HomeMy WebLinkAboutX2021-3111 - Permits�y,.r nrky, City of Newport Beach - Building Division
fi13:. 100 Civic Center Drive, Newport Beach, CA 92660
is ry Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
c,�t,yiiti„+> Combination Type -BLDG PLUM ELEC
11111111111111111111p11p11111111111111p1111111111111COMB Permit: X2021-3111
Project No : 1811-2021
Issued Date: 11/23/2021
Inspection Area : 2
PERMIT EXPIRES 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/23/2024 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:
2731 BAY SHORE DR NB
Description:
BLOCK WALL 40 LF X T H (INSIDE THE P/L) FIREPIT W/ GAS AND ELEC
Legal Desc.:
N TR 1014 LOT 19�
g/'1
i P CT
Owner:
WEST JAN Contractor:
SAILHOUSE HOMES INC Architect: $ �7
Address:
2731 BAY SHORE DR Address:
170 NEWPORT CENTER DR #260 Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92660
Phone:
Phone:
949-281-6045 Phone: State Lie:
Applicant:
HAMPTON CRAIG
Address:
5500 E QUARTERSAWN ST
BOISE ID 83716
Phone:
949-209-8883
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Con State Lie:
1007531
Lie Expire:
0913012023
Bus Lie:
BT3005505
Lie Exp Date:
06130/2022
2019 Worker's Compensation Insurance
Carrier:
INS CO OF THE WEST
U Policy No:
WS0505264401
0 Expire:
12/29/2021
0
Building Setbacks
Rear: 10
Front: 10
Left: 4
Right: 4
Construction Valuation: $2,000.00
Building Permit Fee: $110.00
Plan Check Fee: $95.70
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: $224.30
PROCESSED BY:
ZONING APPROVAL:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
FORBES DALE L
1800 E 16TH ST #B
SANTA ANA CA 92701 /�g�Cv��
HAMPTON CRAIG 1efJ RUCTION p'+�
5500 E QUARTERSAWN ST
BOISE ID 83716
949-209-8883
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$7.70
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$9.90
ON THE WEEKEND
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: &_L1 APPROVAL TO ISSUE:
CA-L
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$224.30
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 L) all of or L) 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:http://www.leginfo.ca.gov/calaw.htm].
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 S. on 7000) f Di ision 3 of the Busl s and Professigt7's Po / and my license is in full force
and effect. License Class License No Da ContraG ignature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 THE
COST 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
'ormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
is of Agent i none rr
certify that, in the performancepf the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
if I should become subject to hHe worky' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARA ON R i(DING CONSTRUCTION LENDING AGENCY
;reby affir der penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
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 thi or county to J er tluausbove-identified property for inspection purposes.
nature of Property Owner orA thori Agent / A.: Lc/\!� Print Property Owner's or Authorized Agent's Name
Code).
laws of California, and
ACTION DATE `F RT DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE (f/
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
/
`J(�(/
L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: