HomeMy WebLinkAboutX2021-0276 - PermitsCity of Newport Beach - Building Division
�+ 100 Civic Center Drive, Newport Beach, CA 92660
` Permit Counter Phone (949)644-3288
.. '. y Inspection Requests Phone (949)644-3255
Combination Type - SFP
*X20210276* COMB Permit: X2021-0276
Project No : 0301-2021
Issued Date : 02/26/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212712024 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: 1905 DIANA LN NS -
Description: SFR REPLACE EXISTING METAL ROOF, INSULATION & SHEATHING 4�.9 ���0
Legal Desc.: N TR 1805 LOT 29 �°'
Owner:
BRAUN CHRISTOPHER A
Contractor:
CARROLL BRIAN
Architect:
Address:
1905 DIANA LN
Address:
364 VISTA BAYA
Address:
Disabled Access :
NEWPORT BEACH, CA 92660
Hazardous Mat
NEWPORT BEACH CA 92660
-
Phone:
$0.00
Phone:
714404-4999
Phone: 'State Lic:
Applicant:
CARROLL BRIAN
Con State Lic:
348696
Engineer: ......
Address:
364 VISTA BAYA
_ Lic Expire:
1213112021
Address: ....
NEWPORT BEACH, CA 92660
Bus Lic:
BT98042804
e e
00.
Phone:
7744044999
Lic Exp Date:
08131/2022
0 o e
Phone: State Lic:
Code Edit: 2019
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $679.00
Plan Check Fee: $590.73
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %m:
Rear: /
Front: I
Left: /
Right: /
Parking 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
Designer: GRAFF BRAD
Address: 2601 MAIN ST STE 770
IRVINE, CA 92614
Phone:
Special Conditions
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
PM/ Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,323.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,323.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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
Ifessions 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 (_) all of Or (—) portions of the work, and the structure is not intended or offered for sale (Section 7044,
>iness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Havements 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
)roved 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
)ly 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 legally
I 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
)fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
mature of Property Owner or Authorized Agent - Dale
TENSED CQNTWTOR'S DECLARATION
?reby affirm unQdtpC:nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ti 00) f Divisio 3 of the Bu ' ass and Professi ode, and n {'cans is i ull for e
12ff2�i. License Chase License No Da 'La Y,�ontra t r Signature,
DRKERS' COMPENSATION DECLARATION
RAIPI9: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CNIL FINES U TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
3T OF COMPENSATION"MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;rob*affirm AGIVi'p$)alty of perjury one of the following declarations:
✓!
Pave and elll-msintain 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 IN
folmynce of $he worZ for which this permit is issued. Policy No.
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'
rend 19 licy number are:
• • • Policy Number Expiration Date
certify that, in the pertorman - f ork for which this
issued, Ishall not em toy any person in any manner so as to become subject to the workers' compensation laws of California, and ogrethat,
if I should become s 'e6f to r rs' compensaf n ions of Section 3700 of he Labor Code, I shall forthwith comply with those provisions.
amn�,,�s
Signature of pp
Da `Y �' 2Z 2
DECLARATI EGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm un er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3
7, Ci Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
1 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 ordi ces and at law relating to building construction.
---- ------
I authorize representatives of t ' c' or county to ant a bove-id ntifie rop y ff r inlspe,,cttiion)purposea.
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Signature of Pro pert Owner or A ized A e `� `�"�r+1�tErdperty Owner's or Authorized A ant's e
Da
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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