HomeMy WebLinkAboutX2021-2298 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
1
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
III�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2298
X 2 6 2 1 2 2 9 8 Project No : 1988-2021
Issued Date : 01/07/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110712025 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:
2320 CLAY ST NB
Description:
NEW SFR W/ATT GARAGE 3007/744 SF, 2ND FL ADU 1000 SF
Legal Desc.:
FIRST ADD TO NEWPORT HEIGHTS BLK 36 LOT 1
Owner:
HEINFEContractor:
R M S INC
Architect:
Address:
2320 CLAY
ST Y ST Address:
250 E BAKER ST # 300
Address:
NEWPORT BEACH, CA 92663
COSTA MESA CA 92626
Vc
Phone:
Phone:
714-448-9835
Phone: Sta
Applicant:
SOTO MARIO Con State Lic:
815872
Engineer: TRAN JOHN DINH
Address:
18654 REDWOOD ST Lic Expire:
12/31/2022
Address: 11251 GARDEBAIRE LN
FOUNTAIN VALLEY, CA 92708 Bus Lic:
BT30008726
GARDEN GROVE CA 92841
Phone:
949-300-3967 Lic Exp Date:
01/31/2022
Phone: 714-815-2356 State Lic: C-062653
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: l
Added /New sq.ft. Bldg: 4007
Added /New sq. ft. Garage: 744
No of Stories: 2
No of Units: 1
Bldg Height: 29
Bldg Sprinklers: Y
Flood Zone: X
Worker's Compensation Insurance Designer: SOTO MARIO
Carrier: EVERSTREMIER INS CO Address: 18664 REDWOOD ST
Policy No: 7600015443211 FOUNTAIN VALLEY, CA 92708
Expire: 09/01/2022 Phone: 949-300-3967
Building Setbacks Rear: 5 Special Conditions:
Front: 20
Left: 4 � R
Right: 4
Use Zone: Parking Spaces: 3 Fire Hazard Zone : N
Construction Valuation:
$1,100,000.00
14
Building Permit Fee:
$6,431.00
Excise Tax:
$997.71
Planning Department- Fire Department
Plan Check Fee: $4,416.00
Additional Fee:
$0.00
Plan check Fee : $520.00 Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management:
$138.00
Grading Permit Fee:
$973.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance:
$303.00
Grading PC Fee:
$1,629.51
Public Works Department - General Service
$0.00
CA Seismic Safety:
$143.00
WQ Insp. Fee:
$152.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access :
$0.00
PNV Plan Check : $609.00 Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$450.17
San Dist : $1,068.00
Building Green Fee :
$44.00
Mechanical %:
$257.24
NMUSD Fee: $4,064.56
$0.00
Plumbing %:
$578.79
$0.00
TOTAL FEE : $22,7`74.98
Plan Check Fee :
$5,432.75 Fee Due at Permit Issuance :
$17,342.23
PROCESSED BY:
J(
PUBLIC WORKS APPFOWL: Romi
ZONING APPROVAL:
-?VA
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
DWNER-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 licensum 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 Cade: 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
improvements 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 AWES not built or
improved 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
apply 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).
❑ 1 am exempt. from Iicensure underthe Contractors' State License Law for the following reason:
By my signature below Lgcknowledge 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
selr''s 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govicalaw.htmi-
Signature of Property Owner. or Authorized Agent Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is i fui farce
nd effect.
Icense Class B License No 815872 DateX O1/10/2022 Contractor Signature. S�� /
VORKERS' COMPENSATION DECLARATION
IARNING 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 (5100,000), IN ADDITION TO THE
'CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOa OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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, forth(
e"Triance of the work forwhich this permit is issued. Policy No.
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
carrier and policy number are:
verest Perimier Insurance Co. Policy Number 7600015443211 Expiration Date 09/01/2022
of Agent
I 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 agre
that, if I should become subject to the workers',Q mmppen tion provi io%s%f Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature ofApplicantX T>��./n/l/ _ Date\ 01/10/2022
DECLARATION REGARDING CONSTRUCTI LENDING AGENCY
I hereby 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).
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 relating to building construction.
I authorize representatives of this city or county to enter Ut a ox �Ide�nt/if�i ro,,��erty for inspection purposes.
Signature of Property Owner or Authorized Agen{�( [�tT /t.✓f✓V Print Property Owners or Authorized Agent's NamPx Brandon Dowlata�te01/10/2022
ACTION
DATE
BY
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FOR OFFICE USE ONLY
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