HomeMy WebLinkAboutX2019-3023 - PermitsCity of Newport Beach - Building Division II�IIIIIIII�IIIIIII�IIIIIIII�IIIIIIIIIIIII� II COMB Permit: X2019-3023
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2108-2019
[�. '^ Permit Counter Phone (949)644-3288-
Inspection Requests Phone (949)644-3255 �m
�'d rsx.�a�`' Combination Type - SFP ELEC MECH PLUM GRAD . Issued Date, 1210412019
0
Inspection Area : 1
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: 407 39TH ST NB
Description: NEW SFR & GARAGE 3254/500 SF
Legal Desc.: CANAL SECTION BILK 439 LOT 10
Owner: MARKOS MARK S & MELISSA
Contractor:
CLAYTON BUILDERS INC Architect:
Address: 407 39TH ST
Address:
250 LUGONIA ST Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92663
Phone:
Phone:
949-2795910
Phone:
State Lic:
Applicant:. GUIDERO BILL
Con State Lic: 846631
Engineer:
GABRIEL MICHAEL R
Address: 425 30TH ST #23
Lic Expire:
09/30/2020
Address:
483 E 20TH STREET
NB CA 92663
Bus Lic:
BT30043010i
COSTA MESA CA 92627
Phone: 949-675-2626
Lic Exp Date:
04/30/2020
Phone:
949-646-6596 State Lic:S-002939
Code Edit, 2016
Worker's Ccmpensation Insurance
Designer:
GUIDERO BILL
Type of Construction: V-B-SPR
Carrier:
NO EMPLOYEES Address:
425 30TH ST #23
Occupancy Group: R3/U
Policy No:
NB CA 92663
Added /New sq.ft. Bldg: 3254
Expire:
Phone:
949-675-2626
Added /New sq. ft. Garage: 500
No of Stories: 3
Building Setbacks
Rear: 5'
Special Conditions: LIQUEFACTION AREA
No of Units, 1
Front: 10'
Noise agrmtrec'd
Bldg Height: 0
Left: 3'
on cover sheet
Bldg Sprinklers: Y
Right: 3'
Flood Zone: X
Use Zone: R-2
Parking Spaces:
2 Fire Hazard
Zone : N
Construction Valuation: $650,000.00
Building Permit Fee: $4,866.00
Excise Tax:
$788.34
Planning Department -
Fire Department
Plan Check Fee: $3,035.00
Additional Fee :
$0.00
Plan check Fee : $417.00 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 :
$580.56
SJH Trans:
$0.00 Demolition Fee
Record Management: $64.00
Grading Permit Fee:
$876.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$127.44
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$108.00
Park Dedication : $0.00
Refund Deposit $
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %:
$340.62
PAN Plan Check : $0.00
San Dist: $1,748.00
Grading Boris1
Building Green Fee : $26.00
Mechanical %:
$194.64
NMUSD Fee: $4,298.24
$0.00
Plumbing %:
$437.94
$0.00
TOTAL FEE : $18,174.78
Plan Check Fee:
$4,481.25 Fee
ova
Due at Permit Issuance ; $13,693.53
PROCESSED BY:
PUBLIC WORKS APPROVAL:
TION
NOISE
ZONING APPROVAL: �L^
PLAN CHECK BY:
`1'y
GRADING APPROVAL:
APPROVAL TO ISSUE:
ON THE t e irr—.
�,-...
0
o
°o
0
c
D
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractorta le� f s 'n ' ated 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 require lish, or repair any structure, prior to its issuance, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions o e Con ractors t e w (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 allege 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
11, 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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:http://www.leginfo.ca.gov/calaw.html. -
;ignature 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 00 Z ivision Ithe Business and Pr io I u 'rce
nd effect. License Class License No Dat ` 6) '' Contractor Signatu
VORKERS' COMPENSATION DECLARATION
IARNING: 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:
I 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 th
erformance 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:
Policy Number
Date
e of Agent Phone #
�I ertify that, in the performance of th rk for whit i 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 agree
tat, if I should become subject to/y�� o omp s Io prroov(yai/Dp R ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
,ignature of Applic� //L M�"'v`^ e I(������
)ECLARATION REGARDING CONSTRUCTION LENDING ACUNCY If
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
ly 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 col ty or ances and laws r Ung to building construction.
I authorize representatives of this city or county�o�nljeje,�eve a ti grd pr y for inspection purposes.
Signature of Property Owner or Authorized Age0L v Lo "vil `J Print Property Owner's or Authorized Agent's Nam Date
ACTION DATE 4111 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 •.. ••. • • ••• ••
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ' • • • • • •• '
• • • • •• • • • •
•• • • • • ••
PERMIT CANCELLED LJEPA • • • • s
PERMIT EMENDED QMD
PERMITFINAL —' ItQ I..L` Jr/ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
rf ••• • • • ees ••
CERTIFICATE OF PROPOSED DEMOLITION • • • e • • •
OCCUPANCYISSUED
SIGNATURE:
ese se ee o e eee ee