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HomeMy WebLinkAboutX2021-0293 - Permitswh�k City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0293 ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 2 9 3 Project No : 0311-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ` Issued Date : 04114/2021 Combination Type - SFP GRAD Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411412024 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: 700 BISON AVE NB t N 0 �- �a Description: SFR REMOVE/REPLACE DECK 576 SFWI PATIO COVER & W/DRAINAGE & SPIRAL STAIRCASE x� Lc„ 9� 1 Legal Desc.: N TR 4892 LOT 53 0 Owner: FITZGERALD ANNE M Contractor: LANDCRAFT STUDIO Architect: Address: 700 BISON AVE Address: 17481 PARKER DR Address: NEWPORT BEACH, CA 92660 TUSTIN CA 92780 Phone: Phone: 714-746-6154 Phone: State Lic: Applicant: MAGANA TONY Con State Lic: 1027460 Engineer: WICKSTROM ERIC , Address: 17481 PARKER DR Lic Expire: 08131/2021 Address: 28581 VIA PRIMAVERA TUSTIN CA 92780 Bus Lic: BT30074960 SAN JUAN CAPISTRANO CA 92675 Phone: 714-925-1566 Lic Exp Date: 0413012022 Phone: 949-454-8045 State Lic:S-003989 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: NORGUARD Address: Occupancy Group: U Policy No: LAWC10136 Added /New sq.ft. Bldg: 0 Expire: 07/24/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: No of Units : 1 Front: 6' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' =food Zone: X Construction Valuation: $28 000.00 Building Permit Fee: $535.00 Plan Check Fee: $465.45 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $8.00 Energy Compliance: $0.00 CA Seismic Safety : $3.64 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTALFEE: rMul. Caaov .1. ZONING APPROVAL: GRADING APPROVAL: Mb4 Mllra Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $232.00 $195.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 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 $195.00 Fee Due at Permit Issuance : $1,292.34 wnove n000rnrni . O PLAN CHECK BY: APPROVAL TO ISSUE: '�R ' 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 he 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 'rofessions 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 lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 mprovements 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). 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 Hpply 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: 3y my signature below 1 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignalure of Prnperty Owner or Authorized Agent Date -ICENS2D CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Div ion 3 of the Business and Professions RCode, anQ,m license is in full force sd effect. License Class License No Date Contractor Signature)l / i POKERS' COMPENSATION DECLARATION Tc IAKNING: 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 I$100,0001, IN ADDITION TO THE *ST OF COMF ENSA.T'ON, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 thl once 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 onu policy number are: Policy Number Expiration Date lame of Age€t A 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 ol California, and agref Hat, if I should become subject to the rs' connowsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignatu re of Applicant Date fCLARATION REGA ING CO STRUCTION LEN AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code). ender's Name Lender's Address y 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 a ove-i�nt' 'ad property for inspection purposes. �% iqnature of Property Owner or Authorized Aqent Print Pronertv Owner's or Authorized Agent's Name Da e ---Ibb fff-fff y DATE BY ULAT ONS ART 61 O TRATION OF IITLE 40 AND AQMD RULE CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGG PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED �9 (j,3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: