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HomeMy WebLinkAboutX2021-0562 - Permits.r ` , City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIullllllll�lllllllllllllllll II COMB Permit: X2021-0562 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 5 6 2 F "� Permit Counter Phone (949)644-3288 Project No: 2386-2020 t} 4t Inspection Requests Phone (949)644-3255 ��® e�1sr v#`' Combination Type - BLDG Issued Date : 03/22/2021 9 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/22/2024 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: 39 CHANDON NB Description: SFR *ADDITIONAL SCOPE* NEW TRELLIS 119 SF Legal Desc.: TRACT 14565 LOT 6 OF PROJECT 936-46 LOCATED ON AP 461.251-13 .... Owner: JENKINS JOHN Address: 39 CHANDON Record Management: NEWPORT COAST, CA 92657 Phone: $0.00 Applicant: JENKINS JOHN Address: 39 CHANDON Hazardous Mat NEWPORT COAST, CA 92657 Phone: 949-230-4254 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: Building Permit Fee: $381.00 Plan Check Fee: $266.75 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $703.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO #A Architect: SAN JUAN CAP CA 92675 Phone: 949-493.9548 Con State Lic: 744177 Lic Expire: 12/3112021 Bus Lic: BT97021623 Lic Exp Date: 06/30/2021 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC450355608 Expire: 10101/2021 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I 3arkinc Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Planning Department - Fire Department • e $46.25 Architect: $0.00 •moo Fire Plan Rev Address: $0.00 •• • e o'�•Oo Phone: State Lic: $0.00 s ° Engineer: CANFIELD JEFFREY ee 'ee' Refund Deposit $0.00 o e' •°„ Address: 1050 CAMPANILE $0.00 °O " NEWPORT BEACH CA 92660 °e�• ee e•eoo Phone: 714-623-6962 State Lic:C-063595' e e e • • m ° Designer: 0 e me000 Address: o o e o me o n omeoo° 0 Phone: o m m•eeme e o e.mc Special Conditions: NO SETBACKS Planning Department - Fire Department Plan check Fee $46.25 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $313.00 Fee Due at Permit Issuance : $390.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Cts APPROVAL TO ISSUE: t � r - Fire Department $46.25 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 $313.00 Fee Due at Permit Issuance : $390.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Cts APPROVAL TO ISSUE: t � r - 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 he 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, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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, 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 df p"grty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 am exempt front Mensure under the Contractors' State License Law for the following reason: Iy;I1`11 Ainoature *lop h%cknowledge 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 legall) ellstructure 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 'refessioas Code, is, available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. i6natdrt of Property Olvper or Authorized Agent Date .IL"99D CONjj?AQTOR'S DECLARATION h@rety-affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 v of the Business and Pr Si n y 1'ce se' ' 1 force W affest. License Glass License No Dat Contractor Signature VO7RRERS' COMPEWSATION DECLARATION VWMAILURE 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 F C0MPENsATIbNJV1:8AGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11Ei94Y.qfimn undfVpenHlty of perjury one of the following declarations: 34 -have and wil4main 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 eOormance of the work Tor which this permit is issued. Policy No. e 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' compensatioi Isurance carrier and policy number are: Policy Number Dale ne of Agent rnune « certify that, in the pUorj a e of the work for which this per it is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I, if I should becomt rkers' compensation p isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�� nature of Applicant Da f CLARATION REGA DING ONSTRUCTILENDING AGENCY Ireby 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, I 1 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.o ances and state laws relatia to building construction. I authorize representatives of this city or county to b ve-id tifi d pro art- f r inspection purposes. n /��q ��� Date nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name, Y IllssAL9 ACTION DATE BY DE RATION OF VMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \. REGULATIONS PAR 61 OFTITLE 40 ANDAQMD RULE 1403 PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF 7-I at -2( OCCUPANCYISSUED ASBESTOS NOTIFICATION TO NOTAPPUCABIIE TO