HomeMy WebLinkAboutX2021-1230 - PermitsCity of Newport Beach - Building Division
4
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
'X2021-1230"
INSPECIOR
COMB Permit: X2021-1230
Project No : 1084-2021
Issued Date: 08/1912021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 06/19/2024 OR PERMIT WILL BE INV,
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: 1227 PORTSIDE WAY NB
Description: SFR ADDITION TO LAUNDRY RM & BEDROOM 291 SF AND REMODEL 2,400 SF
Legal Desc.: N TR 6113 LOT 47
Owner:
MURRAY KEITH D
Address:
7 SHORELINE
NEWPORT COAST, CA 92657
Phone:
Applicant:
SULEIMANI BOB
Address:
2018 W WESTWIND
SANTA ANA, CA 92704
Phone:
818-481-9524
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/11
Added /New sq.ft. Bldg: 291
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
ill Construction Valuation: $250,000.00
Building Permit Fee: $3,135.00
Plan Check Fee: $2,552.09
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$2.00
Energy Compliance:
$175.00
CA Seismic Safety:
$32.50
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$10.00
TOTAL FEE: $7,648.34
I:01YHN4.Y.9g91-Yi
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: S M CONSTRUCTION
Address: 11 WILKING DR
IRVINE CA 92620
Phone: 714-357-5893
Con State Lic:
890394
Lic Expire:
02/28/2023
Bus Lic:
BT30056358
Lic Exp Date:
0813112021
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$219.45
$125.40
$282.15
0
Architect:
Address:
Phone: State Lic
Engineer:
CHRISTIANSEN SCOTT
Address:
1003 WILSHIRE BLVD 202
SANTA MONICA CA 90401
Phone:
310-395-7641 State Lic:C-037989
Designer:
NICHOLSON TONYA
Address:
606 ORCHID
NEWPORT BEACH, CA 92625
Phone:
949-278-1327
Special Conditions
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$208.00
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
$27.00
$265.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $2,657.09 Fee Due at Permit Issuance : $4,991.25
PUBLIC WORKS APPROVAL:
a
PLAN CHECK BY:
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
to 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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 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:
Iy 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
'signature of Ploperry Owner or Authorized Agent Date
.Cc?ISED CON'i RACTOR'S DECLARATION
hereby affirm im�cr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 o Vision 3 of the Business and Prof o , and r f se is in full force
rid effect. License Class License No Date o lecl —Z Contractor Signature
WORKERS' COMFENSATION DECLARATION
'RNIV3: FAILURE TO SLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
GET OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1'.6. Lby affirm under penalty of perjury one of the following declarations:
I have and wall 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
edu,nlance of the work for which this permit is issued. Policy No.
I have and w;l; 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'
urarce came- and i olicy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for 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
l; if I should beco Bub�,'�/r�f)0 tthha ork/�fs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicann 1 !.� Date
CLARATION REEIAR G CONSTRUCTION LENDING AGENCY
�reby 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).
Ider's Name Lender's Address
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 ordinance a state laws relating to building construction.
I authorize representatives of this city or county to Mteg the o r-identif for inspection purposes.
of
Print Prcoertv Owner's cr Authorized
ACTION DATE BY " DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED /EPA
PERMIT EXTENDED A / AQMD
NOTIFICATION ISD CT APPLICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED