HomeMy WebLinkAboutX2021-0684 - Permits (2)r City of Newport Beach - Building Division ���������������������������������������������������������� COMB Permit: X2021-0684
100 Civic Center Drivq,.NIknport Beach, CA 92660
Project No: 0663-2021
F., Permit Counter Phone (949)644-3288
MU.. Inspection Requests Phone (949)644-3255
f`�rnlrrv,'� * - Combination Type - SFP Issued Date : 03/2912021
0 Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312912024 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: 20381 BAY VIEW AVE NS
Description: SFR - REINFORCEMENT OF EXTG FOOTING
Legal Desc.: N TR IS01 LOT 30
Owner: PANETTA ALLISON &JAMES Contractor: OWNER/BLDR Architect:
Address: 20381 BAY VIEW AVE Address: PANETTA ALLISON Address: ��
NEWPORT BEACH, CA 92660 O/B AUTH FORM ATT TO PERMIT
Phone: 949-200-7434 Phone: Phone: State Lie:
Applicant: PANETTA ALLISON Con State Lie: O/B Engineer: ANGOORY FEREIDOON
Address: 20381 BAY VIEW AVE Lie Expire: Address: 30 EXECUTIVE PARK SUITE 100
NEWPORT BEACH, CA 92660 Bus Lie: IRVINE CA 92614
Phone: 949-200-7434 Lie Exp Date: Phone: 678-677-9441 State Lic:C-090948
Code Edit: 2019 Worker's Compensation Insurance Designer:
Type of Construction: V-B Carrier: Address:
Occupancy Group: R31U Policy No: ....
Added /New sq.ft. Bldg: 0 Expire: Phone: ......
Added /New sq. ft. Garage: 0
No of Stories: 0 Building Setbacks Rear: I Special Conditions:
No of Units: 1 Front: l 2,0
Bldg Height: 0 Left: /
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parking Space
s: 0 Fire Hazard Zone : N
Construction Valuation: $1,500.00
a.
Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department- Fire Department ....
-
Plan Check Fee: $95.70 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
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm
Energy Compliance: $0.00 Grading PC Fee: $0.00 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 P/W Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSDFee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE: $260.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $260.95
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: V v
APPROVAL TO ISSUE:
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 hie plackd next to the applicable item(s)
ction 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
�ved for the purpose of sale).
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
ply 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).
J I am exempt from licensure under the Contractors' State
ly my signature below I acknowledge that, except for my pe
ell a structure that I have built as an owner -builder if it has
Irofessions Code, is available upon request when this c
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATIO `--
hereby affirm under penalty of perjury that I am licensed un
nd effect. License Class
Law for the following reason:
ence' which I must have resided for at least one year prior to completion of the improvements covers
cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section
b the following Web site:http://www.leginfo.ca.gov/calaw.html.
License No
and
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 1$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under p.enalty of perjury one of the following declarations:
I I have and willmainlain 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 lhr
grJWW§Ce of the woi;k for which this permit is issued. Policy No.
1have and wiM marttain 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
mumnce, carrier and policy number are:
Policy Number
Date
that, is ih'e pefrformance 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
ould beEOrht subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
baneby 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, Civil Code)
9grj,er'S1Vame Lender's Address
;y my signature below, *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 ordin,a0I5`FsNNd state laws relating to building construction. -
I authorize representatives of this city or county to enjqr he abpv i ied property for inspection purposes.
