HomeMy WebLinkAboutX2021-0954 - PermitsRrr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII II COMB Permit: X2021-0954
.r4 +�' 100 Civic Center Drive, Newport Beach, CA 92660 I� X 2 0 2 1 0 9 5 4 Project No: 0885-2021
h Permit Counter Phone (949)644-3288
sa.. Inspection Requests Phone (949)644-3255.
a,�;:vant's4r` Combination Type - SFP PLUM Issued Date : 04123/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY0412312024 OR PERMIT IMMLL 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: 3909 SEASHORE DR N13
Description: NEW ATTACHED FIREPLACE (29'H)
Legal Desc.: THIRD ADD LOT 5 BILK 39 ALL -EX SELY 1 FT NELY 25 FT -
Owner: HOOD RANDY
Address: 3909 SEASHORE DR
NEWPORT BEACH, CA 92663
Phone:
Applicant:
DOBBIE STEVE
Address:
668 N COAST HWY
Record Management:
LAGUNA BEACH CA 92651
Phone:
949-322-6780
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $5.000.00
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOT
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor
Address:
Phone
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
OWNERIBLDR
BRANDON
0/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
'arkinc Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14.49
Plan Check Fee
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
INED'" � `
State Lie:
State Lie:
$186.32 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHE BY:
APPROVALTOIS
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$180.49
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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:
$186.32 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHE BY:
APPROVALTOIS
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$180.49
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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)
action 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
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
)fessions 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
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,
siness 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
)rovements 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
oved for the purpose of sale).
s 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
Ay 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:
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 legal[,
I a structure that I have built as an owner -builder if it has been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Ifessions Code,i>p mailable upon request whe IN pplication' submitte owing wwwleginfo.ca.gov/calaw.html.
mature of Propi%%Qfter or Authorized ADent C Dat
;ENafD CgglRACTOR'S DECLA
=.reby affirm undlrpenalty of perjury that I am 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
1 effect. License Flats License No Date Contractor Signature
)Rf(€RS' COMPENSATION DECLARATION
I NIN01 FAILURE -r0 sICURE 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
I r -V dbMPENSAT4N, DAMAGES AS PROVIDED FOR IN SECTION 9705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ugly affirm ugder ptgalty of perjury one of the following declarations:
.1.1have 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
(pr17Vpce of the 3✓ork for which this permit is issued. Policy No.
have•and wifinallntain 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
ereReacarrier and policy number are:
v' F. •..... Policy Number Expiration Date
ne fAgent Phone#
Cert fy that,. in the perfor r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws c California, and agre
'fnt-obecome the ject to the workers' co ensation pr ' 'eRs-Bf-S 3700 of Labor Code, 1 shall forthwith comply with those provisions.
n Lire of ApplicaG(ri V
LARREGA ONSTRUCTIO NDING AGENCY
Ireby affirm under nalty of Perjury the re is a construction lending agency-for-the-perfiorrnenee-aft for which this permit is issued (Section 3097, Civil Code .
Ider's Name Lender's Address
my signature below, ce ify 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. 4, 2
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or A countKVnt Identified Pr rposes. p
nature of Property Owner or Authorized ent A e
rint Property wner's or Authorized nt's Name yaY-vJy�, ate
TION DATE BY DE R OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED ii ji LJISUBMITTED ASBESTOS
PERMITCANCELLED EPA
PERMITFINAL bJi ('(,( J(2 ASBESTOS NOTIFIC NOT APPLICABLE TO
CERTIFICATE OF '` PRO ED DEMO ON
OCCUPANCY ISSUED SIGNATURE:
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