HomeMy WebLinkAboutX2021-1662 - PermitsCity of Newport Beach - Building Division
+. 100 Civic Center Drive, Newport Beach, CA 92660
a Permit Counter Phone (949)644-3288
s.. Inspection Requests Phone (949)644-3255
�'rbvtu`r Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIII�IIIIIII11
111 COMB Permit: X2021-1662
Project No : 1449-2021
Issued Date : 08102/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/02/2024 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: 9 RONSARD NB
Description: SFR - ADD 236 SF R REMODEL 1,665 SF
Legal Desc.: N TR 15935 LOT 86
Owner:
VASHISTHA KAPIL
Address:
9 RONSARD
NEWPORT COAST, CA 92657
Phone:
3101412-5294
Applicant:
DAHLAKY KEVIN
Address:
5 BANYAN TREE LN
IRVINE CA 92612
Phone:
9491743-3633
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:-36'23v
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 35
Bldg Sprinklers: N
Flood Zone: X
Building Permit Fee: $1,515.00
Plan Check Fee: $1,232.73
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$46.00
Energy Compliance:
$70.00
CA Seismic Safety:
$13.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $3,442.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
NO
Contractor:
Address:
Phone
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
OWNER/BLDR
VASHISTHA TANIA
0/13 AUTH ATT
310.412-5294
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 10'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$106.05
$60.60
$136.35
Architect: GEBHART CHRISTOPHER
Address: 340 ALBION ST
DENVER, CO 80220
Phone:
State Lic:C0403220
Engineer:
GARCIA RICARDO RAY
Address:
11520 JEFFERSON BLVD #226
CULVER CITY CA 90230
Phone:
State Lic:C-066957
Designer:
Address:
Phone:
Special Conditions:
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,600.00
Fire Department
$208.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
CC
0
t -°
Ca
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,842.48
PUBLIC WORKS APPROVAL: I J,
PLAN CHECK BY: V'1
APPROVAL TO ISSUE:
omen•
aaom•
omm;mo
o m o
m
aoaomo
o •
OWNER -BUILDER DECLARATION
I hereby affinn 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, priorto 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).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Wsiness 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-Builderwill have the burden of proving that it was not built or
roved 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
ply 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).
3 1 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 once year prior to completion of the improvements covered by this permit, I cannot legall)
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I junderstand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when t is application ,,i� submitted or at the followi9� Web site:http://www.leginfo.ca.gov/calaw.html, g z�2
lignature of Property Owner or Authorized Agent c/QMV A. �/,,,rt�.l sl�iLA � Date
.ICENSED CQV7.RACTOR'S DECLARATION
hereby affrn)-u "penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORIEERS' CQIae£NSATION DECLARATION
KRNNIG: 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 1$100,0001, IN ADDITION TO THE
OST OF'COMPENSAI1ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
perepy affirm AM6r'penalty of perjury one of the following declarations:
�• •••
MMave and will•maintain acertificate 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
eQpgnance oOeavoik forwhich this permit is issued. Policy No.
It!lave and will�rnaintain 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' compensatiol
16elenee carrier and policy number are:
:artier: • • • Policy Number Expiration Date
laffitoof Agent Phone #
3icertify that yin Ne 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
lat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant I Date
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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 county ordinances and state laws relating to building construction. \r
I authorize representatives of this city or county to epter the above-idelifiegproperty for inspection purposes.
of Prooertv Owner or
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
1403
OF FEDETIA - I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND
ASBESTOS NOTIFICATION TO
RULE
—f — DA"4- I�OROSED DEMOLITIONION IS NOT APPLICABLE TO
i-L
24