HomeMy WebLinkAboutX2020-1691 - Permitsw11n City of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII�IIIIIIII IICOMB Permit: X2020-1691
« 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 6 9 1 Project No: 1331-2020
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Permit Counter Phone (949)644-3288
c"i $ 11spectiul� Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM GRAD Issued Date : 2020
Inspection Arearea : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012412023 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: 1606 IRVINE AVE NB
Description: SFR REMODEL 1,650 SF & ADD 670 SF, WIYARD DRAINAGE
Legal Desc.: N TR 3057 LOT 25
Owner: BRAYTON STEPHEN
Contractor:
PREMIUM BUILDERS Architect:
/9'►
Address: 1606 IRVINE AVE
Address:
1701 E EDINGER AVE #C-9 Address:
NEWPORT BEACH, CA 92660
SANTA ANA CA 92705
Phone:
Phone:
714-569-1255
Phone: State Lic:
M
Applicant: BRAYTON STEPHEN
Con State Lie: 492049
Engineer: JEUDY LUC M.A.
�
Address: 1606 IRVINE AVE
Lie Expire:
05/31/2022
Address: 11022 ACACIA PKWY #E
NEWPORT BEACH, CA 92660
Bus Lie:
BT30068364
GARDEN GROVE CA
Phone: 949.718-0780
Lie Exp Date:
08/31/2021
Phone: 714/636-0294 State Lic:C-054238
Code Edit: 2019
Worker's Compensation
Insurance
Designer: BRAYTON STEVE
Type of Construction:' VB
Carrier:
EVEREST PREMIER INS CO Address: 1606 IRVINE AVE
Occupancy Group: R3/U
Policy No:
7600018572201
NEWPORT BEACH CA 9266
Added /New sq.ft. Bldg: 670
Expire:
01/14/2021
Phone: 949-718-0780
Added /New sq. ft. Garage: 0
-
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 1
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers: N
Right: 6
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $250.255.00
Building Permit Fee: $3,474.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Pee: $2,660.23
Additional Fee :
$0.00
Plan check Fee: $185.00 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: $46.00
Grading Permit Fee:
$232.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$26.00
Energy Compliance: $175.18
Grading PC Fee:
$195.00
Public Works Department - General Service
$219.00
CA Seismic Safety: $32.53
WO Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$564.00
Disabled Access: $0.00
PNV Plan Check: $344.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$243.18
San Dist: $0.00
Building Green Fee : $11.00
Mechanical %:
$138.96
NMUSD Fee: $1,232.80
$0.00
Plumbing %:
$312.66
$0.00
TOTAL FEE : $10,091.54
Plan Check Fee :
$2,916.31 Fee Due at Permit Issuance :
$7,175.23
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PROCESSED BY:
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APUMLIC WC RRMS APPROVAL:
ZONING APPROVAL:
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PLAN CHECK BY: _o -
GRADING APPROVAL:
' ` ®` APPR@NAI- TO ISSUE:
ILDER 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) 1 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 requir<s 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 15141sioh Af 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 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
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
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).
0 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.htmi.
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 0 o Dir; ion o/ the Business and Pro,(eVions Code d y611'cense is in full force
and effect. License Class License No Date d/.3 �✓ Contractor Signature VV
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN LARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 th
oerformance of the work for which this permit is issued. Policy No.
PKh,ve 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' compensatiol
insurance carrier anI}olicy numb
Carrier j�of er Expiration Date
Name of Agent C = B Phone #
❑1 certify that, in the performance of theiwork 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 agre
that, if I should becomes 'ecl to the workers' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��ssccc��,,,/��''''� > /jam -
Signature of Applicant Da1�� /�J '
DECLARATION REGA DI G CONST LENDING AGENCY \
I hereby affirm under penalty of perj 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 correc
I agree to comply with all applicable city and county ordinances and at laws relating to building construction. /
I authorize representatives of this city or countyVo inter the -i tified property for inspection purposes. ¢/�f^/ ,
ed
Signature of Property Owner or AuthorizA ent Print Prope Owner's or Authorized Agent's Nam f L e,
ACTION DATE BYDECIARATI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
�2EGULA ART 61 OF TITLE 40 AND AOMD RULE
403
PERMIT EXPIRED I BMI EDASBESTOFd QTIFICAT10N►0•
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