HomeMy WebLinkAboutX2019-0283 - Permits�vt1+ City of Newport Beach - Building Division IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-0283
` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 2 8 39 Project No: 0207-2019
h Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
c"r#rwaA -Combination Type- SFP ELEC MECH PLUM GRAD Issued Date: 04/2212019
RIGGS JEFFREY
Address:
25PECOS
Inspection Area : 8
RSM CA 92688
Phone:
949-233-1553
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
0
No of Stories:
1
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
1
Bldg Height:
Job Address:
20292 SPRUCE AVE NB,,..'
Y
Flood Zone:
Description:
SFR -ADD 740 SF, REMODEL KITCHEN/BATH 260 SF, WIYARD DRAINAGE
,,r=•
,r
Legal Desc.:
N TR 1506 LOT 22
t-
.Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
Owner:
CABLE JUSTIN Contractor: ANKRUM DEVELOPMENT Architect: RIGGS JEFFREY
$0.00
Disabled Access :
Address:
20292 SPRUCE AV Address: 21042 BRIARWOOD LN Address: 25 PECOS
$0.00
$0.00
NEWPORT BEACH CA 92660 TRABUCO CANON CA 92679 RANCH0 SANTA MARG CA 92688
Phone:
Phone: 949-572-4182 Phone: 949-233.1553 State Lio:CO21317
E
5
Applicant:
RIGGS JEFFREY
Address:
25PECOS
Occupancy Group:
RSM CA 92688
Phone:
949-233-1553
Code Edit: -
2016
Type of Construction:
V-BSPR.
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
740
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units:
1
Bldg Height:
35
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $252.4
Building Permit Fee:
$1,883.00
Plan Check Fee: $1,315.00
Overtime Plan Ck:
$0.00'
.Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee : $11.00
PROCESSED BY:
Con State Lie: 978582
Lie Expire:
11/3012020
Bus Lie:
BT30066991
Lie Exp Date:
04/30/2020
Worker's Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
TUSTIN CA 92780
Expire:
Phone:.
Building Setbacks
Rear: 25
Grading PC Fee:
Front: 20
Public Works Department -
Left: 5
$0.00
Right:. 5
Phone:
Special Conditions:
Excise Tax:.
$0.00
Planning Department-
Engineer.
WILSON KALEN
.% =
Address:
1371 WARNER AVE #A
,r
Grading PC Consultant :
TUSTIN CA 92780
.r�
Phone:.
714-576-6524 State Lic:C-083753
In -lieu Housing Fee
Grading PC Fee:
$312.00
Public Works Department -
Designer.
$0.00
511"."
Address:
Building Dept Adm
P/W Plan Check : $123.75
Phone:
Special Conditions:
Excise Tax:.
$0.00
Planning Department-
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
.$312.00
In -lieu Housing Fee
Grading PC Fee:
$312.00
Public Works Department -
WQ Insp..Fee :
$0.00
Park Dedication : $0.00
Building Dept Adm
P/W Plan Check : $123.75
Electrical %:
$131.81
San Dist: $0.00
Mechanical %:
$75.32
NMUSD Fee: $0.00
Plumbing %:
$169.47
Refund Deposit
TOTAL FEE: $5,306.35
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $1,773.26 Fee Due at Permit Issuance ; $3,533.09
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE
Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $1,773.26 Fee Due at Permit Issuance ; $3,533.09
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE
Ir -
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 itren �),,
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 applicanifor
he 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 Divisior 3 of the Business and"
3rofessions 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
lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
Tlprovements 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
n 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
Ip ly 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:
3y my signature below 1 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 legally
;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
3rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
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 7 0 )a i n f the Business and Profe ions Code, a - en a is i II force
Ind effect. License Class License No Date Contractor Signature
YORKERS' 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 ($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 thi
erfyrmance 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 Expiration Date
of Agent
Fe Ify 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
at, if I should become subject to the wo om _ s revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applies
IECLARATION RE ING Q01SISTRUCTION LENDING AGENCY
hereby affirm undef penally 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
ly my signature below, 1 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 enter thy. ant 'ed r arty for inspection purposes. v j�'� 9a�/
tInnature of Pmnerty Owner or Authorized ADent r �, Print PrODertv Owner's or Authorized Agent's Nam
ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
�.
OCCUPANCY ISSUED
SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION 15 NOT APPLICABLE TO
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