HomeMy WebLinkAboutX2022-0449 - Permits#wrn�A City of Newport Beach - Building Division
r 100 Civic Cener Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
ss Inspection Requests Phone (949)644-3255
* Combination Type - BLDG
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"X2022--0449* COMB Permit: X2022-0449
Project No : 0316-2022
Issued Date : 02115/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02115J2025 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: 440 PROSPECT ST NB
Description: SFR REMOVE UNPERMITTED WALL @ SOUTH SIDE OF PROPERTYIFRONT PATIO WALL TO STAY WITHIN P/L
Legal Desc.: TR 772 LOT 34 BLK 23 ALL (EX NLY 5 FT) THEREOF ANONLY 6 FT LOT 35 8LK
Owner: SIMONE MARCIA
Address: 440 PROSPECT ST
NEWPORT BEACH CA 92663
Phone: 9491302-9575
Applicant:
SIMONE MARCIA
Address:
440 PROSPECT ST
NEWPORT BEACH CA 92663
Phone:
949/302-9575
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 : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $110.00
Plan Check Fee: $0.00
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 : $111.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNER/BLDR
SIMONE MARCIA
O/B AUTH ATT
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5
Front: 5
Left: 3
Right: 3
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic: y`
State Lic:
Special Conditions: LIQUEFACTION AREA
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee
Due at Permit Issuance :
$111.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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).
❑ 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-Builderwill have the burden of proving that it was not built or
roved for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to construct the project Son 7- usiness and ssions Code: The Contractors' State License Law does not
a I to an owner of property who builds or improves thereon, and who contracts for the projects with a I' ctor pursue t e 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 w h I must have o t east one year riorto completion of the improvements covered by this permit, I cannot Iegall,
sell a structure that have built as an owner -builder if it h snot been Tuc In its entirety by se entractors. I understand that a copy of the applicable law, Section 704 of the Business and
Professions Code, is available upon request when thi pplic r h of wi site:http://�.leginfo.ca.gov/calaw.html.
of Property Owner or Authorized Agent _ Dateee:
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. LicenJv Class License No Date Contractor Signature
CO. iPENSATION DECLARATION
iA,d,NG: FAILURE ro SaLURE 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
'DST OF COMPENSATION, nAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hPreuv affirm under penalty of perjury one of the following declarations:
I have and will ma;ntain 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'
,an�e carriLr and policy number are:
Policy Number
Date
Jame of Agent _ _ Phone #
—1I cat'fy 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
n?1, If 1 should heccme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.nature of Applicant Da
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 cor
I agree to comply with all applicable city and county o n ate la lati to building construction.
I authorize representatives of this city or county a cc
entifi pro for inspection purposes.
nature of Prooertv Owner or Authorized ADe , �� Print Prooertv Owners or Authorized ADent's Name`. y
Civil Code).
�d�.
��
Date
ACTION
DATE
BYL-'
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
QM D
PERMITFINAL
�f 2
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
�l
PROPOSED DEMOLITION
OCCUPANCYISSUED
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