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HomeMy WebLinkAboutX2022-1578 - Permitsry,,x rrt4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1578 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 2 2 1 5 7 e Project No : 1430-2022 H ° ' Permit Counter Phone (949)644-3288 ,,• .�,�' Inspection Requests Phone (949)644-3255 Issued Date : 06/0e/2022 Combination Type - SFP `+cueiu'� NO CONSTRUCTION NOISE Inspection Area : 5 0VRw 11`j PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT L D 1 `�,� 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 Sunda.r olida � f2 NG AND Job Address: 2215 PACIFICNB ON THE WEEKEND ppsE 11, Description: SFR REPAIR (E) E) DECK(S) 653 SF *STOP WORK 122-0538 n N Legal Desc.: CORONA DEL MAR BLK D FOR OF B �KAAU PDR ABAND STIR (PACIFIC DRIVE) .. 1r. Owner: NING STANLEYINANCY a4' Contractor: ONYftAL11117.qONST INC Architect: _ Ass: 587 AN O R Address: Address: 2215 PACIFIC DR D \ GHP'N CORONA DEL MAR, CA 92625 �- '"-�°O' If applicaV Phone:` Phone: 949-723-6449 Phone: We Lic: Applicant: NIELSEN PHIL r�yj�.. Con to Li 55i y ^ErneL M�t3�i5Ait^1100% refund Address: 6131 ANACAPA DR t Lc Eicjire: 04/30 2. �'� ti 1800 E 16TH S U B HUNTINGTON BEACH CA 92647 Bus Lre: SANTA ANA CA 92701 Phone: 714-717-1418 �� Lic Exp Date 2/ 2023 7totik"M State Lic:C-036840 Code Edit: 2019 pensataonlnsiy(anc Designer: Type of Construction: VB rr STATE COMP INS FUND ,` r Occupancy Group: R3/U P No , 1794693 Added /New sq.ft. Bldg: 0 `; - 0710112022 o Added /New sq. ft. Garage: 0+' -- No of Stories: 1 Ikl. Building Setbacks Rear: I Special onditions: LIQUEFACTION 8 HIGH No of Units: 1 Front: / DENSITY AREA Bldg Height: 0 Left: I Bldg Sprinklers: N Flood Zone: X,. as construction valuation: avu.uuu.uu ;' / (work started) ' `1 Building Permit Fee: $559.00 v; E ise Tax: $0.00 Planning Department- (no work Star �f ment $ 00 Plan Check Fee: $486.33*�•' A I�I�al Fee : '. 'IQls $0.00 Plan check Fee : Fair Share : $52.00 Fire ns ection: $0.00 Fire Plan Rev $ 04 Overtime Plan Ck: $0.00 '; G� Fee: $0.00 Investigation Fee: $559.003Gr ding PC Consult an $0.00 Demolition Fee $ 0 Record Management : $14.00 'Gr ding Permit Fee: �Gr din $0.00 In -lieu Housing Fee : is Works Department- $0.00 Insp. Gen ral ce $ Energy Compliance: $0.00 $ .0- CA Seismic Safety : $0.00 ^_' W Insp:• Park Dedication : jCilding Bond: .OL� Disabled Access : $0.00 $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $1,672.33 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $538.33 Fee Due at Permit Issuance : $1,134.00 ?U3L:C WCRV.S 9PPROVAL: PLAN CHECK BY: APPROVAL 50 ISSUE: 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 items) '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 rct 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, 3usiness 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). 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). 1 am exempt from licensers under the. Contractors' State License Law for the following reason: 3y my signature below 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 legally cell 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 professions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION -� -=-W -`---. hereby affirm under penalty of perjury that I ain licensed under provisio s o Ch ter �co mencing withSection ) of Division 3 of the Bus�li E55-and-P - essi . ' e m� license is in full force and effect. License Class : - - License No - c.� Date — r L- Contractor Signatur NORKERS' COMPENSATION DEGLAR TION - II a�ajoliCaple: kt NARNING: FAILURE TO SECURE WORKERSP COMPENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS If 0 1, IN ADDITION TO THE :CST OF COMPENSATION, DAMAGES AS PROVI QED FO IN SECTION 3706 OF:THE LABOR CODE, INTF((eT ANp.ATTO NEY'S.Fssss O!� j• hereby affirm_ under penalty of penurypue of e follt�wing declarations "" 7v °r -0 " 80% or a 61 ❑ 100 /o refund I have and will maintain a certihcafe"of nsen o self Insure for workers 1tTrott 'p s t'jon„ " u b ec 4 D, ndustrial Relations as provided for by Section 3700 t`�, abor Code, for th, �ert:Gfrnance of the work for which this p`i rmit issue ' Policy No. ' � t ra"'.{,?'d to whom: have and I ri.@intain war coreipen lion u once as required by Section 3700 of the Labor Cade, for the performance of the work for w Ic y keys' compensatior nsurance came rl�alley n er To farrier _ o ber - Expiration Date d °; Vame of Age*-- Phone # '1 M :1I certify that, in the performance of ig worl for which this ermit is issued, I shall not employ a p son to become subject to the workers' compensation I s, sCalifornia, and agree hat, if I should become su act to the �� rker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 signature of Applicant - Date � DECLARATION REGA DING CONST CTI N L ND A 6�1 p. hereby affirm under p nalty of perjury:•4Sat th re is - ru rn y fci tr jj r Iaa ce of the we for ich his `r ' s d ecti n 3097, vil Code). -ender's Name �- 6 d ss 3y my signature below, I certify to eac4f the ollo ng: (work s#rted) I am the property owner or authorized to t on the property owner's beha (no work started) have read this application and the,4Bforn f�ypj�q11 �ave provided is correct. - I agree to comply with all applicability It!d6WIt ordinances and state laws relating to building construction. I authorize representatives of this d$y or umy ter the a dents ie prop Signature of Property Owner or Authoria`43d A at Property Owner's or Authorized Agent's Na 0 ACTION DATE LARATION OF COMPLIANCE WIT F ucr nNl v nc . s:.. r_ - 1403 _ PERMITEXPIRED ,.�� ISUB TIED ASBESTOSNGTIFCATION TO PERMITCANCELLED LJEPA - PERMIT EXTENDED p PERMITFINAL J0ZASBp6oj rfTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PRO ED OLITION� OCCUPANCYISSUED NATURE: ...yf-- �i��