HomeMy WebLinkAboutX2019-1047 - Permitss City of Newport Beach - Building Division
u 100 Civic Center Drive, Newport Beach CA 92660
tiPermit Counter Phone (949)644-3288
�sC Inspection Requests Phone (949)644-3255
r age e Combination Type - SFP MECH ELEC MECH
COMB Permit: X2019-1047
X 2 0 1 9 1 0 4 7� II
Project No : 0724-2019
Issued Date : 0 611 812 01 9
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2826 CATALPA ST NB
Description: SFRADD 976 SF & ALT 805 SF
Legal Desc.: N TR 5018 LOT 71
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Owner: PARK ANDREWIJENNIFER
Contractor:
BEACH CITIES CONSTRUCTION Architect:
WEN FRANK H a
Address: 2826 CATALPA ST
Address:
39 ASHFORD.
Address:
1691 WESTCLIFF DR
NEWPORT BEACH, CA 92660
Phone:
IRVINE CA 92618
NEWPORT BEACH CA 92660 JJ
Phone:
714-396-0896
Phone:
949.642-5212 State Lic:CO218�5
Applicant: WEN FRANK
Con State Lie: 580586
Engineer:
MANSHADIFARHAD
-ya
°erakeC°
Address: 1691 WESTCLIFP DR
Lie Expire:..
11/30/2019
Address:
1600E 16TH ST UNIT B
NEWPORT BEACH CA 92660
Bus Lie:
BT30056744
SANTA ANA CA 92701
Phone: 949-642-5212
Lie Exp Date:
10/3112019
Phone:
714-835.2800 State Lic:C-036840
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
o .....
Type of Construction: V -B -SPR
Carrier:
STATE FUND
Address:
Occupancy Group: R31U
Policy No:
9027984
Added /New sq.ft. Bldg: 976
Expire:
1 0/0112 01 9
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 6
Special Conditions: FRANCHISED HAULER:
C ... ° °
No of Units: 1
Front: 6
ROBERTS WASTE
Bldg Height: 0
Left: 6
° °�
°
Bldg Sprinklers:
Right: 6
° °°
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $240.080.00
Building Permit Fee: $2,751.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $2,070.16 -
Additional Fee :
$0.00
Plan check Fee : $160.00
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: $50.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$24.00
Energy Compliance: $168.06
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $31.21
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access : $0.00
PMI Plan Check: $206.25
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$192.57
San Dist: $1,649.00
Building Green Fee : $10.00
Mechanical %:
$110.04
NMUSD Fee: $1,795.84
$0.00
Plumbing %:
$0.00
-
$0.00
TOTAL FEE : $9,979.13
Plan Check Fee :
$2,398.22 Fee
Due at Permit Issuance
$7,580.91
PROCESSED BY:
^
J `� `
i
PUBLIC WORKS APPROVAL: _ _ �d...J \C
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO 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 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 civil penalty. of
not more than five hundred dollars ($500).
❑ I, asowner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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
im roved 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
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 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://w .legin .ca.govfcalaw.htmi.
Signature of Property. 4wner or Authorized Agent Da
LICENSED CONTRACTOR'S DECLARATION
I teraby ®ffirm upXar papally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Divi i 3 of the Business and Profes , n se is in full force
and eff%ct. License Class License No Date �/ Contractor Signature
,401kV,ERS' COWPENSATION DECLARATION
NAGNINQ FAILUREdOBGWAE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CSSTOF ODMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h ere by�affirm under pe nalty of perjury one of the following declarations:
1.I, 009 and wit maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
3g grgVpce of the Mork for which this permit is issued. Policy No.
have:and wig i"'lkein workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
TiFyippGS, carrier and policy number are:
Aavie$. . : Policy Number Expiration Date
Vame of Agent
"" Phone #
:11 certify that, in theOeo
for this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree
:hat, if I should becomensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican D eDECLARATION REGN LENDING AGENCY
hereby affirm under of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
_ender's Name Lender's Address
3y 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 Upvided is correct.
I agree to comply with all applicable city and cou in a to laws relating to building construction.
I authorize representatives of this city or county a - entified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam i /C. a
ACTION DATE BY D C ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT C4NCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAL / /', �l RESTOS F10
I 1NO P CABLE TO
CERTIFICATE OF �
OCCUPANCYISSUED
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