HomeMy WebLinkAboutX2020-1806 - PermitsCity 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
6t+n,ra Combination Type - SFP GRAD MECH ELEC PLUM
*X2020-1806* COMB Permit: X2020-1806
Project No: 1444-2020
Issued Date: 01/06/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110712024 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: 29 MONTECITO DR NB
Description: NEW SFR W/GAR 4145 & 717 SF, COVERED BREEZEWAY 218, CVRD ENTRY 149 SF, ATTACHED CASITA
Legal Desc.: N TR 7844 LOT 71
Owner:
STORM KIM & ANNE
Contractor:
Address:
29 MONTECITO DR
Address:
CORONA DEL MAR CA 92625
Phone:
949-2305664
Phone:
Applicant:
CHILDS CYNTHIA
Con State Lic:
Address:
2732 E COAST HWY #B
Lic Expire:
CORONA DEL MAR CA 92625
Bus Lic:
Phone:
949-718-3528
Lic Exp Date:
Code Edit : 2019
Type of Construction: V-BSPR
Occupancy Group: R3/1)
Added /New sq.ft. Bldg: 4145
Added /New sq. ft. Garage: 717
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $6,416.00
Plan Check Fee: $4,367.60
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$110.00
Energy Compliance:
$303.00
CA Seismic Safety:
$106.21
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$33.00
TOTAL FEE: $22,045.63
PROCESSED BY:
ZONING APPROVAL:
' b- LUI®
LONGMAN CONSTRUCTION CO INC
Architect:
CHILDS CYNTHIA
2782 CIRCLE DR
Address:
2732 E COAST HWY #B
NEWPORT BEACH CA 92663
CORONA DEL MAR CA 92625
949-722-7711
Phone:
949-718-3528 State Lic:CO22985
393881
Engineer:
SHEPPARD STEVEN THOMAS
0813112021
Address:
28782 EL MIO LANE
BT00001921
LAGUNA NIGUEL CA 92692
03/3112021
Phone:
949-481-9669 State Lic:S-005446
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9062475
Expire: 07/0112021
Building Setbacks Rear:
105'
Front:
6'
Left:
5'
Right:
5'
Use Zone:
Parking Spaces
Excise Tax:
$1,021.02
Additional Fee :
$276.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$2,055.74
Grading Permit Fee:
$1,485.00
Grading PC Fee:
$451.26
WQ Insp. Fee:
$120.00
Electrical %: $449.12
Mechanical W $256.64
Plumbing %: $577.44
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department
-
Park Dedication: $0.00
PNV Plan Check: $344.00
San Dist: $994.00
NMUSD Fee: $2,217.20
Plan Check Fee : $7,296.00
Fire Department
$462.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
aDD•
0 0
DDmoeD
eo a
o e D
o ao
+$0.00
v1a80 •
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $14,749.63
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ( _�YCi� __. 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) 1 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).
111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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
improved 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).
❑ I 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:/Aw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date .0 w _.
LICENSED CONTRACTOR'S DECLARATION "e,iQficen
"00,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 'on Z of the Business and Profes ' a is in full force
and effect. License Class License No �D�Eer � actor Signa
WORKERS' COMPENSATION DECLARATION Ar
/\\\AA
WARNING: FAILUREKS QrCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST OF COMPEMS.AONJ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
t hSrEb)f affirm under penalty of perjury one of the following declarations:
rd 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
of the work for which this permit is issued. Policy No.
and willsnaintain 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'
card esar*Apolicy number are:
Policy Number
Date
r
:srtify that, inlhe perform f the}}� rk fopw ich this permit is issued, I shall not employ any person in any manner so as to become subject to the
if eshould_McgRlD su _' „ ; o the 1 alkers�compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
AOp LENDING AGENCY
ONSTrCT fZ ATN
Ireby affirm ,nalty Vqat��✓of 1
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 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 beh�
I have read this application and the information I have provi is corgi
I agree to comply with all applicable city and county o "oes and' laws relating to building construction.
I authorize representatives of this cit r county to 'the abq ntified property for inspection purposes. /
of California, and
Signature of Property Owner or Authorized Ayent [ Print Property Owner's or Authorized Agents me DatK
ACTION DATE DECLARATION OF PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED L3 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED UEPA
PERMIT EXTENDED UAQMD
PERMITFINAL 1� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: -