HomeMy WebLinkAboutX2021-2944 - PermitsCity of Newport Beach - Building Division *X2021-2944* COMB Permit: X2021-2944
100 Civic Center Drive, Newport Beach; CA 92660 Project No : 2558-2021
1% Permit Counter Phone (949)644-3288
I A
Inspection Requests Phone (949)644)644-3255 @N, S P EC71 0
Combination Type - MFP MECH ELEC PLUM Issued Date :
Inspection Arearea :2021
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1212012024 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: 92 OCEAN VISTA NB
Description: MFR KITCHEN/FAMILY ROOM, BATHS, CONVERT EXTG DEN TO BEDROOM 1014 SF
Legal Desc.: TR 9676 LOT 13 UNIT 115 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER
Owner: GO JOEL
Address:
256 W TULIP TREE AVE
ORANGE CA 92865
Phone:
Applicant:
HAHN PRYN
Address:
34167-D COAST HWY
DANA CA 92629
Phone:
949-226-7130
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
0
Added/New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Valuation: $125,000.00
Building Permit Fee: $1,387.00
Plan Check Fee: $1,206.69
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$34.00
Energy Compliance:
$87.50
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE : $4,115.34
PROCESSED BY:
ZONING APPROVAL:
Contractor: CARPE DIEM CONSTRUCTION INC/LANE Architect:
Address:
366 A 15TH STREET
COSTA MESA, CA 92627
Phone:
949-423-9235
Con State Lic:
1055080
Lie Expire:
0613012023
Bus Lie:
BT30074368
Lie Exp Date:
0212812022
Address:
Phone: State Lie
Engineer: BURKE LEO . .
Address: 34167 PACIFIC COAST HWY #D ,
DANA POINT CA 92629
Phone: 949-226-7130 State Lic:C-067404 .
Worker's Compensation Insurance Designer: HAHN PRYN
Carrier:
EVEREST PREMIER INSURANCE CO Address: 34167 PACIFIC COAST HWY #D
Policy No:
7600022668211 DANA POINT CA 92629
Expire:
08122/2022 Phone:
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: /
Front: 1
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$97.09
$55.48
$124.83
Special Conditions:
Fire Hazard Zone :
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $50.75
San Dist : $1,015.00
NMUSD Fee: $0.00
Plan Check Fee : $1,206.69
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,908.65
PUBLIC WORKS 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 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).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
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).
7 I am exempt from licensure 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
Irofessions Code; is aw ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htrnl.
signature of Property Owner or Authorized Agent Date
.,C'F.N:5cD CONTRACTOR'S DECLARATION
uereby effirm wider pe-„alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
n(: effect. License Class Gce e. 7L License No Date x Contractor Signature K
i3ORKERS' COMPENSATION DECLARATION
FANNING: FAILURE 'r0 SLCUBE 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
r1ST OF dOMPENSAIIUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
FPr=hy affirm unber penalty of perjury one of the following declarations:
I I t.a�e 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
l'cr:raice of the work for which this permit is issued. Policy No.
have and wi l 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'
aa.:e carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the performance of the work for which this r s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
let, if I should become subject to the workers' c ens o visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. x� J
'signature of Applicant Dat€` 2� /
IECLARATION RE,PARQ1N6-t0N9TRUCTION LENDING AGENCY
hereby affirm undisrpenalty 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).
Ender's Name Lender's Address
'y 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 @nter�dentifipgrty for inspection purposes. s f r 7< 1
of
ACTION DATE BY-� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
i-?-23Ie S
15UBMITTED ASBESTOS NOTIFICATION TO
00 ASBESTOS NOTIFICATION IS NOT AP54CABLE TO
PROPOSED DEMOLITION �
Date