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HomeMy WebLinkAboutX2021-1229 - Permits�wr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �. Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 f txst,v �`a Combination Type - SFP ELEC PLUM COMB Permit: X2021-1229 Project No : 1081-2021 Issued Date : 08/04/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/04/2024 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: 1411 LINCOLN LN NB Description: SFR NEW DETACHED CABANA 360 SF Legal Desc.: N TR 3851 LOT 23 ..•. . • Owner: OLSON NICHOLAS Address: 1411 LINCOLN LN NEWPORT BEACH, CA 92660 Phone: 9496420857 Applicant: MCNEELYJOHN Address: 242 HARTFORD DR NEWPORT BEACH, CA 92660 Phone: 949-233-3435 Code Edit : 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 360 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $30,000.00 Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $3.90 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,243.42 PROCESSED BY: ZONING APPROVAL: Contractor: GRISSINGER FINE HOMES Architect: Address: 11912 ARROYO AVE Address: SANTA ANA CA 92705 Phone: 949-225-5755 Phone: Con State Lic: 807874 Engineer: Lic Expire: 05/31/2022 Address: Bus Lic: BT30043274 Lic Exp Date: 05131/2022 Phone: Worker's Compensation Insurance Designer: Carrier: WIC EXEMPT Address: Policy No: (NO EMPLOYEES) Expire: Phone: 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: AD r Front: 14O Left: /(S / Right: / ( Q $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.13 $0.00 $50.31 State Lic MANSHADIFARHAD 1800 E 16TH ST UNIT B SANTA ANA CA 92701 714-835-2800 State Lic:C-036840 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PIW Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 Plan Check Fee : $1,119.97 Fee Due at Permit Issuance : $123.45 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: m Qamo.• 0 .eem.. . o . o.eam• • oaa. 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 jot more than five hundred dollars ($500). 'J I, as owner of the 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, 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 'mproved for the purpose of sale). L7 I, as owner oft4® 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 own9epfptoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ® d e4exempt tromJicensure under the Contractors' State License Law for the following reason: ly my signaturd'bdlay( ?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 legal V9.a structure tha;l 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:http://w .leginfo.ca.gov/calaw.html. Signatwre of Prppe"%Nner or Authorized Agent Date CIMNSED CONTRACTOR'S DECLARATION LWpb,v affirm & M=penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) S 3 of the Business and Profe si s C , and ense is in full force jrjd.% eCt. Licen"6less License No DabContractor Signature _ XQF3KZRS' COMPENSATION DECLARATION iNING; FAILUREE! 'TO'',,fSfll'MRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE :T OF COMPEN94TJA, IIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. (/V�.f gel ):affirm urider penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thf formance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol trance carrier and policy number are: ua of Agent certify that, in the performance of the - if I should become subject to the wo of Applicant Policy Number Date v rwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre r `ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DKe ��n/// 'TION LENDING AGENCY \ I hereby affirm under penalty of pe$�that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). Lender's Name %% Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is cor t. I agree to comply with all applicable city and county ordinances s to laws r ating to building construction. I authorize representatives of this city or count enter the a e= a property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name G Dat JJJ ACTION DATE BY ATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULA NS PART 610E TITLE 40 AND AgMD RULE 1403 PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMIT FINAL IO'pjyZ ASBE T O S NOTIFICAT1 15 NOT APPLICABLE CERTIFICATE OF .PROPOSE DEMOLITION OCCUPANCY ISSUED 004 SIGNATLIk E.