HomeMy WebLinkAboutX2019-3484 - PermitsCity of Newport Beach - Building Division
v; 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
°egdoa�'x' Combination Type - SFP MECH ELEC MECH
IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3484
x 2 0 1 9 3 4 8 4 Project No: 2409-2019
Issued Date : 01/06/2020
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: 1707 CANDLESTICK LN NB
Description: SFR -ADD 523 SF. FR ENTRY, MBATH, MCLOSET. ALTER KITCHEN, BATHS, BEDROOMS, FAM FM, LAUNDRY 2778 SF
Legal Desc.: N TR 3763 LOT 42
Owner:
NORMAN JAMES RAYMON
Address:
1707 CANDLESTICK LN
Record Management :
NEWPORT BEACH, CA 92660
Phone:
$266.00
Applicant:
BUSHMAN WALT
Address:
2480 SANTA ANA AV
Hazardous Mat
COSTA MESA CA 92627
Phone:
949-274-0824
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 523
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $4,011.00
Plan Check Fee: $3,166.36
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$30.00
Energy Compliance:
$266.00
CA Seismic Safety:
$49.40
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$16.00
Contractor:
FOREHAN CONSTRUCTION
Architect:
$160.00
Address:
1442 N KENNYMEAD
Address:
Fire Plan Rev
In -lieu Housing Fee:
ORANGE CA 92869
Public Works Department -
Park Dedication :
Phone:
714.602-7511
Phone:
State Lic:
Con State Lic:
980958
Engineer:
XIAO QIANG
Lic Expire:
02/2812021
Address:
1520 BROOKHOLLOW DR #45
Bus Lic:
BT30059890
$0.00
SANTA ANA CA 92705
Lic Exp Date:
07/31/2020
Phone:
714-662-0510 State Lic:S-005289
Worker's Compensation Insurance
Carrier: BENCHMARK INS
Policy No: CST5003692
Expire: 03/01/2020
Building Setbacks
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 t0 '
Front: la '
Left: / �, ;
Right: 1 0
'arkina Spaces:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$280.77
$160.44
$0.00
TOTAL FEE: $9,007.47 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
J
Designer:
Address:
Phone:
Special Conditions: ROBERTS WASTE
TO HAUL DEBRIS
Hazard Zone : N
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
P/W Plan Check:
$82.50
San Dist:
$0.00
NMUSD Fee:
$0.00
$3,633.61 Fee Due at Permit Issuance : $5,373.86
PUBLIC WORKS APPROVAL: r- `.
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$3,633.61 Fee Due at Permit Issuance : $5,373.86
PUBLIC WORKS APPROVAL: r- `.
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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)
lection 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
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
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
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 `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
1 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/caiaw.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 70 O) f ivi ion 3 of the Business and Professions , and my license is in full force
nd effect. License Class License No Date Contractor Signatur
VORKERS' 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 HUNDRERIKOUSAND 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 ve 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
e rmance of the work for which this permit is issued. Policy No.
(lve 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' compensatioi
Isur nce carrier and policy number are: f
ie of Agent
certify that, in the performance
, if I should become subject to
of
Policy Number
for which this permit is
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
stun -3700 of the Labor Code, I shall forthwith comply with those provisions.
Dater j,/G/zC)
CLARATION REGARZ f � NSTRUCTION LENDING AGENCY xI Code).
y
:reby affirm under pen f f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CAII
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 la
I authorize representatives of this city or county to epter tl 3ve--' -entitle[
of
Isvela Ing to building construction.
property for inspection purposes.
Print ProDertv Owner
ACTION DATE BY rREGUULATIONS PART O610 TIIT E 40 AND AQMD RULE
FOR OFFICE USE ONLY
Name
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • ` ` : • • `
PERMIT CANCELLED EPA • ` + • • ' • `
PERMITEXTENDED CROMD `
PERMITFINAL ASBESTOS NOTIFICA NOTAPPLICABLE TO
CERTIFICATE OF 12r�-� PROPOSED DEMO — • ° •`• ••
OCCUPANCY ISSUED I SIGNATURE: ••• ••• ••• a • :—:
Date