HomeMy WebLinkAboutX2021-1824 - Permitsal's City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 )(2-02-1
Combination Type - SFP
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COMB Permit: X2021-1824
Project No : 0117-2021
Issued Date : 07113/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711312024 OR PERMIT WILL BE INVO
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: 1862 BRAEMAR WAY NB
Description: SFR REMOVE/IN-FILL (E) DOOR @ GARAGE
Legal Desc.: N TR 3282 LOT 42
Owner:
TIPPETT BLAKEIKORI
Address:
1862 BRAEMAR WAY
Record Management:
NEWPORT BEACH, CA 92660
Phone:
818-687-0449
Applicant:
MC)_AUGHLIN DAVE
Address:
23401 WINDOM ST
Hazardous Mat
WEST HILLS, CA 91304
Phone:
818-687-0449
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $800.00
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $258.70
PROCESSED BY:
ZONING APPROVAL:
Contractor:
OWNERIBLDR
Architect:
Address:
TIPPETT KORI
Address:
Phone:
Phone:
State Lic:n
Con State Lic:
O/B
Engineer:
AZIZISEFAT SOLAYMAN
F0
Lic Expire:
Address:
19510 VENTURA BLVD #110
� Y �
Bus Lic:
TARZANA CA 91356
Lic Exp Date:
Phone:
818-708.1962 State Lic C-1357840
0
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: /
Right: I
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00 -
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
-
Plan
Check Fee :
$0.00
Fee Due at Permit Issuance :
$258.70
PU&LIC.NORKS APPROVAL:
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VGL GLl O LGti 6 G
PLAN CHECK BY:
v
GRADING APPROVAL: iWiPROVAL TO ISSUE:
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OWNER -BUILDER
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)
3ection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
le permit iofile 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Cade: 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).
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 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 whe th' pli anon is s 'ted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. J
ignature of Property Owner or Authorized Agent D e 1
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio .000) Divis'on 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date I . Contractor Signature
YORKERS' COMPENSATION DECLARATION
'ARMING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have 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
erformance of the work for which this permit is issued. Policy No.
have 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' compensatiol
rance carrier and policy number are:
ier Policy Number Expiration Date
is of Agent Phone #
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 agre
`if I ehmild hacnma cuhiw<fn rhewnrIr�rc nmm�wncation nmvisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
of
Dde;�7 � I S -2_ 1
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby 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,
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 ordinances and laws relating to building construction.
authorize representatives of this city or count t en er t e above -I e r rty for inspection purposes.
n.._... D.i.a omnerry n--'. nr Anrhnrioed Anenf'e ldvrl I�4 rl
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIF ATIO •r0
EPA • s • r
NOTIFICATION IS NOT APPLICABLE TO
• •• • •
••• • • •• ••
Civil Code).
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