HomeMy WebLinkAboutX2019-0547 - Permits$wry City of Newport Beach - Building Division IIIII�IIIIIIIIIIII�IIIIIIII�IIIIIIII�III�IIII III
"t �s 100 Civic Center Drive, Newport DE&rh CA 920E0 � - - X 2 0 1 9 0 5 4 7
Permit Counter Phone (949)644-3888 r'.
Inspection Requests Phone (949)6�4325$ . •: . .
r'rzrrau�"�' Combination Type - SFP EL&6RAD MECH PLUM . - PEW
iJ1�}p��.r
. �lGi#
Construction Hours: Idomda�p -
Job Address: 333 HOLMWOOD DR INS
Description: NEW SFR S GARAGE 608211056 SF
Legal Desc.: N TR 1136 LOT 15'..
Owner:
ATKINS JEFFERY S
Address:
333 HOLMWOOD DR
NEWPORT BEACH, CA 92663
Phone:
Applicant:
GUIDERO BILL
Address:
425 30TH ST STE 23
NEWPORT BEACHIGA 92663
Phone:
949-675-2626
Code Edit:
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3IU
Added /New sq.ft. Bldg:
5082
Added /New sq. ft. Garage: 1066
No of Stories:
3
No of Units :
1
Bldg Height:
24,
Bldg Sprinklers:
Y
Flood Zone:
Construction Valuation: $988,000.00
Building Permit Fee:
$6,833.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$114.00
Energy Compliance:
$268.00
CA Seismic Safety:
$128.44
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee : $40.00
t
TOTAL FEE I: $18,759.60
PROCESSED BY:
ZONING APPROVAL:
COMB Permit: X2019-0547
Project No: 2187-2018
Issued Date : 02120/2019
Inspection Area : 2
!ACTS EXPIRE 280 C)AYS AFTER ISSUANCE OR LAST VALID INSPECTION.
y 7:0Q a.m. t3 6:30 gt.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
.. ... ... ..
Contractor: CLAYTON BUILDERS INC Architect:
Address: 735 FARAD STREET Address:
COSTA MESA, CA 92627
Phone: 949-279-6910 Phone: State Lie:
Con State Lie:
846631
Lie Expire:
09130/2020
Bus Lie:
BT30043010
Lie Exp Date:
0413012019
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks Rear:
0'
Front:
20'
Left:
4
Right:
4
Use Zone: R-1
Parking Spat
Excise Tax:
$1,288.98
Additional Fee :
($1,131.00)
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$870.84
Grading Permit Fee:
$875.00
Grading PC Fee:
$191.16
WQ Insp. Fee:
$108.00
Electrical %: $478.31
Mechanical W $273.32
Plumbing %: $614.97
GRADING APPROVAL:"1(L
Engineer:
GABRIEL MICHAEL R
Address:
483 E 20TH STREET
COSTA MESA CA 92627
Phone:
949-646-6596 State Lic:S-002939
Designer:
GUIDERO BILL
Address:
425 30TH ST STE 23
NEWPORT BEACH CA 92663
Phone:
949-625.2626
Special Conditions: VA278-10' FRONT
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PNV Plan Check: $247.50
San Dist: $1,649.00
NMUSD Fee: $5,910.08
Fire Department
$0.00
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $18,631.16 Fee Due at Permit Issuance : $128.44
it
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contra _
action 7031.5, Business and Professions Code: Any city or county that req
permit to file a signed statement that he or she is licensed pursuant to the prov
fessions Code) or that he or she is exempt from licensure and the basis for the
more than five hundred dollars ($500)
i
ioatc&9 Ic w §y `.he chealinarw(s? I have placed next to the applicable item(s)
r o6sh,:)rse4irany s¢urJure:prjor to its issuance;,, also requires the applicant for
icens@ [av7 TCI,ap2r 9 (Eonlm5n6IrV A.tl7 Section 7000) of Division 3 of the Business and
of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions c5tha-mrl:, and 4ho strlc`ure s.nc4 leierded or offer
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through =41eyees' or pi rsoraT ODD, bailel or improves'.
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of 8QrypletNp. the; jn ,f-XikieryyjljhaVe-1W burden of I
improved for the purpose of sale). I
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The. Contractor.
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).
❑ 1 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 one year` prior to completion of the improvements cove
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectie
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/N vw.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION %
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000ef Ivisio f the Business and P,wfe Ighy Qb
and effect. License Class License No Date v0 Contractor Signatl$��[��:16
WORKERS' COMPENSATION DECLARATION lJ�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DI
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:
I 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
performance of the work for which this permit is issued. Policy No.
I 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 is
insurance carrier and policy number are:
Agent
in the performance of the
become subject to the wo
of Applicant
Policy Number
this
1 shall not employ any person in any manner so
jjon 3700 of the Labor Code, I shall forthwith c
eby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
ier's Name Lender's Address
ay 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 ordi ces and ate laws relating to building construction.
I authorize representatives of this city or county,�o ftn jjov�r i fi— p y 4y-far inspection purposes.
ACTION
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Date
to become subject to the workers' compem
ply with those provisions.
Date
permit is issued (Section 3097, Civil Code).
BY DECLARATION OF COMVRANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED
TO
❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
for sale (Section 7044,
property, provided that the
wing that it was not built or
State License Law does not
.his permit, Icannot
of the Business and
IS ($100,000), IN ADDITION TO THE
0 of the Labor Code, for th
1. My workers' compensatiol
I laws of California, and agre
r
� �r 4