HomeMy WebLinkAboutX2019-0004 - Permits1Y1Y} City of Newport Beach - Building Division I�IIIIIIIII�IIIIIII�IIIIIIIIII��IIIIIIIIIIII II COMB Permit: X2019-0004
100 Civic Center Drive,. Newport Beach, CA 92660 X 2 0 1 9 0 0 0 4
Project No :0004-2079
h u Permit Counter Phone (949)644-3288 Im r
'c +p Inspection Requests Phone (949)644-3255
Pa ray so Combination Type - MFP GRAD ELEC MECH PLUM Issued Date : 0510912019
Inspection Area : 1
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 an Sundays or Holidays
Job Address: 3920 SEASHORE OR NB
Description: NEW DUPLEX WI ATT GAR 2650/1973 SF, 3911211 SF, CARPORTS 2751210 SF
Legal Desc.:
I
Owner: FLOOD BRIAN & DANA Contractor: SAILHOUSE HOMES INC Architect:
Address: 412 DE SOLA TER Address: 170 NEWPORT CENTER DR #260 Address:
`CORONA DEL MAR CA 92625 NEWPORT BEACH. CA. 92660
Phone: 949-813.5058 Phone: 949-281-6045 Phone:. State Lic
Applicant:
HAMPTON CRAIG
Address:
5500 E QUARTERSAWN ST
Record Management:
BOISE ID 83716
Phone:
949-209-8883.
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 4623
Added /New sq. ft. Garage: 602
,No of Stories: 3
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: , $6,279.00
Plan Check Fee: $5,058.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$116.00
Energy Compliance:
$268.00
CA Seismic Safety:
$221.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$68.00
TOTAL FEE'. $25,608.75
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
1007531
Lic Expire:
- 09/3012019
Bus Lic
BT30036603
Lic Exp Date:
08131/2019
Worker's Compensation Insurance
Carrier:
STATE COMP. INS
Policy No:
9213113
Expire:
12/29/2019
Building. Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %m:
Mechanical %:
Plumbing %:
Rear: 0
Front: 10
Left: 3
Right: 3
Parking. Space
$1,097.25
$0.00
$0.00
$856.08
$1,165.00
$187.92
$108.00
$879.06
$690.69
$565.11
Engineer:
FORBES DALE L
Address:
1800 E 16TH ST #B
$0.00:
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-030407
Designer:
HAMPTON CRAIG
Address:
5500 E QUARTERSAWN. ST
BOISE ID 83716
Phone:
949.209-8883
Special Conditions:.
"LIQUEFACTION"
Planning Department -
Plan check Fee
Fair Share'.
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $330.00
San Dist: $1,606.00
NMUSD Fee: $5,696.64
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Plan Check Fee : $6,451.00 Fee Due at Permit Issuance : $19,157.75
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$417.00..
Fire Inspection:.
$0.00:
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $6,451.00 Fee Due at Permit Issuance : $19,157.75
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code: Any city or county that r demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant tot e som r as Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for thew lation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
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,
liness 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
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
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
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).
J 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
ell a structure that 1 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, E
'rofessions Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Ion 700 o I slon 3 of the Business and Professio
nd effect. License Class License No 1 Contractor Sire
1ORKERS' (;QVPENSATION DECLARATION ./
NTNG: FAILAg IQ 11,91CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
r OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
EtQ affirm.under penalty of perjury one of the following declarations:
h2ve and wyll maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as prc
sanance of the %ork for which this permit is issued. Policy No.
7044 of the Business and
and my license is in full force
)$100,000), IN ADDITION TO THE
by Section 3700 of the Labor Code, for
h9V and Ul.raaintain 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'
A3nce carrie�gnd policy number are:
et _ o A w Policy Number Expiration Date
Agent
....
(.certify that, jljjjlgp�rformance the rk 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 agref
at, if I should 6become`subject to w ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�043ty2 of App,!.I,�{at :e�"�'/Glq
ECLARATION REGARDING C S UCTION NDING AGENCY
iereby affirm under penalty of 'u that there is construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
order's Name Lender's Address
V my signature below, I certify each o owing:
I am the property owner or uthorized to act on [heJfpk, r's behalf.
I have read this applicatio and the information I hpcorrect.
I agree to comply with all plicable city and countdind state laws relating to building construction.
I authorize representatives of this city or county tore -identified property for inspection purposes.
onature of Prooertv Owner or Authorvld Agent Print ProDertv Owner's or Authorized Agent's Nte�
DATE BY r DE RATION F COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
n ULATIO PART 63 OF TITLE 40 AND AQI RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL (7a0/UV d 4&V\ UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF __II {' PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: