HomeMy WebLinkAboutX2020-2839 - Permitsva b City of Newport Beach - Building Division
c7` e'r l 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
-. Inspection Requests Phone (949)644-3255
r'rair�w'E Combination Type - SFP ELEC
*X20202839* COMB Permit: X2020-2839
Project No : 2251-2020
Issued Date : 12107/2020
Inspection Area : 6
Address: 3614 SURFVIEW LN
CORONA DEL MAR, CA 92625
Phone: 9491300-7841
Code Edit:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1210812023 OR PERMIT WILL BE INVALID
Type of Construction:
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 Holidays
Job Address:
3614 SURFVIEW LN NIB
oFAA.,Or,
Description:
SFR- EXTEND 2ND FLR DECK & ADD ROOF TO (E) UPSTAIRS DECK 98 SF
Legal Desc.:
N TR 6228 LOT 6
Owner:
LUDLOW JIM Contractor:
OWNERIBLDR Architect:
Address:
3614 SURFVIEW LN Address:
LUDLOW JIM Address:
General Service
CORONA DEL MAR, CA 92625
O/B AUTH ATT
Phone:
9491300-7841 Phone:
Phone: State Lic: `
I'f�
Applicant:
LUDLOW JIM Con State Lie:
0/B Engineer: HUSZCZ MARIAN JOHN
Address: 3614 SURFVIEW LN
CORONA DEL MAR, CA 92625
Phone: 9491300-7841
Code Edit:
2019
Type of Construction:
V -B
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
$0.00
Added /New sq. ft. Garage:
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $10.000.00
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$1.30
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $578.79
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone: R-1.6000
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 20
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17.22
$0.00
$0.00
Plan Check Fee:
Address: 8 CORNWALLIS
IRVINE CA 92620
Phone: 949-551-3316 State Lic:S-003555 0 .....
c
Designer: JAURET DENNIS °O °
Address:
c °oo
Phone: °
0000
Special Conditions:
000
o c
Planning Department -
Plan check Fee:
Fair Share:
o 0 0 0
SJH Trans :
Fire Inspection:
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $578.79
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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ommo0o
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0
m o 0
00
0
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00 0
oeo0c
0000n0
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c0000
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Fire Department
o 0 0 0
$46.25
Fire Inspection:
$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
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $578.79
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
° n
ommo0o
o c
0
m o 0
00
0
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00 0
oeo0c
0000n0
000000
c0000
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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 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
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, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
iI rovements 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).
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 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 legalh
sell a structure that I have built as an owner -builder if it has not been onstructed 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 Jt 31s`Bpplicatio ub d or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of of Property Owner or Authorized AgenYi�� 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
WORKERS' CMPI�VSATION DECLARATION
V*RNING:.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 THI
COeSar•ODMPENSAJION,,pJ,MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I aereby affirm uhrjer peDalty of perjury one of the following declarations:
1�rP b;Vb 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 tt
peror mance of thedwk for which this permit is issued. Policy No.
®l ilaye and wili'ITt1Tltain 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' compensatir
iUWgr1ce carne: and policy number are:
Garue - • •' Policy Number Expiration Date
Marva OLAgent • Phone#
I certl(y• that, in. the•p.ertormance 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 agrl
thetl ifJ should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
•' • • Date
Signature of Apbyr,Rpl • —
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
rreby 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
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.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or county toter ov Ified property for inspection purposes.
nature of Prooertv Owner or Authorized ADent _ Print Property Owner's or Authorized Agent's N;prfie TA M
ACTION
PERMITEXPIRED
PERMIT CANCELLED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATEI BY / I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
Pt -.t,—
` ! ookOANION ISNQAPABLE TO
on n�
FOR OFFICE USE ONLY
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