HomeMy WebLinkAboutX2019-1047 - Permits (2)1YJ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1047
" 100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 9 1 0 4 7 Project No: 0724-2019
r. Permit Counter Phone (949)64473288
v Inspection Requests Phone (949)644-3266
�d sax'' Combination Type - SFP MECH ELEC PLU
M 9`•1~ Issued Date : os/1812019
?�d�c5c�ln Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/18/2022 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: 2826 CATALPA ST NB
Description: SFR ADD 976 SF & ALT 805 SF
Legal Desc.: N TR 5018 LOT 71
Owner: PARK ANDREWIJENNIFER Contractor: BEACH CITIES CONSTRUCTION Architect: WEN FRANK H
Address: 2826 CATALPA ST Address: 39 ASHFORD Address: 1691 WESTCLIFF DR
NEWPORT BEACH, CA 92660 IRVINE CA 92618 NEWPORT BEACH CA 92660
Phone: Phone: 714.396-0896 Phone: 949.642-5212 . Stafeyic:CO21825
Applicant: WEN FRANK H Con State Lic: 580586 Engineer: MANSHADI FARHAD
Address: 1691 WESTCLIFF DR Lic Expire: 11/30/2021 Address: 1800 E 16TH ST UNIT B
NEWPORT BEACH CA 92660 Bus Lic: 8730056744 SANTA ANA CA 92701
Phone: 949.642.5212 Lic Exp Date: 10/31/2019 Phone: 714-835-2800 State Lic:C-036840
Code Edit: 2016 Worker's Compensation Insurance Designer:
Type of Construction: V -B -SPR Carrier: STATE FUND Address:
Occupancy Group: R31U Policy No: 9027984
Added /New sq.ft. Bldg: 976 Expire: 10/01/2020 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: FRANCHISED HAULER:
No of Units : 1 Front: 6 ROBERTS WASTE
Bldg Height: 0 Left: 6
Bldg Sprinklers: Right: 6
i DIAL/41�I=31
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rire mazaro Lone : 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
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access : $0.00
P/W 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:
$9,979.13 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS 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 t0 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).
U I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
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 legal
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.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 IN
erformance 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:
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 so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
iECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
ender's Name Lender's Address
y 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 above -identified property for inspection purposes.
of Prooertv Owner or Authorized
I DATE I BY
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
SUBMITTED
NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date