HomeMy WebLinkAboutX2019-3462 - PermitsghI' 4 City of Newport Beach - Building, Division
a' 100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
II I IXIIII 2-00illl I III I I IIIII I III VIII IIID III I
COMB Permit: X2019-3462
Project No : 2394-2019
Issued Date: 1211812019
Inspection Area : 2
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: 433 SAN BERNARDINO AVE NB
Description: SFR INTERIOR REMODEL (KITCHEN, BATHS, STAIRS) AND NEW DOORSIWINDOWS 2000 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 13 LOT 16
Owner: SLUTZKY ALAN & OLIVIA
Contractor:
CP MC CLARY CONSTRUCTION INC
Architect:
BURGER THOMAS
Address: 433 SAN BERNARDINO AVE
Address:
1013 LINDEN PLACE
Address:
33751 PEQUITO DR
NEWPORT BEACH, CA 92663
COSTA MESA
CA 92627
DANA POINT CA 92629
Phone: 714-713-8230
Phone:
949.642.9264
Phone:
949-376-2126 State Lic:C015902
Applicant: BURGER THOMAS
Con State Lic:
513053
Engineer:
SABERI MEHDI
Address: 33751 PEQUITO DR
Lic Expire:
10/3112021
Address:
2182 DUPONT DR #202
DANA POINT CA 92629
Bus Lic:
BT00004228
IRVINE CA 92612
Phone: 949.376.2126
Lic Exp Date:
08131/2020
Phone:
949-833-9900 State Lic:S-005528
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
STATE COMP
INS FUND
Address:
Occupancy Group: R3/U
Policy No:
1300846
Added /New sq.ft. Bldg: 0
Expire:
0610112020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $250.000.00
Building Permit Fee: $2,068.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $1,799.16
Additional Fee :
$0.00
Plan check Fee :
$40.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans:
$0.00 Demolition Fee
Recons Management: $44.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
Energy Compliance: $175.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
CA Seismic Safety : $0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
P/W Plan Check :
$41.25
Grading Bond:
Hazardous Mat $0:00
Electrical %:
$144.76
San Dist:
$0.00
Building Green Fee : $10.00
Mechanical %:
$82.72
NMUSD Fee:
$0.00
Plumbing %:
$186.12
TOTAL FEE: $5,376.01
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$1,880.41 Fee Due at Permit Issuance
a <,c
PUBLIC WORKS 4PPROVAL:
PLAN CItBCIK e3Yo
0
APPROVAL TO ISSUE:
ccs
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$3,495.60
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$3,495.60
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
ie 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
'rofessions 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).
1 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,
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).
1 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
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).
7 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 Iegall�
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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of ivisi of the Business and Professi nd my license isy f full force
nd effect. License Class License No Date Contractor Signaturg til/�--��
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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:
] 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
erfprmance of the work for which this permit is issued. Policy No.
have and will m In 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 oIII number arch e^ (1
iar _ 1 1 C:ZQ1bvQfhber Expiration Date
ne of Agent +. udT vnone s
certify that, in the pert rmance 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
I, if I should become s ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dat
CLARATION REGARDING CONSTRUCTION NDING AGENCY �—
:reby 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).
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.
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 countvN�,a the�ab
J ve,-iidentified property for inspection purposes.
nature of Prooertv Owner or Authorized Aaent IAC . // l/� __. Print Property Owner's or Authorized Agent's Name �h t s�0 C 11A tn-- at Z 1 1
ACTION
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY (DECLARATION OF I REGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND QMD RULE RAL FOR OFFICE USE ONLY
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