HomeMy WebLinkAboutX2018-3310 - PermitsCity of Newport Beach - Buildin`g Division
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COMB Permit: X2018-3310
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c1 100 Civic Center Drive, Newport Beach, CA 92660
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Project No : 2580-2018
F n Permit Counter Phone (949)644-3288
-
' 4Y Inspection Requests Phone (949)644-3255
Combination Type - SFP. ELEC PLUM MECH
Issued Date : 05/08/2019
Inspection Area: 5
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: 3309 OCEAN BLVD NB
Description: $FR INTERIOR REMODEL 650 SF & ADDITION 133 SF
Legal Desc.: N TR 1257 LOT 1 - - -
Owner: WRIGHT DAVID Contractor:
BROWN BROTHERS CONST Architect: LAIDLAW SCOTT
Address: 3309 OCEAN BLVD Address:
332 FOREST "E #26 Address: 3111 2ND AVE
CORONA DEL MAR, CA 92625
LAGUNA BEACH CA 92651 CORONA DEL MAR CA 92625
- Phone: Phone:
949-721-0071
- Phone: 949-645-9982 State Lic:CO21061
Applicant: HEERMANN ANDREW Con State Lid:. 832642
Engineer: ISRAEL MICHAEL RYAN
Address: - 3111 SECOND AVE STE 1 Lie Expire:
0212912020
- Address: 2336 PASEO SAUCEDAL
NEWPORT BEACH, CA 92625 Bus Lie:
BT30005066
......
CARLSBAD CA 92009 ....
Phone: 949-645-9982. tic Exp Date:
0713112019
Phone: State Lic:C-077167 • • • •
: • •. o
Code Edit: 2016 Worker's Compensation Insurance
Designer. ° • °
°
Type of Construction: V-B - Carrier:
STATE FUND
Address: °
° °• ° ;,
Occupancy Group: R3/U Policy No:
9040746
......
Added /New sq.ft. Bldg: 133 Expire:
01101/2020
Phone: • e °
• ° °
Added /New sq. ft. Garage: 0 -
o m m
e o o
omm•o
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No of Stories: 2 Building Setbacks
Rear: 10'
Special Conditions: COASTAL EXEMPT <10% ADD •
° ° ° ° °
No of Units : 1
Front: 10'
TIGHT QUARTERS TO HAUL
Bldg Height: 24
Left: 4'
......
m °
Bldg Sprinklers:
Right: 4'
......
Flood Zone: Use Zone: R-1
Parking Spaces:
2 Fire Hazard Zone : N o ° ° ° o
° • ° m o °
Construction Valuation: $390.000.00
Building Permit Fee: $3,512.00 Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $3,041.36 Additional Fee :
$0.00 -
Plan check Fee : $640.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00
Fair Share.: $0.00 Fire Plan Rev $0.00
Investigation Feer $0.00 Grading PC Consultant :
$870.84
SJH Trans : $0.00 Demolition Fee
Record Management: $90.00 Grading Permit Fee:
$875.00
In-lieu Housing Fee: $0.00 - . Building Dept Adm $24.00
Energy Compliance: $268.00 Grading PC Fee:
$191.16
Public Works Department - General Service $197.00
CA Seismic Safety: $50.70 WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $564.00
Disabled Access : .$0.00
PNV Plan Check: $247.50 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$245.84..
San Dist: $0.00
BuildingGreenFee : $16.00 Mechanical %:
$140.48
NMUSD Fee: $0.00 $0.00
Plumbing %:
$316.06
$0.00
TOTAL FEE : $11,289.96
Plan Check Fee:
$4,116.36 Fee Due at Permit Issuance ; $7,173.60
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:.
GRADING APPROVAL:
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(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
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 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
not 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,
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
im 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
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).
❑ 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 legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ntlappmalty of penury that I am licensed under provisions of C t r 9 (co�]mencing Section 70 0) of Division 3 of the Business and Profe ' od full force.
and effect. License.Glass w License No GI�lIt Date Contractor Signature
WORKERS' OOMPENSATION DECLARATION
WARNING: FAILURBTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS 15100,000), IN ADDITION TO THE
gIJBI OP �OMPENSAT(GN, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
14hereby affirm ung g "enalty of perjury one of the following declarations:
Q 1 have and Ul•rinaintain 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
p1s;o"ance of the v"k for which this permit is issued. Policy No.
Nur
and wil4aintain 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
ince carrier Bad policy number are:
Oa•re•r • • Policy Number Expiration Date
• _ _ oh....e ie
11 c¢diiy that, IpMq p$rfor ance fole6rk for wh' h permit is issued, I shall note ploy any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre
tat, if I should bEbaM6 sub' ct tot rs' co v' ions of tion of the Labor Code, I shall forthwith comply with those provisions.—ignature of Applicant Dat
Ir
IECLARATION REGA IN�CONSTRUCTION LENDING AGENCY
hereby affirm under poalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
Ender's Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro erty owner's behalf.
I have read this application and the information I his, ovided is correct
I agree to comply with all applicable city and cou ty ces and t ws relating to bu'Iding construction.
I authorize representatives of this cit or count o e t (aQ�� above rt for i ection purposes. //f�l/��py {���/r r G
o�..,.P a„ n,.,ne, nr A, an,:d�orl Annof y� lY� Tint Pro ertv Owner's or Authorized Agent's Name / a M *� WIC Dat
EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATEI BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
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