HomeMy WebLinkAboutX2021-2798 - Permitse`"0r� City of Newport Beach - Building Division
±ST' -1 100 Civic Center Drive, Newport Beach, CA 92660
µ `' Permit Counter Phone (949)644-3288
s} .. £ Inspection Requests Phone (949)644-3255
` <xri,va Combination Type - SFP MFCH Ei.EC PLUM
IIII�IIIII�II��IIIIIIIII�IIII�II��II II COMB Permit: X2021-2798
Project No : 2437-2021
Issued Date: 01/04/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY.0110512024 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: 1912 HIGHLAND DR NB
Description: SFR ADD 488 2ND FL SF. REMODEL 567 SF
Legal Desc.: N TR 3057 LOT 43
Owner:
SINCLAIR ELIZABETH
Address:
1912 HIGHLAND DR
NEWPORT BEACH CA 92660
Phone:
949-244-9389
Applicant:
GARCIA RON
Address:
155 ROCHESTER ST
COSTA MESA CA 92627
Phone:
626-224-3300
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 488
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $2,537.00
Plan Check Fee: $2,031.83
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$58.00
Energy Compliance:
$126.00
CA Seismic Safety:
$23.40
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$8.00
TOTAL FEE: $7,422.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ANDREW LEE MINER
Architect:
METODIEV TRIFON
Address:
P O BOX 1336
Address:
155 ROCHESTER
NEWPORT BEACH CA 92663
COSTA MESA CA 92627
Phone:
949-645-5666
Phone:
949-293-2176 State Lic:C037844
Con State Lic:
328952
Engineer:
BURKE THOMAS
Lic Expire:
08/3112022
Address:
151 KALMUS DR #140
Bus Lic:
BT30043939
COSTA MESA CA 92626
Lic Exp Date:
- 0713112022
Phone:
949-494-0776 State Lic:S-005088
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9168668
Expire: 07/01/2022
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: 16
Front: / Za
Left: / r.
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$177.59
$101.48
$228.33
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: $50.75
San Dist: $1,016.00
NMUSD Fee: $0.00
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:
$0.00
$0.00
$27.00
$265.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee: $2,416.58 Fee Due at Permit Issuance : $5,005.80
6 • . o . PUBLICr,VMP,KS° APPROVAL:
PLAN CHECK BY:
%PPRQVAL Sb.ISSUE:
bbB BB •• � ••� •®•
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe mason(s) indicated below by the checkmark(s) i have placed next to the applicable kem(s)
coon 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commending with Secdon•7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of' action 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). 1
J I, as owner of the property, or my employees with wages as their sole compensation, will do U an of or
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of propert
nprovemerds are not intended or offered for sale. If, however, the building or Improvement is sold within of
n roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project
�ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licei
1 am exempt from licensure under the Contractors' State License Law for the following reason:
y my,. signature below 1 acknowledge that, except for my personal residence in which I must have resided f
all a :structure that I have built as an owner -builder ff It has not been constructed in its entirety by licensed I
professions Code, is available upon request when this application is submitted or at the following Web site:)
Ignature of Property Owner or Authorized Agent
.ICEINSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
nd effect icense Class License No Z .Qi <�1. Dalev
VORKERS' COMPENSATION DECLARATION T
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the
Fonnance of the work for which this permit is Issued. Policy No.
of the work, and the structure is not intended or offered for sale (Section 7044,
gh employees' or personal effort, builds or improves the property, provided that the
)mpletion• the Owner -Builder will have the burden of proving that it was not built or
1, Business and Professions Code: The Contractors' State License law does not
)r pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot leg:
inderstand that a copy of the applicable law, Section 2 q44 of the Business and
info.ca.gov/calaw.himl. //
e
of Division 3 of the Business and Professio%$16y, and my.7ieenseis•inttdl force
I //
Contractor Signature
AND Mrs. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (510DMM, IN ADDmON TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for l' a performance of the work for which this nnR is Issued. My workers' compensallol
rance carrier n olicy numb
Ter '.' +• li umber9 �� $ tQ.G �„gna- F�rpha0on Date i s 1 '2--L--
IS of Agent , nUY • Phone #
certify that, In the performance of rile rk f wh' h this pe ad, I shall not employ any person in any I
L ff'1 should became su "act to the w -rice ' co
nsation scans o Section 3700 of the Labor Code, I shall
nature of, pplicant
CLARATION RE DIN TR ON LENDING AGENCY
Ireby affirm under penalty of perjury that Mere is a construction larding agency for the performance of the work 1
der's Name Lender's Address
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the properly ees behalf.
I have read this application and the information I have rp`vId is
I agree to comply with all applicable city and coon o Ina s nla0rg to building construction.
I authorize representatives of this city or county t e r a an d property for Inspection purposes•
so as to became subject to the workers' compensation laws of California, and agre,
i comply with those provist ns.
h this permit is issued Sectction 30977, Civil Code).
V
ACTION DATE A BY uc ru" ur wmrusuTl.c "II n 1 Vucur WK urlaCe use 01vLy
DE REG T/ONSPAR T61OFTITLE40AND
PERMITIXPIRETI - I IDUBESZOS fOaFICATION TO:
PERMIT CANCELLED • • • A : : • • • j
PERMITFX7ENDED • ❑ • IyO, • a
❑ AS TOS N017 ON 44 NOT APPLICABLE TO
PERMITFINAL . - PROPOS DDEMOU ION
CERTiFICATEOF •�1G•• •*• • sd.
OC'CUPANCQUED