HomeMy WebLinkAboutX2020-2999 - PermitsCity of Newport Beach - Building Division
+; �? 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Combination Type - MFP
Construction Hours: Monday
Job Address: 616 POINSETTIA AVE NB
Description: MFR DELTA 4, ADD 31 SF @ UNIT'A'
Legal Desc.: CORONA DEL MAR BLK 643 LOT 18
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219
COMB Permit: X2020-2999
Project No : 0535-2019
Issued Date : 12/2312020
Inspection Area :6
i UANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPI.EPEd B°Y°1 TYd49 OR PERMIT WILL BE INVALID
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
Owner:
PAM CAPITAL MANGAMENT INC
Contractor:
OWNER/BLDR
Architect:
ENSIGN G ROBERT
Address:
616 POINSETTIA AVE
Address:
RYO SAKAMOTO
Address:
2214 PORT LERWICK PL
NEWPORT BEACH CA 92625
NEWPORT BEACH, CA 92660
Phone:
Phone:
3210-591-9402
Phone:
949-721-0736 State Lic:C006217
Applicant:
ENSIGN G ROBERT
Con State Lie:
OIB
Engineer:
ROSS SCOTT WILLIAM
Address:
2214 PORT LERWICK PL
Lie Expire:
Address:
1800 E 16TH STREET #B
NEWPORT BEACH, CA 92660
Bus Lie:
SANTA ANA CA 92701
Phone:
949-721-0736
Lie Exp Date:
Phone:
714-835-2800 State Lic:C-045309
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 31
Added INew sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation:
Building Permit Fee: $178.00
Plan Check Fee: $154.86
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$18.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.73
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $523.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 20'
Left: 3'
Right: 3'
$6.51
$57.04
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Designer:
Address:
Phone:
Special Conditions: HIGH DENSITY AREA
REV20-53
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
r
61
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $523.39
PUBLIC WORKS APFFOVAL:
PLAN CHECK dY:
A?PROVAL 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).
❑ 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,
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
im vements 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
d for the purpose of sale).
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
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).
vliiyatm�
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 i yt has not been constructed in its 9911rety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whenyps applicatio s mitt g-Web site:http:/ .leginfo c .gov/calaw.html. (Teq 4
Signature of Property Owner or Authorized Ageny-N Da
LICENSED CONTRACTOR'S DECLARA ON
I hereby affirm under penalty of perjury that I am licensed un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
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 DOLLARS ($100,000), IN ADDITION TO THE
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 3700 of the Labor Code, for lh
performance of the work for which this permit is issued. Policy No.
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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
ame of Agent Phone #
NI 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 ogre
th'a , if I should become s bject to the workers' ' ' Ds of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant- -
DECLARATION REG I STRUCTION LER11DING AGENCY
I hereby affirm under enalty 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).
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 rel g to building construction.
%� 13
I authorize representatives of this city or county nter the above-identifr4napection purposes. U > cY� u<o7� ,
Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's N
ACTION
DATE
BY
5EC OF COMPLIANCeWITH CODE OF FEDERAL
FOR OFFICE USE ONLY
,kAfrATION
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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