HomeMy WebLinkAboutX2020-0541 - Permits��wt$ City of Newport Beach - Building Division
',r10 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
COMB Permit: X2020-0541
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No : 2225-2019
Issued Date : 03/02/2020
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: 4701 HAMPDEN RD NB
Description: DEMO SFR 3176 SF (4 BEDROOMS)
Legal Desc.: N TR 3357 LOT 25 • °0 °',
emmm
Owner:
CHUNG YOON & SHINHYE
Address:
4701 HAMPDEN RD
CORONA DEL MAR, CA 92625
Phone:
949.975.0123
Applicant:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
COSTA MESA CA 92626
Phone:
949-975-0123
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $103.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,041.27
PROCESSED BY:
ZONING APPROVAL:
Contractor:
MILO CONSTRUCTION
Architect:
TEALE MARK
Address:
101 VIA MONTE PICAYO
Address:
2900 BRISTOL ST BLDG A203
SAN CLEMENTE CA 92673
COSTA MESA CA 92626
Phone:
949.290-6429
Phone:
949-975-0123 State Lic:CO22162
Con State Lie:
871429
Engineer:
HAKIM FADY
Lie Expire:
03/31/2020
Address:
124 PEONY
Bus Lie:
BT30038762
IRVINE CA 92618
Lie Exp Date:
03/31/2020
Phone:
310-422-1536 State Lic:C-075736
Worker's Compensation Insurance Designer:
Carrier: NO EMPLOYEES Address:
Policy No:
Expire: Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Special Conditions: JD DEMO TO HAUL
CERT. MAIL RECEIPTS ATT.
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$210.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,041.27
PUBLIC WORKS 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 appliicawe items)
ction 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
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
fessions Code) or that he or she is exempt from Iicensure 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
more than five hundred dollars ($500).
1, 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,
iness 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 tW%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 owndr.oJgldperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I jW:exempjfrom Iicensure under the Contractors' State License Law for the following reason:
Try signature) elo w hacknowledge 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 legal
a structure that l41rave 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
1 ii5ns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
iatyre.of Propt" Oper or Authorized Agent Date
,WED CONTf%4CTOR'S DECLARATION
re��byy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Pro fe s C de, a d my icepse is iq full force
Rest. License Class License No '7-0 Contractor Signature
COMPENSATION DECLARATION
,ILURE W SEE,qKRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM19AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
NPENSA.T0, V`1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
'irm unj�g�p�enalty of perjury one of the following declarations:
and will.mp ntain 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
:e 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:
he of Agent
certify that, in the pI
,if I should become
Policy Number
Date
ice 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' ompensation laws of California, and agre
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant D e Z • Z.ti7
DECLARATION REGA ING CONSTRUCTION LENDING AGEN
hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code).
Ender's Name Lender's Address
y 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or county to nter the above -identified propg y for inspection purposes.
ignature of Property Owner or Authorized Agent - - Print Property Owner's or Authorized Agent's Name D e -3 • Z-
1CTION DATE BY DECLARATION OF COMPLIANCE W1,714 CODE OF FEDERAL FOR OFFICE USE ONLY
REGULAMONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
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