HomeMy WebLinkAboutX2020-1686 - Permits.atxo City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
11111111111111p11111111p11111111111111111111111ill 11COMB Permit: X2020-1686
x 2 0 2 0 1 6 8 6 Project No: 1326-2020
Issued Date: 08131120211
Inspection Area :8 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0813112024 OR PERMIT INILL 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: 2501 ANNIVERSARY LN NB
Description: SFR -ADD 202 SF & INTERIOR REMODEL 493 SF
Legal Desc.: N TR 3068 LOT 7
Owner:
ABELL ERIK & BARBRA
Contractor:
Address:
2501 ANNIVERSARY LN
Address:
NEWPORT BEACH, CA 92660
Phone:
949-293-5963
Phone:
Applicant:
ABELL ERIK
Con State Lic:
Address:
2501 ANNIVERSARY LN
Lic Expire:
NEWPORT BEACH, CA 92660
Bus Lic:
Phone:
949-293-5963
Lic Exp Date:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 202
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 29
Bldg Sprinklers:
Flood Zone: X
ill Construction Valuation: $139,000.00
Building Permit Fee: $2,037.00
Plan Check Fee: $1,754.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$34.00
Energy Compliance:
$97.30
CA Seismic Safety:
$18.07
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $5,901.64
PROCESSED BY:
ZONING APPROVAL:
OWNER/BLDR
ABELL ERIK
O/B AUTH ATT
949-293-5963
O/B
Workers Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone: R-1-6000
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 20
Left: 6
Right: 6
$0.00
$68.00
$0.00
$0.00
$0.00
$0.00
$0.00
$142.59
$81.48
$183.33
Architect
Address:
eoao
Phone:
State Lic:„•°
Engineer:
WICKSTROM ERIC
Address:
28581 VIA PRIMAVERA
O'•••
SAN JUAN CAPISTRANO CA 92675
Phone:
949-454-8045 State Lic:S-0039
Designer:
CROWLEY PATRICK
U.
Address:
31407 EL HORNO ST
Lu• • • o °
SAN JUAN CAP CA 92675
/y
Phone:
L=L.. •
Special Conditions:
0
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $203.00
San Dist: $1,068.00
NMUSD Fee: $0.00
Plan Check Fee : $1,554.49
Fire Department
$208.00
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 : $4,347.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
00000
ae000
o. .
0
oe�ao®
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the$us.- r; 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 a civil 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
1pirlyva
ements 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
ed for the purpose of sale).
s 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
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).
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: I
By 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, I cannot legall,
sell a structure that I have built as an owner -builder If it s n San constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the /Business and
Professions Co4e,, Vd'Vilable upon request when j�r�ga llii submi or at the following Web site:http://w .[eginfo.ca.gov/calaw.html. �' 1 Z
Signature of Property Owner or Authorized Agent Date/2)
LIb 6AED CONTRACTOR'S DECLARATION - IJ
I hereby affirm under.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
3n4f,eAft. License Class License No Date Contractor Signature
hOVERS' COMPENSATION DECLARATION
4 RVINGAFAILURSW 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
DOST ERCOMPENSATI ON, DA MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
ileleb9affirm urltlerpe� ally of perjury one of the following declarations:
r 113ve 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
)Prfg Mce of thg wo4k for which this permit is issued. Policy No.
711 have and will"ainLein 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
VoufaMi carrier and policy number are:
�alrrar* .....: Policy Number Expiration Date
Name of Agent Phone #
:1I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s as to become subject to the workers' compensation laws of California, and agree
,hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date_
)ECLARATION 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
3y 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 o I an -tate laws relating to building construction.
I authorize representatives of this city or county o n h o -i p2,1, for inspection purposes. Zj
Signature of Property Owner or Authorized Agent rin Owners or Authorized Agent's Name Date <-- �S
ACTION DATE BY DEC ION OF COMPLIANCE WITH CODOOFF FEDERAL R OFFICE USE ONLY
R LAT ONS PART 630E TITLE 40 AND AQrvtu RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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ASBESTOS NOTIFI ON IS NOT APPLICABLE TO
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