HomeMy WebLinkAboutX2021-1814 - PermitsCity of Newport Beach - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1814
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 6 1 a Project No : 1563-2021
•.,? n. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 0111012022
Combination Type - SFP ELEC GRAD MECH PLUM
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0111012025 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: 5201 SEASHORE DR NB
Description: NEW SFR W/ADU (1976 SF) & ATT GARAGE (462 SF)
Legal Desc.: OCEAN FRONT TR BLK 52 LOT 1
Owner: THE GOALPOST TRUST 9 uontracmr.---
Address: 16000 VENTURA BLVD STE 900 Address: 1 1 42 PARK ST Address: 16 S `
ENCINO CA 91436 Date: (f Z4� JW T BEACH CA 92648 j f �CORTE MA q 925
Phone. Pfm �#9 6s0746 Phone: State Lic:C035126
Applicant: RIZZO JAMES on State Lic 85BD73 Engi CEO ALE L
Address: 16 SERRA ST is Expire 04I30120236= [�tas 8WA,omn /D refund
CORTE MADERA CA 94925 us Lic:. BT36048414 11 g'' - SANTA ANA CAAA $
Phone: 415-290-1670 _ Lic Exp-Date 09130/2022e es gner:to V� hone:3� State Lic:C-030407
Code Edit: 2019 Worker's Compensation Insurance
Type of Construction: V-B-SPR a� Carrier. STATE COMP INS Addres�!p� _
Occupancy Group: R3/U Policy No 9259518 ""-h ®r;
WAdded /Newsft. Bld 1976 Expire 08/2212022 a4 s_q' g $'' E >F Added /New sq. ft. Garage: 462No of Stories: 3 "` ""--aidlatg Setbacks Reati• FW(Front ', ` I Conditions: HIGH DENSITY
No of Units: 1 Front: 5' LIQUEFACTION AREA
Bldg Height: 0 Left: 3'
Bldg Sprinklers: Y Right: 3'
Flood Zone: .02 se _or 1,. �. rki c : p 0 �- Hazard Zone : N
Construction Valuation: $750 000.00; r r S.d'3. 6 & ^ sn?''j3 Building Permit Fee. $4,309.00 Excise Tax. ��ivrli Cfi'4-'I><;'f \ Planning Department - r Fire spa mt' -
Plan Check Fee: $2,837.00 Additional Fee`. ``$d: D``�/ Plan check Fee : k( s'l. 4�S�Q j'k f tER Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $D.00 FirePlan Rev $0.00
Investigation Fee: $0.00 ph,kr& PC Consultant: $964.32 SJH Trans : $0.00 Demolition Fee
Record Management: $122.00 Gra ing ee: $0.00 Building Dept Adm $0.00
Energy Compliance: $303.00 Grading PC Fee: $211.68 Public Works Department - $0.00
CA Seismic Safety : $97.50 —W4J 0 Park Dedication: $0.00 ,;R and Dap sit $0.00
Disabled Access : $0.00 - ..n.LL _, --
P an Check:609.6D— 1 P. I pro i6'-14I cj Bond' $0-.00
Hazardous Mat $0.00 Electrical %: $301.63 i6" a{l st'"- `$2i190 00
Building Green Fee : $30.00 Mechanical %: $172.36 NMUSO Fee: $198.72 $0.00
Plumbing %: $387.81 $0.00
TOTAL FEE : $15,959.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$4,674.00 Fee Due at Permit Issuance : $11,285.00
°
PUBLIC WORKS. AFPROWL:
PLAN (,HECK 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 tIM_ reason(s) indicated below by the GheGkmark(5) I have placed next to the applicable Rem(s)
clfon 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 tpr
permit to file a signed statement that he or she is licensed pursuant to tine provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessfons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7021.5 by any applicant for a permit subjects the applicant to a civil penalty dl
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
',iness 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
rovGments are not intended or otlered for sale. It, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving mat it was not bull[ or
roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ry 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 Ilcensure under the Contractors' $tata.LLc�s�l„a9 �q
structure that I have built an r-
ssions Code, is Eveflahle port r e
lure fM ;Orrlter nze
NSE CCNTR CTOR'S IJECLAP
by affirm under penalty of penury that I
:KE
ct.R11mai
SATION DECLA
FW0RoERS' GUMPEN
CbAGESA§_POVjDEDI,
offiY of pequry one c
in a certificate of
trwh a
eve an wo mpei
once v nu er are
net residence in which I must have resided for at least one
been constructed a its entirety g IfCense ORhB�@c�[Off l,d
on is submitted or at me following W �j �i ���t
of the a linable law. Section 7044 of the Business and
Date
n/ � 1 .1 r� r
un0 provisions of Chapier9(commenclr q�lnl�cpgn 01V0jos DiVPcfdrV&tie Bdsbl
_LPdenpe No __ Da[V 1/512022 Contactor
declarations:
lent to self -insure far workers' colnpensalwnt issued by the Director of Industrial Relations as pn
tued. Policy No
m insurance, as required by Section 3700 of tFie Labor Code, for the performance of the work for
wr -Policy Number - _. - - -- Expiration Date _
Phone #
In me 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
7ecrome subject to the workers' compensation provisions of Secb9;; 4G%of tl or Code, I SI)all tto(t(]wl ompjy w 1 jAgs¢pr{Ivis4ons.
aMnIPHiW penal(-y, of perjury that there Ns a construction lending agency for the
Name ,- Lem
]nature below, Ice hbT ITP f
the property owner or aulllorizeo to act on me property owners behalf.
%rpatlitnis, application and the information I have provided is correct.
representatives of this city
CERTIFICATE OF
OCCUPANCY ISSUED
proper), for inspection purposes. -
OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED 1TED ASBESTOS
PROPOSED
NOTIFICATION IS NOT APPLICABLE TO
is issued (Section
license is in full force
iED THOUSAND DOLLARS (;1(0,000), W ADDITI(3NTD THE
for by Section 3700 of the Labor Code, for the
rills permit is issued. My workers' compensation
1/5/2022
CMI Code).
laws of California, and
1/5/2022