DATE I BY REGULATIONSPARTO PLIANCEOF 40 WITH
CODE OF RULE
I FOR OFFICE USE ONLY
PERMIT EXPIRED I I I I --I I SUBMITTED ASBESTOS
PERMIT EXTENDED 0 1 LIAQMD
PERMITFINAL /•^'•� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF /V ` ��,Q PROPOSED DEMOLITION
OCCUPANCYISSUED �Q IGNATURE:
J
M
N
omm S mo o p aov '<3 p
ID 'o nm a f<=m=F �D�'o D
(� P."""***��� m m co m m
O N 07 = o.46 N O m 3 N Co Ip N ~` p. N (D C7 SI = O
O Q O?m_ m = O D S m — a w a S l y = O O F O a
_ N C N= (D Q C W a m O M. O W C O V7 _— O C O a, n N
p n l 0 .O .� _ C a Q N = m nO = ti. n (D = a JC a'
O. z O c= N= a-
o�w �oyy �o� yQm cm 30sm °O �O�oo�m A oo� �mno�0
n 3 m s Z m
= M N N SU `mG C (p N S N =— N (D N N C d m `G N �. H m O
Nn .< N ._.. O. C N °< °_�". Q 0. N °' a N n p0 n ao S `G n n tQ y C N �'< N m N
m=y oic Q3o mom oo <m � cp�.p'�tD m=m=o0(D
No n „�Ta �o3m m— _� =av n3� (p n D ° mac��
= 33 00 ammC -a; m n sir- inn
o —c �D G m =< m mom �9 0 o ID y m c m F
>=v O C n �_ _ ^' ? m m m 00 p (D = ='v == N O (D = i a a O 3 f�
v m- o o c 3 3- 0 o y m m' Z
imm 0M@gCD 0 °nSp mg° wy m30 mm nm"o ° 3a CO 0ea�N��CD m
O N O d m m `G _ N G
o o d3, �.3m'm m3o am D=� m n 3�m=��� S r mSo vpa3
mE'a F6jm mmam �np om �...,.W mm �cQd�� m 0 ao3 CMD m
.� 000(� ��m= O =a c =m' mo@.Gmo m N� N
3 m'�` �N(o� daoOe Q'=N`� _m Kam 3o p�>>oc m 13i1 .G 3� coo-m
n m _
Do.m— vo Np mom y� a�- m �m �.��� p" -I �o,< N�
3 41 _ 0 N 6 0 '< C j _ O M m m C 'G n= .? D C O fn D 3 c
mv.3: omS.m- vim(n� _ m .3 =m�3m o Z eye 60 3
m=m 9=a ?�� nvm * 30 �Q 3.oM. vm * G fDm� CD
CD
m n' a O- S m 0- Rs
Q N N O O j ID N p a n E y a N C l0 O< N p' d
y d• O >• m (p (p G N Cr e m . p a d m M -p C (D J�
<o �m3 3n� gym m ?10m n.m 3<mm�v 3 � m�� <
m Q= r a Cl K CD = . y O q; a. oWi O(p p
�.< mcF,� ohm m�`< m mo oN mo3 N 'G a c3
O K n
09 0msm 5D�m �3m (D �CD �o�� °m' D f d'� m? =m
N '_' N - N O_ O. C O n 6 N K n (D a O o G � N m :*. I m 3
ID pjO�m m Dp== m 0� c'°�� aS o 0 p°-' O. N N N n S N p a (D N m< m Z O Q' C
_' cv m' °' COL p �`< (mnv °< o m m OT v N c <o (o
�a 01co0 CL �� o. m°, ca. fD ��6jm a Z =�C m3 o
= m -mom v� n - 31 m N m m m a o T Inc <' c
W (i 0 (D G N w S ?j (D (D O (D (D 3 O � O (D 0 7
3 >> 3 Efl 0,) = j 0 _S j 0` a = N CD
N ('D A 'O m 6 _D
m' CODcL (D fD OD n n C NO n N N °- m N � p-a a. `�: 3 M. C �- G
d N =o EP �. pm' (p oO: O 0 S v c ��.rmn ton Q QO 7� 1 m D 7 -NO
rmn (D = •• N N -: (O n O O_ �. O m _ n J = O a = Q- 7 (D
c a m (D 0 C 'G .N. C m (D N fOn N S .. (p �D �. Z O N=O-
_— N N 3 N (D aN ? @a 6N O 3 (D p _Sp � < CD
0 3 6 N p O c �. m O p- (D — S i2 N N Q 3 .=.. O y T N
3 m C. n C Q (D G (D O . O ((D O m m O p CD c 0
J N O. n S (D _" N (D C C (Sp m S Sr 0 n
