HomeMy WebLinkAboutX2021-2908 - Permits# City of Newport Beach - 'ding Division
400 Civic Center Drive, Newport Beach;, 360
_4 •_ ,� v"x.. -:it Counter Phone (949)644-3288
v 5 _...apection Requests Phone (949)644-325__
Combination Type - SFP MECH ELEC PLUM
COMB Permit: X2021-2908
Project No : 2536-2021
Issued Date : 11/1512021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111512024 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: 1951 SANTIAGO DR NB
Description: SFR ADD 646 SF, REMODEL 289 SF & NEW ROOF DECK 234 SF (INCLUDES REWIRING HOUSE)
Legal Desc.: N TR 4710 LOT 6
Owner:
CNQST LLC
Contractor:
BRYAN PACIFIC BUILDERS
Architect:
Address:
1951 SANTIAGO DR
Address:
413 CALLE DELICADA
Address:
NEWPORT BEACH, CA 92660
SAN CLEMENTE CA 92672
Phone:
Phone:
714-360-4488
Phone:
State Lic:
Applicant:
KENT ART
Con State Lic:
585047
Engineer:
WU FRANK H
Address:
61416TH ST
Lic Expire:
02/28/2022
Address:
68 BLUECOAT
HUNTINGTON BEACH, CA 92648
Bus Lic:
BT30066161
IRVINE CA 92620
Phone:
714-272.1624
Lic Exp Date:
11/3012021
Phone:
949-832-0250 State Lic:S-002025
Code Edit:
2019
Worker's Compensation Insurance
Designer: KENT ART
Type of Construction:
V-B
Carrier:
SIRIUS AMERICAN INS CO
Address: 61416TH ST
Occupancy Group:
R3/U
Policy No:
WC61613
HUNTINGTON BEACH, CA 92640
Added /New sq.ft. Bldg:
646
Expire:
12/18/2021
Phone: 714-272-1624
Added /New sq. ft. Garage:
0
No of Stories:
2
Building Setbacks
Rear: 6
Special Conditions:
No of Units:
1
Front: 20
Bldg Height:
0
Left: 6
Bldg Sprinklers:
N
Right: 6
-.
Flood Zone:
X
Use Zone:
Pnrkinn SnnneH' n
Fire Hazard 7nne N
Construction Valuation: $151,481.00
Building Permit Fee:
$2,901.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,835.29
Additional Fee :
$0.00
Plan check Fee : $260.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management:
$34.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$27.00
Energy Compliance:
$106.04
Grading PC Fee:
$0.00
Public Works Department -
General Service
$265.00
CA Seismic Safety:
$19.69
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access :
$0.00
P/W Plan Check: $101.50
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$203.07
San Dist: $1,068.00
Building Green Fee :
$7.00
Mechanical %:
$116.04
NMUSD Fee: $1,188.64
_
$0.00
Plumbing %:
$261.09
$0.00
TOTAL FEE : $8,957.36
Plan Check Fee
: $2,246.89 Fee Due at Permit Issuance :
$6,710.47
PROCESSED BY:
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ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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OWNER -BUILDER DECLARATION'c
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below b ":uark(s) I have placed next to the a A
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or rer- j icture, prior to its issuance, also re- f,-"�,ant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaptc.. __ 4nencing with Section 7000) of Division 3 D. r uslness and
Professions 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 a4Gvil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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 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
improved 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
apply 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).
LJ I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least c
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.1
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section z0[
and effect. License Class License No Date !
COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
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 Dire
perfor nce of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
ie of Agent -• s
certify that, in the performance of the work f /w'hich this permitNiissued, I shall not employ any person in any
if I should become subject to the workerrpgryrpen$atjdb,Isrovisions of Section 3700 of the Labor Code, I shall
nature of Applicant NVL_
CLARATION REGAf DING CO S CTION LE ING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
Idler's Name Lender's Address
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, rdina}� s ands a laws relating to building construction
1 authorize representatives of this city or county toter jf D' b ntifed property for inspection purposes.
e year prior to completion or the Improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
Date
he Business and Pr fe iordpi6 eicense is in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensatiop laws of California, and agre
h comply with those provisions. ��%
Date / f t //` /� I
i this permit is issued (Section 3097, Civil Code).
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ACTION
DATE
BY
ECh.Q.RATIO OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY i
REGU TIONS 610E TITLE 40 AND AQMD RULE
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ASBESTOS NOTIFICATION IS N �APP ABLE TO
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