HomeMy WebLinkAboutX2021-2879 - Permitswank City of Newport Beach - Building Division `X2021-2879'
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,� 100 Civic Center Drive, Newport Beach, CA 92660
�, Permit Counter Phone (949)644-3288
-¢ Inspection Requests Phone (949)644-3255
+* - Combination Type - SFP
COMB Permit: X2021-28
Project No : 0428-2021
Issued Date :
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 10/26/2024 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: 1325 MARINERS OR NB
Description: SFR ADDITIONAL SCOPE -ADDED (9) LIGHTS, GYP BD & INSULATION IN GARAGE (REV21-1648)
Legal Desc.: N TR 4981 LOT 15
Owner: NORTON M DARRIN
Address: 1325 MARINERS DR
NEWPORT BEACH, CA 92660
Phone
Applicant: ULLMAN TOBY
Address: 9138 RESIDENCIA
NEWPORT BEACH CA 92660
Phone: 949-350-6758
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. R. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
11 Construction Valuation: $7,000.00
Building Permit Fee: $195.00
Plan Check Fee: $169.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $421.65
PROCESSED BY: ,RS
ZONING APPROVAL: l l
GRADING APPROVAL:
Contractor: TRUE HOME BUILDERS INC
Address: 67 EDGEWOOD
IRVINE, CA 92618
Phone: 310-466-4586
Con State Lic:
1073280
Lic Expire:
02/28/2023
Bus Lic:
ST30074726
Lic Exit; Date:
03/30/2022
Worker's Compensation Insurance
Carrier:
ACCREDITED SURETY
Policy No:
IATCA16004567
Expire:
03/01/2022
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
ULLMAN TOBY
Address:
9138 RESIDENCIA
NEWPORT BEACH, CA 92660
Phone:
Special Conditions: REV21-1648
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSO Fee:
$0.00
Plan Check Fee : $421.65
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 : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
w
u
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 crvil,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 U all of or U 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).
❑ I, as owner of'.he pruperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly 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).
LI I and exempt hc,T, ;.censure under the Contractors' State License Law for the following reason:
By my signature b�lTv 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 legall)
snI'I ,^ stri-cture 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 Codeis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property O.iner or Authorized Agent Date
L!CE'NSED CONTRACTOR'S DECLARATION
I affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f Di isio 3 of the Business and Profe,sons myense is in full force
and PffPct. License Cass License No Date 61contractor Signature JC
WORKERS' COMPENSATION DECLARATION
A' IRNING:.�AILURE TO S-CURE 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 COMPENSACDN, D:IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I :lereby 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.
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 and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner soas to become subject to the workers' compensation laws of California, and agre
if I should become subject to thew s�compe/nssaation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant /� (-/ C!< Date /xv
7LARATION REGAR— INGONSTRUCTION LENDING AGENCY — !—
Ireby 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),
Ider's Name Lender's Address
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 enhfied property for inspection purposes. {� 1 I
nature of Prooertv Owner or Authorized Agent ie Print Prooertv Owner's or Authorized Agent's Name\ , r �-•t C4U1f_
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF II REGULATIONS PART 610 TITLE 40 AN AQMD RULE FEDERAL FOR OFFICE USE ONLY
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED DEPA
PERMIT EXTENDED LIAQMD
PERMITFINAL 5 / /%/ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF / f�I PROPOSED DE�f2UTION
OCCUPANCYISSUED ar.NATIIRF- _1_e__—
Date