HomeMy WebLinkAboutx2021-0281 - Permits1`e City of Newport Beach.- Building Division
.;- 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC GRAD MECH PLUM
COMB Permit: X2021-0281
iiiiiiiiiii II
Project No: 0304-2021
Issued Date : 0611612021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611612024 OR PERMIT WILL BE INVALID
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: 115 41ST ST NB
Description: NEW SFR & ADU W/ ATT GARAGE - 17791438 SF
Legal Desc.: RIVER SECTION BLK 41 LOT 21
Owner:
OVERFELT SHEA & BRENT
Address:
1919 PORT PROVENCE PL
NEWPORT BEACH CA 92660
Phone:
Applicant:
HAMPTON CRAIG
Address:
5500 E QUARTERSAWN ST
BOISE ID 83716
Phone:
949-209-8883
Code Edit : 2019
Type of Construction: V-B-SPR
5500 E QUARTERSAWN ST
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 1779
Added /New sq. ft. Garage: 438
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Construction
Building Permit Fee: $4,294.00
Plan Check Fee: $2,822.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$100.00
Energy Compliance:
$273.08
CA Seismic Safety:
$50.71
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$16.00
TOTAL FEE:
Contractor: SAILHOUSE PIP
I C Architect:
Address: 170 NEWPORT 260 Address:
NEWPORT BEACH CA
Phone: 949-281-6045 ey �`P�ne: State Lic:
Con State Lic: 1007531 o�^ ®Eng-irie®F RBES DALE L
Lic Expire: 09/30/2021 e V Address: 16TH ST #B
sLic:Exp Date: 06/30/20213 6�� Phone: 714-835 2800 A 9270
Lic State Lic:C-030407
Worker's Compensation Insurance •®4 gner: HAMPTON CRAIG
Carrier: INSURANCE COMPANY OF THE WEST Address:
Policy No: WSD505264401 BOISE ID 83716
Expire: 12/2912021 Phone: 949-209-8883 aa^1-�, �
Building Setbacks Rear 5' Front: 10' Special Conditions: noise form rec'd LIQUEFACTION AREAI�.9 `"�
Left: 3' 3/2 BR-> 5 BR
Right: 3'
Fire Hazard Zone : N
Excise Tax:
$465.57
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee, $462.50
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $1,941.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$1,928.64
SJH Trans : $0.00
Demolition Fee
Grading Permit Fee:
$952.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$423.36
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$120.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $344.00
Grading Bond:
$0.00
Electrical %:
$300.58
San Dist: $0.00
Mechanical %:
$171.76
NMUSD Fee: $0.00
$0.00
Plumbing %:
$386.46
$0.00
o°b ,`, Plan Check Fee
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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$4,356.08 Fee Due at Permit Issuance : $10,696.08
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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(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
is 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
'rofessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
'y 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 legal],
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:hftp://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 7000) of /� Djvis� n 9 of the Business and Profession Code�-end my license is in full force
nd effect. License Class License No Dat /G Z Contractor Signatu � ,'/7%,_
WORKERS' COMPENSATION DECLARATION
'ARNING: 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
DST 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:
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
rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify 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 agre
t, if I should becomesubje�o th/eJ�M�ar'Jcers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant JL /,��'"f/�i�^-•�-- D" G ��6 �2- I
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
veby affirm under penalty 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).
Ider's Name Lenders 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 laws relating to building construction.
I authorize representatives of this city or count to enter t e ab identified property for inspection purposes. „ ^�
nature of Property Owner or Authorized Agent ll lJx //-1 ---�— Print Prooertv Owner's or Authorized Aoent's Na� �0 6 1�! o �n/✓v Date 00/21
ACTION DATE BY V COMPLIANCEDECLARATION OF
`REE 3ULATIONS PPART61 O TFEDERAL TITLE 0 AN AQMD RULE
PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED I I I I LJAAQMD
PERMITFINAL 11 Z ( ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF J PROPOSED DEMOLITION
OCCUPANCY15SUED SIGNATURE:
FOR OFFICE USE ONLY
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