lic Exp Date: 0212812022 Phone: 949-752-1612 State Lic:S-005226 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: WC EXEMPT Address: Occupancy Group: U Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 1 No of Stories: 1 Building Setbacks Rear: / V Special Conditions: No of Units : 0 Front: 11,yr I COSTA MESA SANITATION Bldg Height: 0 Left: �r Right: I r Bldg Sprinklers: `� Flood Zone: X Use Zane: Parkina Spaces' 0 Fire Hazard Zone : N ✓-.` Construction Valuation: $100,000.00 Building Permit Fee: $661.00 Excise Tax: $0.00 Planning Department - Fire Department $52.00 Fire inspection: $0.00 Plan Check Fee: $431.00 Additional Fee : $0.00 Plan check Fee : $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee $0.00 Record Management: $38.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.50 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $152.25 Grading Bond: Hazardous Mat $0.00 Electrical %: $46.27 San Dist: $0.00 $0.00 Building Green Fee : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $59.49 TOTAL FEE : $1,444.5.11 Plan Check Fee : $413.25 Fee Due at Permit Issuance : $1,031.26 0-r1 PUBLIC WORKS AP^ROYAL: - A PROCESSED BY: ;7 PLAN CHECK BY: ZONING APPROVAL: eI'f 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 the 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 Professions 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 not 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, 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 improvements 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 improved 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 Iicensure 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.html. 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 7000 Divi on 3 of the Business and Profession nd my license is in full force and effect. License Class License No Date Z Contractor Signature / WORKERS' COMPENSATION DECLARATION WARNING: 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 ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. ❑I 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Na a of Agent Phone # rtify 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 at, � 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ DECLARATION REGAR IN C,ONSTRUCTION LENDING AGENCY I hereby affirm under penalty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 county to enter tiTeab - tified property for inspection purposes. Signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name Date ACTION I DATE I BV D LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED Lr I SUBMIITFD ASPESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED ` . �lonnnn PERMITFINAL ��'^�.�+A /0-- �A5BESTOSNOTIFICATIO/ISNO�ICABLE TO CERTIFICATE OF (� // PROPJS EC FF,MGCTIOpV� OCCUPANCYISSU(/I/ ED �Irnnn lR�. �