HomeMy WebLinkAboutX2021-2634 - Permits�1F City of Newport Beach - Building Division
e 100 Civic Center Drive, Newport Beach, CA 92660
_w Permit Counter Phone (949)644-3288
-y l Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
COMB Permit: X2021-2634 IIIIIIIIIII�IIIIIIIIIIIIIII'llllll II
Project No : 2285-2021
Issued Date : 10/20/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012012024 OR PERMIT WILL BE INVALM m
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: 219 NORTH STAR LN NB .... a. m •. a
Description: SFR DETACHED OPEN LATTICE TRELLIS 326 SF °....'
Legal Desc.: N TR 4224 LOT 104
Owner:
CARR TIM
Contractor:
Address:
219 NORTH STAR LN
Address:
NEWPORT BEACH, CA 92663
Phone:
949-230-8454
Phone:
Applicant:
WOOLBERT CRAIG
Con State Lic:
Address:
5622 LITTLER OR
Lic Expire:
HUNTINGTON BEACH, CA 92649
Bus Lic:
Phone:
714-856-2605
Lic Exp Date:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: VE
Construction Valuation:
Building Permit Fee: $389.00
Plan Check Fee: $267.00
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: $744.23
PROCESSED BY:
ti
ZONING APPROVAL:
GRADING APPROVAL:
OWNER/BLDR
CARR TIM
DIE AUTH ATT
949-230-8454
DIE
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
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: 6'
Front: 10'
Left: 6'
Right: 6'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.23
$0.00
$0.00
Plan Check Fee
oe m•
Architect:
�.�� •
Address:
7 `•
L ..••
Phone:
State Lic:
•
�..°'
Engineer:
MARK IBRAHIM
�••
Address:
3436 E LONGRIDGE DR
ORANGE CA 92867
Phone:
9491669-9065 State Lic:C-00422V. m o •
Designer:
WOOLBERT CRAIG
Address:
5622 LITTLER DR
HUNTINGTON BEACH, CA 92649
Phone:
0
Special Conditions
Fire Hazard
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
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
$319.00 Fee Due at Permit Issuance : $425.23
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: G
APPROVAL TO ISSUE: $i
• •m
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)
(Section 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
the 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
Professions 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
not more than five hundred dollars ($500).
1
I, as owner of tpe property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Ine an "lit? $sions 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
rrpv ments 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
ed fo6Ne purpose of sale).
....
as owner of the property, am exclusively contracting with licensed
�yto an owner of property who builds or improves thereon, and who
,I am exempt {row licensure under the Contractors' State Leepse La
my signatuT�below I acknowledge that, except for my p sona res
a structuRretfi3fl,have built as an owner -builder if it h not be
%sions I ckA is available upon request when t ' a plicatio s
mature of Property Owner or Authorized Agent
i€fJSED QONIIRACTOR'S DECLARATI N
Irelny affirrA flpder',penalty of perjury that I am licensed under provisic
)effect. License C lass License No
WkERS'40NMNSATION DECLARATION
to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
f r the projects with a licensed Contractor pursuant to the Contractors' State License Law).
(lowing reason:
hich I must have resided for at least one year prior to completion of the improvements covered by this pe mit, I ca of lei,
in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of�he usiness and
at a following Web site:http://www.leginfo.ca.gov/calaw,html. / Q 1,b
Date
p
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Date Contractor Signature
ARNING: 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 "
DST 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
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'
rance carrier and policy number are:
of Agent
Policy Number Expiration Date
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
iECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
enders Name Lender's Address
y 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 provi act.
I agree to comply with all applicable city and county ordin ces and s to kding construction.
I authorize representatives of this city or county to enter a above-ide If" prection purposes.mature of Property Owner orAuthorized Aqent d nt Property Owner's or Authorized Agent's Name
n
ACTION
DATE
BY '
DECLARATION 66rCOMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LJEPA
PERMIT EXTENDED
QMD
PERMITFINAL
0ASBESTOSNOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
�.��•
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: