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HomeMy WebLinkAboutX2022-0294 - PermitsCity of Newport Beach - Building Division "X2022-0294 ' G,A 10o Civic Center Drive, Newport Beach, CA 92660 11 SON -7- rw Permit Counter Phone (949)644-3288p Z, !� Inspection Requests Phone (949)644-3255 4 c ,* Combination Type - SFP a G PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID WSPE N. PR TS M E COMPL Construction Hours: Monday - Friday 7:00 a.m. to 6:30 P. . and Sa i ay fr6iq :00 a.m. 1!04 Job Address: 313 ONYX AVE NB Q t Description: SFR CHANGE OUT WINDOWS/DOORS, INSTALL POTSHELF TR S @ M[f6 BE M Legal Desc.: BALBOA ISLAND SEC 3 BLK 18 LOT 30 Owner: LYON MICHAEL/BECKI Address: PO BOX 365 REDLANDS CA 92373 Phone: Applicant: COLLINS W WAYNE Address: 26582 VIA CALIF CAPISTRANO BEACH CA Phone: 949/443-0236 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Gare No of Stories: No of Units : Bldg Height Bldg Sprinklers: 2019 VB Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $2.60 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 PROCESSED BY: Contract115, J F.SMITH CO TRUC'r Address: 3 `FI RW OOD q✓ ALISO*EJO, CA 56 Phone 714-617-0990 , Co (ate Lic: 818669 Expire: 12/3112022 12624 Bus Lie: ST30077876 .fV Lic Exp Date: 02/2812023 - a5 •V VA 'a Compensation Insurance Carrier EMPLOYEE SERV GRP "D .PolicyNo: C69989172 TOTAL FEE: $843.52 ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2022-0294 Project No : 0264-2022 Issued Date : 0210212022 Inspection Area : 2 ID BY 0$1I OR PERMIT WILL BE INV, p.m. No I*prk on Sundays or Holidays Architect: COLLINS W WAYNE. Address: 26582 VIA CALIF CAPISTRANI) BEACH CA 92624 Phone: 949/443 6\ Stat` is C011179 Engineer: Add ass, Phone:, �l ate Lie: Designer`:• 'A\ ecial Co in uildin S a R2 I g 1 Front: / ` Left: / �r Right: / /. ❑arkinn SnacPS' "e 0 Fire He, drd Zoi hi Fee: Bonds PC Co ©{� Q4 Share; In-li He ng Fee: Pu c ksDepartment- P Dedication: $0.00 NJ Plan Check: ' $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fee : $413.92 s:, LIQUEFACTION & HIGH DENSITY AREA Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit issuance: $429.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the r son( 'ndieated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, a , improve, nr lish, 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 Contra s' State Licens aw, (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 exemptio by violation of Sg iti 7031.5 by any applicant for a permit subjects the applicant to a civil pehalty of not more than five hundred dollars ($500). �p I, as owner of the property, or my employees with wages as their sole compensation, will d' L) all of or L) po of the w 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 ar vner of property hd1, rough em eye ' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improve nt is so�vyvithin opt BE of comp ion, the wner-Builder will have the burden of proving that it was not built or improved for the purpose of sale). ,9� \�v I, as owner of the property, am exclusively contracting with licensed Contrac s to co t th r act (Section 44, Business and fessions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who cent r s for th lects v h`d licensed ntractor pursuant to the tractors' State License Law). I am exempt from licensure under the Contractors' State License La r the f��llOT g re qO By my signature below I acknowledge that, except for my personal re nee in whit I ml}g-4,1je�a resided rat least one year prior to completion the improvements covered by this permit, I cannot legal[) sell a structure that I have built as an owner -builder if it has not bee onstructed in its�Plt'l y by lice>tl contractors. I understand that a copy of applicable law, Section 7044 of the Business and Professions Code, is available upon request when this applicafio 'is submitted or at th lowing + site:http://www.leginfo.ca.gov/calaw.htmi. Signature of P,crperty Owner or Authorized Agent -lJ Date LICENSED cnNTRACTOR'S DECLARATION I hereby affirm,undBr.. penalty of perjury that I am licen under pro ions of Chapter 9 (ocynmencing with Sectio 7 00) of Di ision usiness and Pr ions Code, and my license i5 in full force and effect. License',Class Lice a No Dot ontractor Signature NO tKERS' COMPENSATION DECLA C /`'� NArI NG FAILURE Tfl SECURE WORKERS' COMPE. TION COVE EIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN 65 AW0 CIVIL FINES UP TO ON U R THOU'�ANo DOLLARS I$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRO"" OR IN SECTI 3TOs OF THE LABOR COOS, INTEREST, AND ATTORNEV'S FEES. ®iiivvveddd''' hereby affirm under peXcifica e of the f lowing declarations: ' have and will mai i'c sent to`self-insure for workers' compensation, issued by the Directo� of strial Relati s a&pr id for by Section 3700 of the Labor Code, for IN )erfnrrirance of the work is issued. Policy No.�1,ne and will mnictensahon insurance, as required by Section 3700 of the L bor Code for th5-''performanc of thR•vlwrk which this permit is issued. My workers' compensatior hIdran-e carrier and icy nurn r re: Policy Number ` • it n Date Vnmo of Age _ i. \ P p e # I certify that, the Wlrmawo of the work for which this permit is issued, I shall not employ any person in any m er so a o ome subject to the workers' compensation laws of California, and agree hat, if I should b ome si. - io the w%kers' compensations provisions of Section 37 of the Labor Cod shall rthwith m with those provisions. mature of Air hereby affirm under, pen �ty of ender's Name `�,, y my signature below, I cel I am the property owher;or. I have read this application I agree to comply with all a{ I authorize representatives ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ""is a Cuction lending 9 t the property n ion I have i d Corr city and count or n es a SI orcounty er a -de gent E LARATION OF CC REGULATIONS PAB•Y Date_ the performinPeYfIlhe worl� or Ich this permit is issued (Section 3097, Civil Code). laws Ill g to buu in nstructiore. Fled ert for' p on purposes. nt Pro ertOwner's or Authorized A LIANCE T DE OF FEDERAL FOR OFFICE USE ONLY OF T137d 4 NO AQMD RULE 15 NOTAPPLICABLE TO