HomeMy WebLinkAboutX2021-0625 - PermitsCity of Newport Beach - Building Division
t* ' ' 100 Civic Center Drive, Newport Beach, CA 92660
`�.. Permit Cpunter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
y Combination Type - SFP ELEC MECH PLUM GRAD
L'�LlY <1ti'�j�
"X2021-0625'
INS
F"ECTOR
COMB Permit: X2021-0625
Project No : 0573-2021
Issued Date : 0811112021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811112024 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: 1315 SANTANELLA TER NB
Description: SFR INTERIOR REMODEL 1500 SF & ADDITION 75 SF W/ DRAINAGE ,
Legal Desc.: N TR 170C LOT 42
Owner: PULLIAM TRACY& BRITTA
Contractor:
OWNER/BLDR
Architect:
JEANNETTE BRION S
Address: 1315 SANTANELLA TERR
Address:
PULLMAN TRACY
Address:
470 OLD NEWPORT BLVD
- -
NEWPORT BEACH, CA 92625
NEWPORT BEACH CA 92663
Phone:
Phone:
949-645-5854
Phone:
949-645-5854 State Lic:C008012
Applicant: LI WUN SZE
Con State Lie:
O/B
Engineer:
DEIHIMI AMIR HOSSEIN
^
Address: 470 OLD NEWPORT BLVD
Lie Expire:
Address:
23172 PLAZA POINTE OR STE 145
NEWPORT BEACH, CA 92663
Bus Lie:
LAGUNA HILLS CA 92653
Phone: 949-645-5854
Lie Exp Date:
Phone:
949-954-7244 State Lic:C-078194
Code Edit : 2019
Worker's Compensation Insurance
Designer:
- - -
Type of Construction: V-B
Carrier:
Address:
- -
Occupancy Group: R3/1.1
Policy No:
Added /New sq.ft. Bldg: 75
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 10
Special Conditions: OWNER/BLDR ATTACHED
No of Units: 1
Front: 26
Bldg Height: 0
Left: 4
Bldg Sprinklers:
Right: 4
Flood Zone:
Use Zone: R-1
Parking Spaces:
2
Fire Hazard Zone : N
Construction Valuation: $133,237.50
Building Permit Fee:-$2,193.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $1,822.59
Additional Fee :
$0.00
Plan check Fee:
$624.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$1,941.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $74.00
Grading Permit Fee:
$237.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $93.27
Grading PC Fee:
$199.00
Public Works Department
-
General Service
$0.00
CA Seismic Safety : $17.32
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check :
$558.25
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$153.51
San Dist :
$0.00
Building Green Fee : $6.00
Mechanical %:
$87.72
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$197.37
$0.00
TOTAL FEE: $8,204.03
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$2,300.86 Fee Due at Permit Issuance : $5,903.17
PUBLIC WORKS APPROVAL: (�
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, alsorequires 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,
Usiness 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
n oved for the purpose of sale).
I, as owner of :l.E property, am exclusively contracting with licensed Contras rs to cons ct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply o an owner o' property who builds or improves thereon, and who contra s for the p jests ith a licensed Contractor pursuant to the Contractors' State License Law).
! er^ exempt frc:T. licensure under the Contractors' State License Law r thpilor, n:Iy my signature below I acknowledge that, except for my personal resi ce n haveresided for at least one year prior to completion of the improvements covered by this permit, cannot legallyIII a .,tructure that I have built as an owner -bull erif it has not bee struttey by licensed contractors. I understand that a. copy of the applicable law, Section 7044 of the Business and
'rofcssions Code, is available upon request whe is applicatio bmitte ing Web site:http://www.leginfo.ca.gov/calaw.html. / 2/
lignafare of Prroper'y Owner or Authorized AgentA Date
X,FNSED CONTRACTOR'S DECLARAT N
hereby affirm wder nvnalty of perjury that I am licensed unde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effc-t. License Class License No Date Contractor Signature
I/ORKERS' COMPENSATION DECLARATION
ARNING. FAILURE � O SEC�IRE 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
OST OF COMPENSAT'ON, PAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urder penalty of perjury one of the following declarations:
I have and will mantain 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' compensatior
Isurance carrier and policy number are: /// //
.arrier // Policy biumbRf/ Expiration Date
lame of Agent / Phone #
I certify that, in the performance of the rk for whit is rmit 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
hat, if I should become s jest to th ers' com a " provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
)ECLARATION REG DI CON RU ION LENDING AGENCY
hereby affirm under penalty of p : ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode).
-ender's Name Lend is Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properZstate
I have read this application and the information I have pro
agree to comply with all applicable city and county ordinael ng to building construction.
I authorize representatives of this city or sou t enter tharty for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /R �4'y" Da E//v
ACTION DATE BY I DECLA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE LIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICA NTO
PERMITCANCELLED EPA
PERMIT EXTENDED 1.gQMp
PERMITFINAL BESTOS TIFICAT IS NOT AP A TO
CERTIFICATEOF Q ROP MOLIT
OCCUPANCY ISSUED ��ib SIGNATUR -H
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