HomeMy WebLinkAboutX2020-2442 - 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
pry yea ` Combination Type - SFP ELEC MECH PLUM
IIIP������������llll COMB oe1 Prmit:
X 020-2442
Issued Date: 02/2212021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/23/2024 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: 5 TIBURON BAY DR NB
Description: SFR ADD 49 SF AND REMODEL 900 SF. RAISE CEILING HEIGHT AT GREAT ROOM. NEW ENTRY PORCH
Legal Desc.: N TR 7510 LOT 47
Owner:
BRUCE ENDSLEY
Contractor:
RJ TANNER CONSTRUCTION
Architect:
JEANNETTE BRION S
Address:
5 TIBURON BAY DR
Address:
893 OAK STREET
Address:
470 OLD NEWPORT BLVD
CORONA DEL MAR, CA 92625
COSTA MESA CA 92627
NEWPORT BEACH CA 92663
Phone:
Phone:
949-235-4856
Phone:
949-6455854 State Lie C008012
Applicant:
BARD MARTIN
Con State Lie:
744104
Engineer:
DEIHIMI DAMIR HOSSEIN
Address:
470 OLD NEWPORT BLVD
Lie Expire:
12131/2021
Address:
23172 PLAZA POINTE DR STE 145
NEWPORT BEACH CA 92663
Bus Lie:
BT98043220
LAGUNA HILLS CA 92653
Phone:
949-645-5854
Lie Exp Date:
06/30/2021
Phone:
949.954-7244 State Lic:C-078194
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg: 49
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $1,821.00
Plan Check Fee: $1,503.95
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$50.00
Energy Compliance:
$61.00
CA Seismic Safety:
$10.66
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $4,085.81
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carder: PREFERRED PRO INS
Policy No: ON0897402
Expire: 06/01/2021
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %
Plumbing %:
z
Rear: 10
Front: 6
Left: 5
Right: 5
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$127.47
$72.84
$163.89
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$86.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $1,749.95
Fire Department
V W
$185.00
Fire Inspection:
® $0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,335.86
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
w
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
Ie 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).
1, 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,
�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).
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 1 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, 1 Cannot legall,
ell a structure that 1 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.htmi.
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 Q of ivision 3 of the Business and Pro o nt icense is in full force
nd effect. License Class License No Dat Contractor Sign u
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:
31 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
94ormance 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:
ie of Agent
certify that, in the performance of the
, if I should become subject toAhe we
of Applicant
Policy Number Expiration Date
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
a provisiection 3700 of the Labor Code, 1 shall forthwith comply with those provisions. )
hereby affirm under penalty of perjury that there(is a constriction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
.enders 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county fo e W the ovg,-� led property for in�ion purposes. f f l
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Age
ACTION DATE BY DEC , F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE LATION PART61 OF TITLE 40AND AQMD RULE
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PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITCANCELLED
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PERMIT EXTENDED
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PERMIT FINAL
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ASBESTOS NOTIJI IS NOT PPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLIT
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OCCUPANCYISSUED
SIGNATURE:
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