HomeMy WebLinkAboutX2021-1971 - PermitsCity of Newport Beach - Building Division
e L 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Tar,* Combination Type - SFP ELEC MECH PLUM GRAD
*X2021-1971*
COMB Permit: X2021-1971
Project No: 1725-2021
Issued Date : 03/09/2022 ......
Inspection Area : 1
+ . eeeece
• o m o
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2025 OR PERMIT WILL BE INV LID ' • � e o
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: 1508 OCEAN BLVD NB •.....
Description: NEW SFR W/ ATTACHED GARAGE, CARPORT 3789 & 390 & 191 SF • .... : • �� e e
Legal Desc.: N TR 518 BLK I LOT 3 + • + o
Owner:
1508 OCEAN LLC
Address:
220 NEWPORT CENTER DR STE 11-252
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CRAWFORD JAY
Address:
470 WALD
IRVINE CA 92618
Phone:
949-453-9893
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
3789
Added /New sq. ft. Garage: 390
No of Stories:
3
No of Units :
1
Bldg Height:
29
Bldg Sprinklers:
Y
Construction
Building Permit Fee: $5,770.00
Plan Check Fee: $4,484.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$58.00
Energy Compliance:
$303.00
CA Seismic Safety :
$87.10
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$27.00
TOTAL FEE: $24,879.47
PROCESSED BY:
ZONING APPROVAL: pL,
f-
P'110�11 7E T O
Contractor:
OWNER/BLDR
Architect:
CRAWFORDJAY
Address:
MOALEJ REZA
Address:
470 WALD
O/B FORM ATTACHED
IRVINE CA 92618
Phone:
310-744-0106
Phone:
949.453.9893 State Lic:0009001
Con State Lic:
O/B
Engineer:
KHAEF ESMAIL
Lic Expire:
Address:
4005 CALLE SONORA #2B
Bus Lic:
LAGUNA BEACH CA 92637
Lic Exp Date:
Phone:
714-504.8260 State Lic:C-045870
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 0
Front: 9
Left: 3
Right: 3
Parking Spar
$917.70
$0.00
$0.00
$688.80
$973.00
$997.71
$1,220.00
$403.90
$230.80
$519.30
Designer:
Address:
Phone:
Special Conditions:
HAULER:
HIGH DENSITY ZONE
LIQUEFACTION ZONE
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: $406.00
San Dist: $2,031.00
NMUSO Fee: $5,242.16
Plan Check Fee : $6,085.51
Fire Department
$520.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
_±t
9
•• s
M
M
A
M
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $18,793.96
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: Sn G APPROVAL TO ISSUE:
D F-11
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
the permit to file 96intled 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
Professions Coded colhat 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
IN pv s4than five hundred dollars ($500).
0 I, as owner of+th® property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
E¢ISjnegs 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
improvements areyggtIntended 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
intproved for the purpose of sale).
PTA ens owner of Ne property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
aplii 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).
❑e . }am exempt from licensure under the Contractors' State License Law for the following reason:
Ly ", "ignature below Iacknowledge 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
sell A structure t4tt I �Ii:e built as an owner -builder if it has not been constructed in its entirety ed contractors. I understand that a copy of the applicable law, Section 7044 of the. Business and
Prof s si licatio
ons Code -It available upon request when thi appn is itted or at th wing Web site:http://www. leginfo.ca.gov/calaw. html.
Srgnarur%of Property Owner or Authorized Agent Date X 7 A&!!f
LICtMED CONTPAIZTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under prov' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class Licens - o Date, Contractor Signature
WORKERS' COMPENSATION DECLARATION -
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 thi
oerformance of the work forwhich 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'
ranee carrier and policy number are:
Policy Number
Date
Name of Agent rnrnin n
ertify 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
that, if I should become subject to the w rker ' rzrpe�lsation provisions o Se tion 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date ¢ �// /ir
DECLARATION REGARDING CONSTRUCTION LENDI
I hereby affirm under penalty of perjury that there is Bkg6str6ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 t Ing construction.
I authorize representatives of this city or county to enter the ove-I pro or inspection purposes. X
Sinnature of Prooertv Owner or Authorized ADent x - _ Print Property Owner's or Authorized Agent's Name Aolftwil Date
ACTION
DATE
BY
15-ECLARATION OF COW IAWC'EWITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLEDLJEPA
PERMIT EXTENDED
QMD
PERMITFINAL
'� Zy
,�
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:Y