HomeMy WebLinkAboutX2019-1552 - PermitsiocNe Dport BeaBh - B ildi og Division IIIIIIII�II�IIIeIIIVIIIIIIIIIIIII�IIIVIII
, NewportProject
itCounterPhone (949)644-3288 -
ction RequestsPhone (949)644-3255
binatiomType - MFP ELEC MECH PLUM GRAD ,
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COMB Permit: X2019-1552
No: 1052-2018
Issued LionDatAr5116/2019
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. :c r rt t;7t w-` i �
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 Su' days orphtof
Job Address: 506 CLUBHOUSE AVE NB
Description: NEW DUPLEX & GARAGE 4760/880 SF
Legal Desc.: CANAL SECTION LOT 1 BILK 532 ALL-INC POR OF ST ADJON S-
Owner: GARG JONATHAN Contractor: OWNERIBLDR
Architect:
PARKHURSTJEFF
Address: 809 BENCHMARK Address: GARG JONATHAN Address:
25512 CALLE JARDIN
IRVINE CA 92618
SAN JUAN CAPISTRANO CA 92675
Phone: 949-510-0417 Phone:
Phone:
714-545-2263 State Lic:CO20554
Applicant: INNES ELIZABETH Con State Lie: O/B
Engineer:
MOSER BRADLEY CHARLES
Address: 9521 IRVINE CENTER DR Lie Expire:
Address:.
116 OAKSIDE LN
IRVINE CA 92618 Bus Lie:
TORRANCE CA 90505
Phone: 949-861-2244. Lie Exp Date:
Phone:
State Lic:C-068803
Code Edit, 2016 Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR Carrier:
Address:
Occupancy Group: R3IU Policy No:
Added /New sq.ft. Bldg: 4760 Expire: -
Phone:
Added /New sq. ft. Garage: 880
No of Stories: 3. Building Setbacks Rear: 5
Special Conditions: OWNERIBLDR AUTH ATTACHED
No of Units : 2 Front: 5
Bldg Height: 2429 Left: 4
Bldg Sprinklers: Y Right: 4
Flood Zone:. Use Zone: R-2 Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation:. $1,190,000.00
Building Permit Fee: $6,279.00 Excise Tax: $1,184.40
Planning Department -
Fire Department
Plan Check Fee: $61.00 Additional Fee : $0.00
Plan check Fee :
$0.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 .Grading Bonds Fee: $0.00
Fair Share : $1,865.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant: $1,066.62
SJH Trans :
$0.00 Demolition Fee
Record Management: $106.00 Grading Permit Fee: $1,187.00
In -lieu Housing Fee:
$0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee: $231.94
Public Works Department -
General Service $0.00
CA Seismic Safety: $154.70 WQ Insp. Fee: $108.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access: $0.00
P/W Plan Check : $371.25
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $879.06
San Dist: $6,707.00
Building Green Fee : $48.00 Mechanical %: $690.69
NMUSD Fee: $7,431.76
$0.00
Plumbing %: $566.11
- $0.00
IITOTAL FEE: $27,926.53 Plan Check Fee:
PROCESSED BY: ���
ZONING APPROVAL.
GRADING APPROVAL:
$0.00 Fee Due at Permit
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: �(V
$27,926.53
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)
3ecfion 7031.5, Business and Professions Code: Any city or county that require t 7�_ lish, or repair any structure, prior to its issuance, also requik-s-1he applicant for
is permit to file a signed statement that he or she is licensed pursuant to the pr rs w (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the allege of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Of mo n five hundred dollars ($500).:.::,
I as 0' of theproperty,or m em to employees with wages as their sole compensation, will do all of or portions f the work and the structure is not intended or offered for sale Section 7044
Y P Y 9 P U UP q
usiness and fessions Code: The Contractors' State License Law does not apply to an owner of property who, throughemployees' or personal effort, builds or improves the property, provided that the
nprovements or of 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
nproved for the pumose 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 imp ments c vered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it not been constructed in its entirety by licensed contractors. I understand that a copy of the app' bla law, S n 7044 of the Business and
'rofessions Code, is available upon r s application is ubmitt or of the following Web site:http:/Nw .ledinfo.ca.gov/calaw.html. — r G _ ,� t
signature of Property Owner or Aut oriz ge t to 7
.ICENSED CONTRACTOR'S D LA 10
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
nd effect. License Class License No Date Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN,ILTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
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 3700 of the Labor Code, for the
erformance 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 issued. My workers' compensatiol
isurance carrier and policy number are:
'arrier Policy Number Expiration Date
in the performance of the work far which this permit is issued, 1 shall not employ any person in any manner so as to become
become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the
workers' compensation laws of California, and
9 -(C, —2010)
DECLAPA14eN REGARDING -CONSTRUCTION LENDI --- -- - I
I hereby a a ere is a construction lending agency for the performance of the work for which. this permit is issued (Sectio , 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 to building construction.
I authorize representatives of this city or county to enter the above -id n[ified p erty for inspection purposes. ff�� //11
Signature of Property Own e zed Print Prope Owner's or Authorized enf ame ! Otn T�j
ACTION BY DECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL _
CERTIFICATE OCCU
OCCUPANCY ISSUED
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: