HomeMy WebLinkAboutX2022-0086 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2022-0086
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 0 8 6 Project No : 0096-2022
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
Issued Date : 03/14/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/14/2025 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: 2505 CRESTVIEW DR NB
Description: SFR REMODEL 3332 SF. REMODEL
(E) 2-CAR GARAGE TO 3-CAR GARAGE 634
SF. CLASS B MIN COMP SHINGLE REROOF. REPLACE EXT STONE VENEER W/ BRICK.
Legal Desc.: N TR 1140 LOT 69
Owner: DELLARINGA CHRIS & LAUREN
Contractor:
UPRITE CONSTRUCTION CORP Architect: LAWRENCE ROBERT
Address: 2505 CRESTVIEW DR
Address:
2211 MICHELSON DR STE 500 Address: 760 W. 16TH ST
NEWPORT BEACH, CA 92663
IRVINE CA 92612 COSTA MESA CA 92627
Phone: 714-791-1669
Phone:
949-877-8877
Phone: 949-633-9560 State Lic:CO21447
Applicant: LAWRENCE ROBERT
Con State Lic:
932018
Engineer: YAGHI SHUCRI I
Address: 3201A BROAD ST
Lic Expire:
06/3012022
Address: 112 E. CHAPMAN #D
NEWPORT BEACH, CA 92663
Bus Lic:
BT30062515
ORANGE CA 92866
Phone: 949-633-9560
Lic Exp Date:
03/3112022
Phone: 714-997-9120 State Lic:C-043205
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
HARTFORD CO
Address:
Occupancy Group: R311.1
Policy No:
37WEAAJ3ZHY
Added /New sq.ft. Bldg: 0
Expire:
12/01/2022
Phone
Added /New sq. ft. Garage: 634
No of Stories: 2
Building Setbacks
Rear: 10
Special Conditions: LIQUEFACTION AREA �go @�1
No of Units : 1
Front: 10
5B
NOISE FORM ON P�
Bldg Height: 0
Left: 3
WASTE MGMT T
Bldg Sprinklers:
Right: 3
Flood Zone: X
Use Zone: R-1
Parking Spaces,
2 Fire Hazard Zone : N
Construction Valuation: $563,862.00
- ;.-
9
Building Permit Fee: $4,109.00
Excise Tax:
$0.00
Planning Department -. - Fire Department
Plan Check Fee: $3,574.83
Additional Fee :
$0.00
Plan check Fee: $52.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $78.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm $27.00
Energy Compliance: $303.00
Grading PC Fee:
$0.00
Public Works Department- General Service $265.00
CA Seismic Safety: $73.30
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $564.00
Disabled Access: $0.00
PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00
Electrical W
$287.63
San Dist: $0.00
Building Green Fee : $23.00
Mechanical %:
$164.36
NMUSD Fee: $0.00 $0.00
Plumbing %:
$369.81
$0.00
TOTAL FEE : $9,890.93
Plan Check Fee :
$3,929.83 Fee Due at Permit Issuance : $5,961.10
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PUBLIC WORKS APPROVAL: 4'WN
ZONING APPROVAL: "••'_
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PLAN CHECK BY: GVfD
GRADING APPROVAL:
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- - APPROVAL TO ISSUE:
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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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do J all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness 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).
7 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:
Iy 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
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.
',ignature of Property Owner or Authorized Agent D �g
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 O) of v t�De'Business and Profess' o�-e,,Wpnd my licensed in full force
nd effect. License Class License No Dat� Contractor Signature
YORKERS' 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 I$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I hav 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 the
ear pce 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 Expiration Date
ne of Agent
I certify that, in the perform;aflce the work forwhich 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
lat, if 1 should become subj to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of ApplicantN Dat
DECLARATION REG4RDING rONSTRUCTION LENDING AGENCY "140=__�v
hereby 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).
-ender's Name Lender's Address
3y 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 provi d is correct.
I agree to comply with all applicable city and county oralin0tes and state laws relating.4o building construction.
I authorize representatives of this city or county to en r e b e-identified rty for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1S ✓ / lI -� r—
ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
, U I SUBMITTED ASBESTOS NOTIFICATION TO
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