HomeMy WebLinkAboutX2021-0829 - Permitsis�rFr& City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD ELEC MECH PLUM
111111111111111p1111p111111111111p1111111111111111COMB Permit: X2021-0829
Project No : 0769-2021
Issued Date: 08/20/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912012024 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: 2132 OCEAN BLVD NB
Description: NEW SFR 3595 SF, 109 SF MECH ROOM & 482 SF GARAGE N® CONSTR
Legal Desc.: TR 518 LOT 9 BLK F ELY 26.25 FT(AND WLY1/2 LOT 10 BLK F l.�
Owner:
CALLAGHAN RYAN & KELLY
Contractor:
UNITED CONTRACTORS
Address:
2018 E BAY AVE
Address:
10725 ELLIS AVE #D
NEWPORT BEACH, CA 92661
FOUNTAIN VALLEY CA 92708
Phone:
9491422-7764
Phone:
801-792-7417
Applicant:
OLSEN ERIC
Con State Lic:
949005
Address:
2720 E COAST HWY, STE A
Lic Expire:
06/30/2022
CORONA DEL MAR CA 92625
Bus Lic:
BT30053869
Phone:
949-887-8056
Lic Exp Date:
01/31/2022
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 3ew 3s 01,9,
Added /New sq. ft. Garage: 482
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Construction
Building Permit Fee: $6,431.00
Plan Check Fee: $4,416.00
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Record Management: $70.00
Energy Compliance: $303.00
CA Seismic Safety: $130.00
Disabled Access : $0.00
Hazardous Mat $0.00
Building Green Fee : $40.00
TOTAL FEE: $20,480.17
PROCESSED BY: od`,%
ZONING APPROVAL: ,Q�
GRADING APPROVAL: // .6-k
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 911946220
Expire: 12/06/2021
Building Setbacks Rear: 0'
Front: 8'
Left: 4'
Right: 4'
Excise Tax:
$856.17
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$688.80
Grading Permit Fee:
$973.00
Grading PC Fee:
$151.20
WQ Insp. Fee:
$1,220.00
Electrical %:
$450.17
Mechanical %:
$257.24
Plumbing %:
$578.79
Plan Check Fee :
ArchitecArchitect: O2728 N
EE ERICCOASoSTE A ®�•
CORONA DEL MAR CA 92625
Phone: ®� 6 State Lic:C034489
Engineer: FORBE CORONA
Address: 1800 E 16TH ST #B
SANTA ANA CA 92701
Phone: 714-835-2800 State Lic:C-030407
Designer:
Address:
Phone:
Special Conditions: SATURDAY FORM
ON PLANS
no san fees due
0 Fire Hazard Zone
: N
Planning Department-
Fire Department
Plan check Fee :
$520.00
Fire Inspection:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department-
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00 f'y
P/W Plan Check : $0.00
Grading Bond:
0�. r_4V
San Dist: $0.00
,A
NMUSD Fee: $3,394.80
°
•+
$0.00
$5,805.00 Fee Due at
Permit Issuance : $14,675.17
?JBLIC `NCRKS APPROVAL.
PLR.N CHErK BY:
d
APPROVAL•TO ISSUE:
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 Business 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
❑ 1, 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).
❑ 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 covered by this permit, I cannot legal
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, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.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 0) i+�'Isii7np the Business and Profes Ions Co , and y license is in full force
and effect. License Class License No Cat � pr'(f ( Contractor Signature
NORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN72THOA DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provideection 3700 of the Labor Code, for the
rmance 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' compensation
I once carrier and policy number are:
ter Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the performance of t work r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
tat, if I should become subject to th orke co ns tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Daj'� '7✓Q'L/ (/
IECLARATION REGARD C DCTION LENDING AGENCY y[I
hereby affirm under penalty of p rJ 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
y my signature below, I Fallapplicable
each of the following:
I am the property owhorized to act on the property
I have read this applid the information I have provic
I agree to comply wit city and county ordinan,
I authorize representatives of this city or county to enter thv
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
I DATE I BY
state laws relating to building construction.
ientified property for inspection purposes.
Print Prooertv Owner's or Authorized
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND ACM RULE
I SUP NIITTEC ASBESTOS NOTIFICATION TO
PERMIT EXTENDED C,MD
PERMITFINAL Q�'� J Q ASBESTOS NOTIFICATION IS NOT APPUCABCE. TO
CERTIFICATE OF / PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: -
FOR OFFICE USE ONLY
61 umay
Name
Date lI