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HomeMy WebLinkAboutX2022-0295 - Permits�w �, City of Newport Beach - Building Division 'X2022�-0295* COMB Permit: X2022-0295 t?, 100 Civic Center Drive, Newport Beach, CA 92660 p Project No : 0265-2022 �;.. ' L `, � Permit Counter Phone (949)644-3288 ca Inspection Requests Phone (949)644-3255 r:a „cam , Combination Type - SFP pg c ,&, 4 Issued Date : 02/07/2022 �draY 5 d 6 5 � 3s11 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/07/2025 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: 316 ISLAND AVE NB Description: SFR ADD PATIO COVER TO EXTG ROOF DECK Legal Desc.: EAST NEWPORT BLK A LOT 78 Owner: GLADDY KRISTY Address: 410 112 CLUBHOUSE AVE NEWPORT BEACH CA 92663 Phone: Applicant: HORNE JEFFREY Address: 6676 VAN BUREN BLVD RIVERSIDE CA 92503 Phone: 951/906-2774 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Valuation: Contractor: DIAMOND WEST CONSTRUCTION Address: 6676 VAN BUREN BLVD RIVERSIDE CA 92503 Phone: 951-906-2774 Con State Lic: 927263 Lic Expire: 07/31/2022 Bus Lic: BT30075938 Lic Exp Date: 07/31/2022 2019 Workers Compensation Insurance V-B Carrier: NO EMPLOYEES R3/U Policy No: 0 Expire: 0 Building Setbacks Rear: I Front: I 7 Left: / s Right: 13 X-0.2PCT Use Zone: Parkina Spaces: 0 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $1.27 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $565.04 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lic: Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 .... Phone: 714-662-0510 State Lic:S-005289 Designer: Address: ° °® Phone: , o°°• F Special Conditions: HIGH DENSITY AREA LIQUEFACTION ZONE ° eo •e 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: $50.75 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 : $565.04 PUBLIC WORKS APPROVAL PLAN CHECK BY: \ �Qr APPROVAL TO ISSUE: �b 2 a ° • 0 °°co• 0 • c • 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, 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, Business 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 improvements 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 improved 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hffp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OO) of Division 3 of the Business and Pr a sions d'my license is in full force and effect. Licep%%Qlass License No Date ZZ Contractor Signaturey WORKERS' CQUIJOXNSATION DECLARATION 'il$" FAILURE ;;O SV41RE 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 SOST OFCOMPENSATiON, IIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: • 141•dve and Nyls Qlaintain 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 the performance oft the wr rig for which this permit is issued. Policy No. • I Ifave 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' compensatior ii ILHilcip carn4,0d policy number are: Policy Number %Agent Date erti(y that, i"a 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 agree I# I should become•subject to the wor compensation provisions of Section 3700 of the any Code, shall forthwith comply with those provisions. •, • . nature of Applicant • Date CLARATION REGA�IN N TRUCTION LENDING AGENCY �reby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county toe er the bo e-id-entifiad property for inspection purposes. nature of Propertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Cat % 7' ACTION DATE BY D9!i-ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY " 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 15UBMITTED ASBESTOS NOTI FICATION TO PERMITC4NCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL �J !„t BEST S NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPO ED� OCCUPANCYISSUED SIGNATURE•