HomeMy WebLinkAboutX2021-1739 - Permits (3)City of Newport Beach - Building
100 Civic Center Drive, Newport Beoch,,Cp gzspo
H ti q, Permit Counter Phone (949)(344-32k8
v r Inspection Requests Ptuone (g49)'6,t4c32%5'
Combination Type - BLDG ELEC GRAD
r au*
Division
2021 1739i411
COMB permit: X2021-1739
Project No : 1523-2021
Issued Date : 0811812021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS A;7cR ISSUANCE OR'L45 r VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0811912024 OR PERMIT WILL BE INVALID
Construction Hours: Mundaq,- Frida)P7:00 a.m. to 6:30`o.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 515 EL MODENA AVE NB
Description: SFR NEW WOOD TRELLIS 25 SF, FOOTINGS FOR FUTURE PATIO COVER AND DRAINAGE INSPECTOR
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 36 LOT 21
Owner:
RAKESTRAW THOMAS E
Address:
515 EL MODENA AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant:
RAKESTRAW THOMAS E
Address:
515 EL MODENA AVE
NEWPORT BEACH, CA 92663
Phone:
714-865-2833
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:
Contractor:
O W NER/B LDR
Address:
RAKESTRAW THOMAS
DIE AUTHORIZATION ATTACHED
Phone:
Con State Lic:
Ole
Lic Expire:
Bus Lic:
Lic Exp Date:
2019 Worker's Compensation Insurance
Carrier:
U Policy No:
0 Expire:
0
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Architect: RAKESTRAW THOMAS
Address: 515 EL MODENA AVENUE
NEWPORT BEACH CA 92663
Phone:
9491474-5353 State Lic:C019790
Engineer:
THOMPSON DOUGLAS SEVIER
Address:
21084 BAKE PARKWAY #100
LAKE FOREST CA 92630
Phone:
949-599-0320 State Lic:S-002578
Designer:
Address:
Phone:
Special Conditions:
Construction Valuation:
$23,000.00
Building Permit Fee:
$467.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $406.29
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$16.00
Grading Permit Fee:
$237.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$199.00
Public Works Department -
CA Seismic Safety:
$0.50
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$32.69
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $1,411.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Zone: N
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
Plan Check Fee : $657.29 Fee Due at Permit Issuance : $754.19
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law wr the reason(s) indicated bcIo"I by the &e6km3rk(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. dPmolisn, or repair any strgcture, 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 S (com,nen�-iny 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 ;hE work, acd the structure +s 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 employe=s' or personal =.Ifort, 1ulds 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 cmmnledon, the Owner-Buildur will Aave the burden of proving that it was not built or
Li2proved 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).
❑ 1 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 legal)
sell a structure that I have built as an owner -builder if it has not been cgnstructed 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 b d or at the following Web site:http://www.leginfo.ca.gov/calaw,htm1.
Signature of Property Owner or Authorized Agent X Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic u r 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. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
NARNING: 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:
❑ 1 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 th,
oerformance 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:
Policy Number Expiration Date
of Agent
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,
signature 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),
Ender's Name Lender's Address
ly 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 an tate laws relating to building construction.
I authorize representatives of this city or county to enter thp,4b5eq ' entified property for inspection purposes. O
signature of Property Owner or Authorized Aqent iC % Print Propertv Owner's or Authorized Aaent's Name iC TY49n74y h i4r
ACTION DATE BY /' XCandfi10N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
!/ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LIAQMD
PERMITFINAL
LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:
64p, 2%
�y;xrertµ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIuII COMB Permit: X2021-1739
x 2 8 2 1 1 7 3 9 Project No : 1523-2021
Issued Date : 0811812021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811812024 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: 515 EL MODENA AVE NS
Description: SFR NEW WOOD TRELLIS 25 SF, 280 SQ ATTACHED =. YARD DRAINAGE
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 36 LOT 21
Owner: RAKESTRAW THOMAS E
Contractor:
OWNER/BLDR
Architect:
RAKESTRAW THOMAS
Address: 515 EL MODENA AVE
Address:
RAKESTRAW THOMAS Address:
515 EL MODENA AVENUE
NEWPORT BEACH, CA 92663
O/B AUTHORIZATION ATTACHED
NEWPORT BEACH CA 92663
Phone:
Phone:
Phone:
9491474-5353 State Lic:C019790
Applicant: RAKESTRAW THOMAS E
Con State Lic:
O/B
Engineer:
THOMPSON DOUGLAS SEVIER
Address: 515 EL MODENA AVE
Lic Expire:
Address:
21084 BAKE PARKWAY #100
NEWPORT BEACH, CA 92663
Bus Lic:
LAKE FOREST CA 92630
Phone: 714-865-2833
Lic Exp Date:
Phone:
949-599-0320 State Lic:S-002578
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
��
No of Units : 0
Front: /
O
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $23,000.00
Building Permit Fee: $467.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $406.29
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $16.00
Grading Permit Fee:
$237.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$199.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.50
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PNV Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$32.69
San Dist: $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,411.48
Plan Check Fee :
$1,411.48 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
_ _ _ _ _ _
_
APPROVAL TO ISSUE:
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).
LI 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).
❑ 1 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 legat!
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.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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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 ($100,000), IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
D 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 in
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:
Policy Number Expiration Date
of Agent Phone #
certify that, in the performance of the work forwhich 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.
Iignature 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).
Ender's Name Lender's Address
ly 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 to enter the above -identified property for inspection purposes.
Iignature of Property Owner or Authorized Aqent Print Property Owner's or Authorized Aqent's Name Date
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
6_1.7LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY