HomeMy WebLinkAboutX2017-3793 - PermitsCity of Newport Beach - Building Division *X2017-3793* COMB Permit: X2017-3793
4,A 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2112-2016
F -n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - GRAD Issued Date: 1112912017
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION,
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: 2231 DONNIE RD NB
Description:- SFR YARD DRAINAGE "CTY STD"
Legal Desc.: N TR 2819 LOT 5
Owner: YERKES GREGORY
Address: 2231 DONNIE RD
NEWPORT BEACH, CA 92660
Phone:
Applicant: FENIMORE ERIC
Address: 2732 E COAST HWY #A
CORONA DEL MAR CA 92625
Phone: 949.673.5450
Code Edit: 2016
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:
riooc Zone:
Use Zone:
Parking Spaces:
0
Contractor:
DIG
Architect:
Construction Valuation:
$0.00
Address:
2732 E COAST HWY #A
Address:
Building Permit Fee:
CORONA DEL MAR CA 92625
Excise Tax:
$000
Planning Department-
Phone:
949.673.5450
Phone:
State Lie:
Additional Fee :
Con State Lie:
932954
Engineer:
$37.50
Fire Inspection:
$0.00
Lie Expire:
05/31/2019
Address:
$0.00
Fair Share :
Bus Lie:
BT30026912
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
Lie Exp Date:
0113112018
Phone:
State Lic:
Demolition Fee
Worker's Compensation Insurance
Designer:
Grading Permit Fee:
$293.00
In -lieu Housing Fee :
Carrier:
STATE FUND
Address:
$0.00
Energy Compliance:
os o
Policy No:
9055938
Public Works Department-
General Service
$0.00
Expire:
0 610112 01 8
Phone:
$0.00
Park Dedication :
00 °
Building Setbacks
Rear: I
Special Conditions:
Disabled Access :
0 0°
°
Front: I
$0.00
0
°°°°o
Hazardous Mat
Left: I°°°°°
Electrical %:
$0.00
San Dist:
$0.00
Right: /
Building Green Fee :
o°ooa°
o °
riooc Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$000
Planning Department-
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee:
$37.50
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 :
$2.00
Grading Permit Fee:
$293.00
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:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $332.50
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$332.50
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: C
GRADING APPROVAL: APPROVAL TO ISSUE: SEe._
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
Ha 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 (_) all of or (_) 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 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
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 licensure under the Contractors' State License Law for the following reason:
y 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
all 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.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm uVer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) o Divis' n 3 of the Busines<,and Profess' s o ,and my license is in full force
nd effect. Licerm- iless License No D 11 t 9 Contractorture
1011KERS' COMPENSATION DECLARATION
OARNING-!FAILURE?'fd'SECQRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:QST OS COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lePeby affirm under penalty of perjury one of the following declarations:
have and $vlll,lflaijltain 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
R,SdQjfwance of the work for which this permit is issued. Policy No.
IV3Q and v 16r;iDW1ain 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
Ir1 erte carrier ar)d policy number are:
ne of'Agent
certify that, In the performance of
it 1 should 6eco a subject to thi
'lature of AD I nt 1___�
Policy
Date
permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe s tion laws of California, and
1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IECLARATION REGARDING CON UCTI WLENDING AGENCY
hereby affirm under penalty of per ere 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
y 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 s aws r ting to building construction.
I authorize representatives of thjs city or county to enter the entified p party for inspection purposes.
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
1403
rMPLIANCE WITH CODE OF FEDERAL
63 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
or Authorized Adefit's Name
FOR OFFICE USE ONLY