HomeMy WebLinkAboutX2021-3370 - Permits'City of Newport Beach - Building Division(IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3370
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 3 7 0 Project No: 2930-2021
Permit Counter Phone (949)644-3288
ss Inspection Requests Phone (949)644-3255
r:ae ,yava Combination Type - SFP MECH ELEC PLUM GRAD Issued Date :
Inspection Arearea :2022
6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 950 SANDCASTLE DR NB
Description: SFR REMODEL 2156 SF & ADD 224 SF W/ DRAINAGE
Owner:Desc.: GEORGE WESLEY
Contractor:
MC KAY MIKE
'.55
,e@
CONSTRUCTION INC Architect: CHERSON ERIN JUSTINE �N''S
Address: 950 SANDCASTLE
Address:
7092 FORD DRIVE Address: 606 CENTRAL AVE
CORONA DEL MAR, CA 92625
HUNTINGTON
BEACH CA 92647 SEAL BEACH CA 90740
Phone:
Phone:
714-936-5048
Phone: 562-596-0495 State Lic:C032745
Applicant: CHERSON ERIN JUSTINE
Con State Lic: 733743
Engineer: CHOI DAVID
Address: 606 CENTRAL AVE
Lic Expire:
03/31/2023
Address: 1327 LOMA AVE >
SEAL BEACH CA 90740
Bus Lic:
BT30053585
LONG BEACH CA 90804 ,
Phone: 562-596-0495
Lic Exp Date:
01131/2023
Phone: 562-961-5600 State Lic:S-004784
"
Code Edit: 2019
Workers Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
STATE FUND
Address:
,
Occupancy Group: R31U
Policy No:
1481929
,
Added /New sq.ft. Bldg: 224
Expire:
04/01/2023
Phone:
,
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 1
Front: 10
LANDSLIDE ZONE
'
Bldg Height: 0
Left:
Bldg Sprinklers:
Flood Zone: X
Use Zone:
Right:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $294 000.00
Building Permit Fee: $2,949.00
Excise Tax:
$0.00
Planning Department - Fire Department
$0.00
Plan Check Fee: $2,480.31
Additional Fee :
$291.00
Plan check Fee : $208.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Adm $27.00
Record Management : $78.00
Grading Permit Fee:
$237.00
In -lieu Housing Fee : $0.00 Building Dept
$265.00
Energy Compliance: $205.80
Grading PC Fee:
$199.00
Public Works Department - General Service
$564.00
CA Seismic Safety : $38.22
WQ Insp. Fee:
$152.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PIW Plan Check : $203.00 Grading Bond:
Hazardous Mat $0.00
Electrical %:
$206.43
San Dist: $0.00
$0.00
Building Green Fee : $12.00
Mechanical %:
$117.96
NMUSD Fee: $0.00
$0.00
Plumbing %:
$265.41
TOTAL FEE : $8,499.13
Plan Check Fee
: $3,384.11 Fee Due at Permit Issuance : $5,115.02
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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
is 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 Iicensure 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
fusiness 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).
1, 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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 legall)
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,'s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[. ,
signature of Pi on=rty Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm�dnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of BID 3 of the Business and Prof sions od , nd y [!cans II force
id effect. License Class License No Date Contractor Signatur
VORXERS' COMPENSATION DECLARATION
�1RNII.G: FAILUR2 ru S.GURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN A ITIO TO THE
06T OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm nnoer ppnalty of perjury one of the following declarations:
! 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 th,
erform?nce of the work for which this permit is issued. Policy No.
havu and Will maid,ain 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
c•. carrier and policy nu er are: p- (�
srricr —) I I � .h\. Policy Number d, 1 97 - I Expiration Date
area of Agent t Phone #
I certify that, in the performance of the work rTh this permit issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agre
It, if I should beco ubject to thew kers osation provis ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ���yyy
(nature of Applican DateA
:CLARATION REG RDIN ON RU TI N L A CY \
areby affirm under penalty of perjury that there is a construction len ;ng a ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
nder'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 owner's behalf.
I have read this application and the information t ina e j5 correct. tate4,
I agree to comply with all applicable city and county o ina e d state I
1 authorize representatives of this city or county o r th a e-i entife
nature of Prooertv Owner or Authorized ADent
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COM
REGULATIONS PART 61
1403
I SUBMITTED
AQMD
PROPOSED
3 to building construction.
for inspection purposes.
Print Prooertv Owner's or Authorized
"H CODE OF FEDERAL FOR OFFICE USE ONLY
AND AQMD RULE
TO