HomeMy WebLinkAboutX2018-3562 - PermitsCityofNewport BeachBeach, -Building Division II II�� IIIIII III IIIIIIIIII
#,Pg 0lVCenter Drive,
Permit Counter Phone (949)644-3288 _
'� xp Inspection Requests Phone (949)644-3255-
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Combination Type - BLDG
I II III II COMB Permit: X2018-3662
Project No: 2755-2018
Issued Date : 0410212019
Inspection Area : 8
PERMI )5 cXP)1-E 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION.
Construction Hours: Monday - Friday F:OU a.m
to 6:3U p,m. and S3ttu5day from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2120 ARALIA ST NB
Description: SFR - SOLID PATIO COVER 416 SF
Legal Desc.: N TR 4706 LOT 28
Owner: BRETTINGEN NICOLE
Contractor:
SNYDER & ASSOCIATES LANDSCAPING INC Architect:
Address: 2120 ARALIA ST
Address:
P O BOX 5606
Address:
NEWPORT BEACH, CA 92660
ORANGE CA 92863
Phone:
Phone:
714-997-2709
Phone: State Lie:
Applicant: SNYDER KERRY
Con State Lie:
895389
Engineer: KOLODZIEJ KENNETH J
Address: PO BOX 5606
Lie Expire:
04/30/2019
Address: 400 E ESTHER PLACE
ORANGE CA 92863
Bus Lie:
BT30060490
PLACENTIA CA 92870
Phone: 714-997-2709
Lie Exp Date:
09/30/2019
Phone: 714-996-1219 State Lic:C-064768
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
EMPLOYEE SERVICE GROUP
Address:
Occupancy Group: U
Policy No:
RWCC64383978
Added /New sq.ft. Bldg: 0
Expire:
06/01/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6
Special Conditions:. {
No of Units : 0
Front: 6
Bldg Height: 0
Left: 6
--
Bldg Sprinklers:
Right: 6
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$25,000.00
Building Permit Fee:
$359.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $261.00
Additional Fee:
$0.00
Plan check Fee :
$40.00
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:
$0.00
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:
$0.50
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $661.50
Plan Check Fee
: $301.00
Fee Due at Permit Issuance :
$360.50
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
mL A
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law fir the neasoll(s) ladicalad 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 consbuc, altei, improve, dJmolizh, on repair any structure, priorto 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 (Cnapter 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 civil 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 Fil of;Dr Ll portions of the work, aI.d 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 or property who, [hro,.gt. empb; ces' 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 v.ith=rPcne 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 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
ap 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sect7000 f 4ivisi 3 of the Business and Profession {aq my 'cense is in full force
and effect. License Class License No ate �— Contractor Signatl11- .
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 THOUS JD DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 the
p ormance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
le of Agent
certify that, in the performance of
if I should become subject to
Policy Number
Date
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 agree
mp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGA C NST UC IOfl LENDING AGENCY
weby affirm under penalty of perjuil thl 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 ordinan;s an Late laws relating to building construction.
I authorize representatives of this city or county vofidoiflecl property for inspection purposes.
ACTION DATE BY RECLAZAION5 OF COMPLIANCET 61 O 40 H CODE
AQ OF RULE AL I FOR OFFICE USE ONLY
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED I IAQMD
PERMIT FINAL UAS13ESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF 5 PROPOSED DEMOLITION
OCCUPANCYISSUED r SIGNATURE:
M/