HomeMy WebLinkAboutX2021-2121 - Permits (3)al•� 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
"atw,w Combination Type - SFP ELEC MECH PLUM
II IIII I IIII IIIIIIIIII�llll lllllllllu11 COMB Permit: X2021-2121
x 2 0 2 1 2 1 2 1 Project No : 1835-2021
Issued Date : 0813012021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/30/2024 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: 20 COLONIAL DR NB
Description: SFR REMODEL KITCHEN 200 SF, CIO WINDOWS (5), GARAGE DOOR, EXPAND CASITA INTO BATHROOM & ADD GUEST ROOM 214 SF, REROOF
Legal Desc.: N TR 15389 LOT 44
Owner:
PIETSCH MICHAEL
Address:
20 COLONIAL
NEWPORT BEACH, CA 92660
Phone:
949-466-3919
Applicant:
LUSHBAUGH WILLIAM
Address:
17191 CITRON
IRVINE CA 92612
Phone:
949-251-1710
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
214
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
11 Construction Valuation:
$195
Building Permit Fee: $2,403.00
Plan Check Fee: $2,005.29
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$136.50
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$8.00
TOTAL FEE: $7
PROCESSED BY:
Contractor:
PYRAMID CONSTRUCTION INC
Address:
1599 W LORANE WAY
ANAHEIM, CA 92802
Phone:
714-457-9878
Con State Lic:
1006078
Lic Expire:
08/31/2021
Bus Lic:
BT30061961
Lic Exp Date:
01/31/2022
Worker's Compensation Insurance
Carrier: EVERST PREMIER
Policy No: 7600021477201
Expire: 04/22/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: / W
Front: / I Dr
Left: / S'
Right: IS-
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$168.21
$96.12
$216.27
Architect:LUSHBAUGH WILLIAM
Address: 17191 CITRON
IRVINE CA 92612
Phone:
949-251-1710 State Lic:CO24867
Engineer:
JAMIL BASHAR S
Address:
751 SHASTA DR
CORONA CA 92881
Phone:
714-883-4124 State Lic:C-083129
Designer:
Address:
Phone
Special Conditions: CR&R to haul debris
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $101.50
San Dist: $1,068.00
NMUSD Fee: $0.00
"w V
Fire Department
$208.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$27.00
General Service
$265.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $2,400.54 Fee Due at Permit Issuance : $4,890.35
0
a a - PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
v
GRADING APPROVAL:
4
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
m 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 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
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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
1 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).
D I am exempt from Iicensure 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 legalh
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.
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 70 0 of Division 3 of the Business and Professigy s '7Jpe, �.r Iicens full force
nd effect. License Class License No Dat ZI Contractor SignatuAf
PORKERS' 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 DOL ARS ($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
6SOrmance 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
JI 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
.hat, if I should become�ss bject to this vio�ers' yc pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ry(y
Signature of Applicant / \ //'�/ C� Dat�
DECLARATION REGA DIN RUCT LENDING AGENCY
" 1
hereby affirm under penalty perury 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordina es and state laws relating to building construction.
I authorize representatives of this city or co y to t t a Identifi roperty for inspection purposes. /L Q-
Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY ECLAR OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
NOTIFICATION IS_NOTAPPLICABLE TO
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