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HomeMy WebLinkAboutX2021-0472 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0472 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 4 7 2 Project No: 0437-2021 '_; Permit Counter Phone (949)644-3288 9 u.. +� Inspection Requests Phone (949)644-3255 `: �riaa° Combination Type - BLDG ELEC PLUM Issued Date: 03/12/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/12/2024 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 orHolidays Job Address: 234 COLTON ST NB <'� l � B Description: SFR 42" HIGH MAX x 61 LF BLOCK WALLS (INSIDE P/L) AND ELEC/GASLINE TO BBQIFIRE PIT W/ DRAINAGE K 19 � @a t Legal Desc.: TR 772 LOT 21 BLK 6 ALL (EX NELY 25 FT) AND NELY 26 FT LOT 22 BLK 6 Owner: MEISTER BLAKE AND ALLIE Contractor: ARTISAN OUTDOORS Architect: Address: 234 COLTON ST Address: 17835 SKY PARK CIR #J Address: NEWPORT BEACH, CA 951-317-5640 IRVINE CA 92614 Phone: Phone: 949-424-5870 Phone: State Lie: Applicant: BRUCE ROBERT Con State Lie: 1001086 Engineer: ...... °°°°• Address: 1653-B SUPERIOR AVE Lie Expire: 02/2812023 Address: COSTA MESA, CA 92627 Bus Lie: BT30055442 • e o ° m ° a ° a Phone: 949.345-9904 Lie Exp Date: 0613012021 Phone: State Lie: • ° • ° Code Edit: 2019 Worker's Compensation Insurance Designer: LOEWEN ROBIN Type of Construction: Carrier: TECHNOLOGY INS Address: 1653-B SUPERIOR AVE Occupancy Group: U Policy No: TWC3954494 COSTA MESA, CA 92627 Added /New sq.ft. Bldg: 0 Expire: 02106/2022 Phone: m ° oa°co Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION = No of Units : 0 Front: 5 • ° ° ® a Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $287.97 Additional Fee : $0.00 Plan check Fee: $46.25 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: $6.00 Grading Permit Fee:. $232.00 In-lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $195.00 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: $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $23.17 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 .. $0.00 TOTAL F E : $1,195.18 Plan Check Fee : $1,195.18 Fee Due at P 't Issuance : $0.00 PROCESSED BY: 07 PUBLIC WORKS APPRO AL: �®` ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 11*1 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) lection 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 is 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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. signature of Property Owner or Authorized Agent Date .ICENSED CONMQTOR'S DECLARATION�� 4ereby Wffirm unlet p¢nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o i ilio 3 the Business and Prol_essyens Godela licen a is ' II force r0effecl: License Closs LicenseNo Da 2 1 Contractor Signature �/. IQRKghS' CSMPENSATION DECLARATION dSTPNMy 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 ($700,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I1pfgby'si firm urr&rod*lty of perjury one of the following declarations: 1 I :a 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 Brom3 fe5e of thaworkior which this permit is issued. Policy No. lrhAY@ nd will nfaintain 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 n8uranc carrier and policy number are: 1; 111 •. Policy Number Expiration Date V ,Qt Agent �4...0 Phone # :1I 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 agree hat, if I should become subject to the workerW-Ca npp@ns rovisions of Sects 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant // Daate/ v 2 )ECLARATION REGAR ING CONSTRUCTION LENDING AGENCY hereby affirm under pe Ity 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: ��^^ Iam the property owner or authorized to act on the property owner's behalf. �}� _ a do 1 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. 71/ f z( 1 authorize representatives of this city or county t ntertha a nlified propeytj+for inspection purposes. signature of PropertyOwner or Authorized Agent J Print Property Owner's or Authorized Agent's Na Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED LIAQMD PERMITFINAL 2� vY �� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: