HomeMy WebLinkAboutX2022-1415 - Permits?gwaORr City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
*!' S Permit Counter Phone: (949) 644-3288
u tea„ Inspection Requests Phone: (949) 644-3255
'O1c, Fo newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Addition/Alteration
COMB Permit : X2022-1415
Plan Check No : 1301-2022
Issued Date : 08/23/2022
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 414 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 479 TR 907 LOT 479 SELY 15 FT AND NWLY 20 F T LOT 480
T FL BY24SF. REDUCE 2ND FL @STAIR AREA BY 52 AS chit ct R1OGOE ZEANDREW RATION 200 SF
Description: SFR ADD 180 SF LAUNDRY AREA. REDUCE 1S
Owner: I D L HOME Contractor: I D L HOMEHWY
#234 CORONA DEL
,
Address: 5 UPPER NEWPORT PLZ #201 NEWPORT Address : 5 UPPER NEWPORT PLZ #201. Address : MAR, CA 92625
949 945-9945
BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone : (949) 673-3152
Phone:
(949)945-9945
Phone. ( )
`
State Lie
Con State Lie : 760451
Applicant :
GOETZ ANDREW
Lie Expire: 11/3012023
BT30059341
Engineer:
Address :
2855 E COAST HWY #234 CORONA DEL MAR,
.Bus Lie:
CA 92625
(949) 673-3152
Bus Lie Expire: 05/31/2023
Address
Phone:
Phone:
- -
Workers' Compensation Insurance
Owner/Builder:
Carrier:
Policy No: EXEMPT
er
Address :
W. C. Expire
Address
Address
Phone:
-
' Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
Fire Sprinklers :
NO
Construction Valuation: $350,000.00
2019
No
Added/New/TI sq. ft. Bldg : 180
V-B Fire Hazard Zone a
1
Alteration sq. ft. Bldg : 3,200
U,R-3 No of Units :
2
Added/New sq. ft. Garage : 0
No of Stories :
Front: 0, Front: 4
X
RM - Multiple Residential
135
SPECIAL CONDITIONS: HIGH DENSITY ZONE
H-k(A(er:I 6.P, 5
CONSTRUCTION NOISE
WasEe
ON THE WEEKEND
/%
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that l am exempt from the Contractors' State License Law for the reason(:;) indicated below by the checkmark(s) Lhave placed next to the applicable items)
(Section 7031.5. Business and Professions Code: Any city or county, that requires a permit to construct Oiler, Imp€ova, demolish, or repair any structure, prior to Its issuance, also (squires the applicant for
the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors` Stato License Law (Chaplet 9 (commencing with Soclion 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from lcensure 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).
El
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 proffered 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).
ff 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
dapply to an owner of properly who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Lave).
1 am exempt from licensors under the Contractors' Slate License Law for the following reason: ,__„__,
By my signature below I acknowledge that, except for my personal resldBnca in which I must have resided for at lea
s1 one year pdor to complaLion of the Improvements covered by this permit, I cannot legal1!
Boll 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 Jaw, Section 7044 of the Business, and
Professions Code, Is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ea,gov/calaw,html,
Signature of Property Owner or Authorized Agent Oat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Divl on 3 of The Business and Professions ,and my license is In full force
and effect. License Class License No Dale 2 Z Contractor Signature
WORKERS' COMPENSATION. DECLARATION
NARNING: FAILURE TO SECURE WORKERB COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUS DOLLARS ($10%000). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OFTHE 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 selfAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
}erformenco of the work for which this permit Is issued. Polley No.
have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
ratios carrier and policy number are:
Policy Number
of Agent
Date
rm
I 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 ogre
t if Should become subJect o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y'�J
ItreARATN fYre of Applicsnl-,�L,.(. Oal�`_gI2 22- CLARATIOEOARDIN6 S7RUC7ION LENDING AGENCY �'��""'"—'"-"'�""— ----—./•-•—_,_,.�_„_��,..,,_,,,,_.
Ego ffl d
y a rm un erpenalty perjury that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Code),
order's Name Lenders Address
my signature 6efow, I certify to each of the following:
I am the properly owner or authorized to act on the property owner's behalf.
I have read this applicallon and the Information I have provided is correct.
I agree to comply with all applicable city county or finances slid stale laws relating to building construction.
I authorize representatives of this city or wooly (r the above -identified propertyfor Inspection purposes. n
PERMIT CAA CE[LcL,
CiRTIRCATC t F
OCCUPANCY GSUFD
BY I DE�ARATI ON OF COM PUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I RE ULATIONS PART fit OF TITLE 40 AND AOMO RULE
LIEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
_ qMD _ be In place priorto approval to fill pool/spa & shall remain In place & be maintained for the
ASBESTOS NOT] FIII ION 15 NOT APPLICABLE TO IifB of the pool,
Fee Name
Transaction Date Payment Method
Building
Building Permit Fee - SgFt Add
Building Permit Fee -Valuation
California Seismic Safety Fee 0-3
DMO Refundable Deposit Fee
Drawing Fee
Green Building Fee
Plan Check - Building (Legacy)
05/18/2022 CC EPL
Planning Department Fees (Legacy)
05/18/2022 CC EPL
Public Works Plan Check (Legacy)
05/18/2022 CC EPL
Waste Manage Fee - Building
Waste Manage Fee - General Service
GRAND TOTAL:
PERMIT FEE DETAILS FOR PERMIT X2022-1415
Fee Amount
$871.00
$2,489.00
$45,50
$564.00
$30.00
$14.00
$2,762.19
$208.00
$50.75
$27.00
$271.00
$7,332.44
Fee Paid Amount
Trans. Paid Amount Paid By
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,762.19
$2,762.19
$208.00
$208.00
$50.75
$50.75
$0.00
$0.00
$3,020.94
EnerGov Solutions
EnerGov Solutions
EnerGov Solutions