HomeMy WebLinkAboutX2021-0898 - PermitsCity 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 MECH ELEC PLUM
*X2021-0898*
COMB Permit: X2021-0898
Project No ' 0829-2021
Issued Date : 09/14/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/14/2024 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: 921 ALDER PL NB
Description: SFR ADD 1,489 SF & REMODEL 2,891 SF WIYARD DRAINAGE ^ ^
Legal Desc.: N TR 4705 LOT 6
Owner: JONES PAUL
Address: 921 ALDER PL
NEWPORT BEACH, CA 92660
Phone
Applicant: GARCIA RON
Address: 155 ROCHESTER ST
COSTA MESA CA 92627
Phone: 626-224-3300
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
1489
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
11 Construction Valuation:
$750,000.00
Building Permit Fee: $6,374.00
Plan Check Fee: $5,118.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$136.00
Energy Compliance:
$303.00
CA Seismic Safety:
$97.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE : $19,569.81
PROCESSED BY:
ZONING APPROVAL:
Contractor:
LEGACY CUSTOM HOMES INC
Architect:
METODIEV TRIFON
Address:
1000 QUAIL ST,
STE 220
Address:
155 ROCHESTER
NEWPORT BEACH CA 92660
COSTA MESA CA 92627
Phone:
949-887-4750
Phone:
949-293-2176 State Lic:C037844
Con State Lic:
986194
Engineer:
BURKE THOMAS
Lic Expire:
08/31/2023
Address:
151 KALMUS DR #140
Bus Lic:
BT30045036
COSTA MESA CA 92626
Lic Exp Date: 10/31/2021
Phone:
949-494-0776 State Lic:S-005088
r
Worker's Compensation
Insurance
Designer:
Carrier:
OAK RIVER INSURANCE
Address:
Policy No:
LEWC117490
_
-
Expire:
1210212021
Phone:
Building Setbacks
Rear: 6
Special Conditions:
Front: 6
Left: 6
Right: 6
Use Zone:
Parking Spaces:
3
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$208.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$1,138.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$27.00
Grading PC Fee:
$990.06
Public Works Department-
General Service
$265.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
PAN Plan Check:
$304.50
Grading Bond:
$0.00
Electrical %:
$446.18
San Dist:
$0.00
Mechanical %:
$254.96
NMUSD Fee:
$2,739.76
$0.00
Plumbing %:
$573.66
$0.00
Plan Check Fee
: $6,546.37
Fee Due at Permit Issuance : $13,023.44
PUBLIC WORKS APPROVAL: 1�
PLAN CHECK BY:
GRADING APPROVAL: 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 reasons) 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
I, as owner of (lie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
oply to an owner G� p, operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from litensure under the Contractors' State License Law for the following reason:
ly my signature ba:cA 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 legalh
III T stricture 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
'rofessions Code is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
lignature of Prop,tl:} Caner or Authorized. Agent Date
.ICE\SED CONTRACTOR'S DECLARATION
affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f Division 3 of the Business and Pro. ss ns Co and ense is in full force
nd sffcict. License class License No Date Contractor Signature
''JORY.ERS' COMPENSATION DECLARATION
'.ARNING: FAILURE TO E'CI'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRZ COUSZOLLAIS ($100,000), IN ADDITION TO THE
DST OF COMPENSA .IJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
;ierebv affirm unJer pe.ialty 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 th
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' compensatioi
isbqnce carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work f ich this Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should becom u ject to the worke ompen revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Da
DECLARATION REGA ING CO UCTIO NDING AGENCY
hereby affirm under penalty o ry that t 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 owners 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 state laws relating to building construction.
I authorize representatives of this city or coun t enter t eA property for inspection purposes. b
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namq X&L Cat
ACTION DATE BY CLAR OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU ONS PART61 OFTITLE40 ANDAQMD RULE
1403
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
NOTIFICATION TO
PERMITFINAL 4 Z() /Ii r - ASBESTQQppS�CNOTIFICATIO OT P�eABLE TOO
CERTIFICATE OCCUPANCY ISSUED 1 ,f°' PROPOSEIDJ SI NATURO