'G m (o to N m - !D a m = (D (D S = 0
0
0
(D y
m
= m
° t7'ID CO
�' Z
S I
m- Giro y��
O d y V
G Z la
too o O
AWz� y
w n roro
N S r
co l 1
N zx
OD y
00
cn
Lam « C O N C C a a) y ?, N _. a) �a N
0 o m w o m am o a) C o c w c w a m c
Eacu>o �; a 0- a) 0) aLa�wY CL E �� we mc3
°EB0 E� u3 m o3o010°0.3 a am a)
a�io.p�_ C.- coim cti tO=U'0a) a) �' LL >1 m 0)
00 ca Tm a" o '3 TN aai c a) -C Ja E'w maw
° E C a) n c w m-0 T
co Ea o a
E c C' O j C cc w m U T- O 0 N y C W w y a m
doa `02 om g cmm�m>> y••c„
C m '� a) 0 0> S E 0 c rn G o. o fA m
m m` o a c n C m O a) a c> >• y 0) G O .m-. a) m p
wU mN ma "3 a 0m co
wy%m �' p w h W 0 Z
w �.. C n as -O c C d TOE, C N C v �, CO Z c v N N V c
_ o v m m E o — 0 m r u m 3 e 0 0 �? r m
O c p w0 0 Ci a) >. = m ca c •0 0 0 0) 'o C m¢
m O l0 m p a) p a 9 T 0 C o c m r G •la w a3 `O - O) o wiry•' v)
_ m N $: �) r O m O O'er,
L :�% �' ° N >' n E ; n U a) F = T O. z C
T.0 C m 0 O L m L 'p } m O r. W i N >. m V 0)
EE�rNi va) N.. z2 a)o o C�LO 0pi3 O Q d oCc 3@m
c w¢a�o c Ta) o a) w pL e H O d c m > c�
N° E N O_ C °' O c y w 'y G y O r., 0 0. .0 m 0
ca A as 10� 'v mE°-� 30- �• rya Z
rn.- w '� ry o g p Tp.O o E'= °' a a) 0vry
��ym '9� C'� E a�0o3Ca 0� Q mr Q xca.. oTcm
om cm `mm d E dm dma) E iL a.o U mw-00 a)
tf
'0 m- _j c 'co a s € E °) o c 3 _° m 0 m> v �` Q w ry er 0) c°i v,
E�oU 0.0
p3m mm oo �� 0. wm•r 40 Q amo a`0d
0 0 "° ` C c�c-_ T w w- w o N E 5 �' '� p w F a) C p m m 0 3
m 00 m mm is ca` N;c ca 03 ,o cx W 303n -oU
0 LU �> °'0) O°p �mm °wOU w ) V a e ) Q UOOc0 wfc -CD
c
E�. we �- >a om owwEw �w0Z o Q >a)mm €mac
`c0 rym rcu 0a a000Z ma) m0 W +� CCC0 2o�E
�7O Ja) U>, nn !�O mw�=o' tm cam_ 'H N O O ol!m a) r'C_. a)
o:F .2C ym a) 0) a)CL NN > mci aw ON Z a-00 n>0C
T C C m - > N N O° J °- 0 0 ° 0 O a) N EZ LA O L O m w .. C `�- 0 0 ]+
m BLm. tp CO d m m wt a) aa)) T>�O m c� =w ay 3 Q m H °� S d d rn Tm `c
E. O L T O- (0 V m° a C 0 0 0 Q a ° m C Q N d a 0 ¢ a) O>
a2iCN0 �� cc mEccm m 4) -Z r _rn �m N cryia wio a ¢ d cam
G (n m CYp1 m N .L.. .-mp- F 0 a) > M m O- O 0) C w v Q. l/i 3 O U'V ¢ .N O. C a
0 0 C� p N N 2 N N t A N T T+L-' J L C C 7 0 W O� t O= Z L C` C N � 0,2 0 7
N C m C' i ° L m 0 >+ 3 C ? y �.G o_ a) O C N F 0) - w 41 O O ] D� C h
C> U N v m'3 me o�wwmwmo ��03 a 3 w a)o m cwEh
'Karoo —gym --La —m �w�o>y�0 �c0y m U aa))O�p Q M.0 o ¢ o
_ w m rn N N L., a) O .Z` m r.. E T J N
C 4- O C w C i 0 w w a U m O 01 a) ry ¢ N C a) C O a c 0 m u m m C m N
coo -oo >0_%°O acio@caEiE>E ,�e•°'a� c o wry cOiN"O0 o E -0 aa)iw�C
DCa � E j 0L�0 m o d30• oc x m0 m a aa)
° °0 66 J3-U`oa�0 oa02O a` a Z 3O W ��u) a Z ¢ —CL
d
m
0
m
L
C
O
N
m
0
c
E
0 .N
o w
N m
c 0 U °
> O
45 a
N
m T
C w
o
wO
O a
m
nw
U 'N
w
¢ y
o
Z a
N
0
N