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HomeMy WebLinkAboutX2021-0535 - Permits� e City of Newport Beach - Building Division [Illlllllllllllll�lllllll�lllllllll�lllllllll�}(]� P OMB DPer 90 ZoX2021-0535 100 Civic Center Drive, Newport Beach, CA 92660 f� 21 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 09/2112021 � �e°pig Combination Type - SFP ELEC Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912112024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. to 5:00 p.m, No work on Sundays or Holidays Job Address: 250 HAZEL DR NB Description: SFR - ADDING STORAGE AND HEIGHT TO 3 CAR GAR. INCL RE -ROOF & ELECTRICAL Legal Desc.: TRACT NO 673 BLK A LOT 44 AND POR ABAND STR (GLEN DRIVE) Owner: KAN STEPHEN WAYLAND Contractor. FINAL TOUCH CONSTRUCTION Architect: G ERIC Address: 250 HAZEL DR Address: 1343 BLOOMDALE ST Address: n(� MONTE MAR DR CORONA DEL MAR, CA 92625 DUARTE CA 90101 �LOS ANGELES CA 90064 Phone: 8181919-5678 Phone: 626-712-3698 State Lic:CO25031 Applicant: KAN STEPHEN WAYLAND Con State Lie: 929141 ngineer: Address: 250 HAZEL DR Lie Expire: 02/28/2023 � �! Address: CORONA DEL MAR, CA 92625 Bus Lie: BT30076659 Phone: 8181919-5678 Lie Exp Date: 09/30/2022 Phone�� State Lie: Code Edit: 2019 Worker's Compensation Insuranc%4 ier: Type of Construction: V-B Carrier: EXEMPT Address: Occupancy Group: U Policy No: no employees _�4_ Added /New sq.ft. Bldg: 0 Expire: &1 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear. 10 Special Conditions: No of Units : 1 Front: 1 Bldg Height: 0 Left: 4. Bldg Sprinklers: N Right: 4 CT Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $75,000.00 Building Permit Fee: $1,009.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $945.83 Additional Fee: $0.00 Plan check Fee: $0.00 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: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $253.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $70.63 San Dist: $0.00 Building Green Fee: $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,298.21 Plan Check Fee: $1,180.59 Fee Due at Permit Issuance : $1,117.62 PROCESSED BY: �< o ©� a PUPLIG TWQ7ZKS AlzaROVAL: D r mot/ ZONING APPROVAL: C C ° ° PLA0N0CHE0K BYE ° P � GRADING APPROVAL: APPROVAL TO ISSUE: 0 p C 0 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) o ijthat j e 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 hundrec l 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 Profess ionsiCode: 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). ❑ 1, 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 l 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 'havej 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.c a.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 Prof sions Code, and my license is in full force and effect. LicenseiClass License No Date �t 9_ ✓ Contractor Signature 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. I 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 th performance of the work for which this permit is issued. Policy No. ❑I 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date as e of Agent. ertify that, in the pi that/ if I should become Signature of Applicant DECLARATION REGAI I hereby affirm under pr Lender's Name '!' !`' By my signature below, ormance 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 agre bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Dat )ING CONSTRUCTTON LENDIN6A ENCY Oi Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Co e). Lender's Address to each of the following: I am the property ' er 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 law relating to building construction. I authorize representatives of this city or county to enter the above-idenf propert for inspection purposes. Signature of PrODerty Owner or Authorized Agent lX Print Property Owner's or Authorized ACTION DATE BY DECLARPKION OF COMPLIANCE WITH CODE15F FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED El SUBMITTED ASBESTOS NOTIFICAT�ION TO PERMIT CANCELLED DEPA PERMIT EXTENDED 0/yQMD PERMITFINAL 1ASBESTOS N-?TIHUAII CERTIFICATE OF IV PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURW,TA d�.r. ON IS NOT APPLICABLE TO