HomeMy WebLinkAboutX2020-0362 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
u $�: Inspection Requests Phone (949)644-3255
UarFa�`x%'' Combination Type- SFP MECH ELEC PLUM GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-0362
x 2 9 2 0 0 3 6 2 Project No: 0274-2020
Issued Date : 0212812020
Inspection Area : 3
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: 328 COLTON ST NB
Description: SFR ADD 184 SF TO KITCHEN & BONUS AREA, REMODEL KITCHEN & ALL BATHS 454 SF, WINDOWIDOOR C/O'S & REROOF W/COMP SHINGLE, VINARD DRAINAGE
Legal Desc.: TR 772 LOT 13 BILK 14 ALL (EX NELY 5 FT) AND NELY 6FT LOT 14 BLK 14
Owner:
DAY SARAH/KLISZEWSKI MATT
Address:
328 COLTON ST
Occupancy Group:
NEWPORT BEACH, CA 92663
Phone:
714-313-1104
Applicant:
O'KEEPE KASEY
Address:
414 EMERALD BA
No of Units :
LAGUNA BEACH CA 92651
Phone:
949-474-5075
Code Edit:
2019
Type of Construction:
V -B
Occupancy Group:
R -31U
Added /New sq.ft. Bldg:
184
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee: $1,475.00
Plan Check Fee: $1,208.17
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$30.00
Energy Compliance:
$56.00
CA Seismic Safety:
$10.40
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $3,945.07
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
G DUFF CONSTRUCTION INC
Address:
6602 CERULEAN AVE
Fair Share
GAREDN GROVE CA 92845
Phone:
714-601-4194
Con State Lie:
1047977
Lie Expire:
12/31/2020
Bus Lie:
BT30070247
Lie Exp Date:
12/31/2020
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Policy No: GDWC073701
Expire: 07101/2020
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 S
Front: / S t
Left: /?I
Right: 15 t
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
$0.00
$103.25
$59.00
$132.75
Fire Hazard Zone : Y
Planning Department -
Fire Department
Plan check Fee
Architect:
Fair Share
$0.00
Address:
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
Phone:
State Lie:
$82.50
Engineer:
WICKSTROM ERIC
NMUSD Fee:
Address:
28581 VIA PRIMAVERA
$0.00
SAN JUAN CAPISTRANO CA 92675
$0.00
Phone:
949-454-8045 State Lic:S-003989
$0.06
.Designer:
O'KEEFE KASEY -
$0.00
Address:
414 EMERALD AVE
LAGUNA BEACH CA 92651
Phone:
949-484-5075
Special Conditions: VHFSSZ ,
Fire Hazard Zone : Y
Planning Department -
Fire Department
Plan check Fee
$160.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$82.50
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,465.42 Fee Due at Permit Issuance : $2,479.65
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Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.06
$0.00
Plan Check Fee : $1,465.42 Fee Due at Permit Issuance : $2,479.65
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PLAN CHECK BY:
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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. -J
le 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
Irofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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:
ly 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 legall)
ell 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.Jeginfo.ca.gov/caJaw.html.
',ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f iv] 'o 3 of the Business and Pr essi C nd my lI is in full force
nd effect. License Class License No Date 2 ontractor Signature /d
YORKERS' COMPENSATION DECLARATION
'gRNING: 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 ($100,000), 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 the
prmance of the work for which this permit is issued. Policy No.
GI have and wil @@Intain 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
Isurance carrier ;Olicy n er are:
arrier SP' _' olicy Number Expiration Date
ame of Agent Phone #
11 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 agree
tat, if I should become sub' t to the w rk compp,(ens!: /�'y► 1()islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `�
ignature of Applicant ��'� l A �/ D�tI� 2 � /2L 1Z)
crl ADATInM OGrA INr rnNQTMI I T nN i'FNDIN NCV / ` J
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)
Lender's Name Lender's Address
By 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 count to enter ove-identi 'e erty for inspection purposes.
Signature of Property Owner or Authorized A e Print Property Owner's or Authorized A ent's Na l�e.>✓rtr Date �J
ACTION DATE BY DECLARATION OF COMPL WCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
1403 + ••• • •.• •••
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I
NOTIFICATION IS BLE TO
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