HomeMy WebLinkAboutX2019-3927 - Permitss%Vr1.o4 City of Newport Beach - Building Division
04 t 100 Civie Center Drive, Newport Beach, CA 92660
Permit C currier Phone (949)644-3288
Inspection Requests Phone (949)644-3255
c:,p,t�KpaT Combination Type - SFF GRAD MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3927
X 2 0 1 9 3 9 2 7 Project No : 2708-2019
Issued Date : 08107/2020
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED PY 0810812023 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: 23 HARBOR INLAND NB
Description: NEW SFR W/ATT GARAGE 4,9091815 SF, ENTRY 170 SF, PORCH 383 SF, MECH/POOL ROOM 37143 SF
Legal Desc.: TR 802 LOT 2:3 ALL -INC BET SAME 8: HIGH TIDE LINE -
Owner: PICKUP TODD Contractor:
DYER J C COMPANY INC Architect: RITNER RONALD
Address: 23 HARBOR IS -AND Address:
1540 S COAST
HWY #205 Address: 503 32ND STREET
NEWPORT BEACH, CA 92660
LAGUNA BEACH CA 92651 NEWPORT BEACH CA 92660
Phone: Phone:
714-809-3258
Phone: 949-999-3255 State Lic:CO24105
Applicant: RITNER RONA,_D Con State Lic: 586784
Engineer: GHOULI RAID ASAD
Address: 503 32ND STREET Lic Expire:
NEWPORT BEACH CA 92660 Bus Lic:
03131/2022
BT9812021
Address: 26040 ACERO #100 �q
MISSION VIEJO CA 92t
�'6.d
Phone: 949-999-3255 Lic Exp Date: 02128/2021
Phone: 94y-855-2300 Sta
V 1
Code Edit: 2016 Workers Compensation Insurance
Designer:
Type of Construction: V B-SPR Carrier.
EVERST NATIONAL Address:
Occupancy Group: R 3/U Policy No:
7600012640201
Added /New sq.ft. Bldg: 4909 Expire:
01/01/2021
Phone:
NO�ONSTRIJCTION NOISE
Added /New sq. ft. Garage: 815
No of Stories: 2 Building Setbacks
Rear: 15
Special Conditio s: LIQUEFACTION AREA
No of Units : 1
Front: 15
HIGH DENSITY FORM
Bldg Height: 0
Left: 4
RECEIVED
Bldg Sprinklers: Y
Right: 4
Flood Zone: X Use Zone' R-1
Parking Spaces'
0 Fire Hazard Zone NnN SATURDAYS
Construction Valuation:_$2,000,000.00
Building Permit Fee: $fi e88.00 Excise Tax:
$1,202.04
Planning Department - Fire Department
Plan Check Fee: $5,289.00 Additional Fee :
$0.00
Plan check Fee : $432.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00
Fair Share: $0.0d Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant:
$1,451.40
SJH Trans : $0.00 Demolition Fee
Record Management: $130.00 Grading Permit Fee:
$1,146.00
In -lieu Housing Fee : $0.00 Building Dept Adm $0.00
Energy Compliance: $:94.00 Grading PC Fee:
$318.60
Public Works Department - General Service $0.00
CA Seismic Safety: $260.00 WQ Insp. Fee:
$119.00
Park Dedication : $0.00 1 Refund Deposit $0.00
Disabled Access : $0.00
PNV Plan Check : $297.50 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$454.16
San Dist: $1,939.00
Building Green Fee : 1:B0.00 Mechanical %:
$269.52
NMUSD Fee: $1,768.24 $0.00
Plumbing %:
$583.92
$0.00
TOTAL FEE : $22,512.38
Plan Check Fee :
$6,451.00 Fee Due at Permit Issuance : $16,061.38
PROCESSED BY:
° PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
I hereby affirm under penalty of perjury that I am exempt tram the Contractors' Skate License Law for the reason(S) indicated below by the CheakmarK(S) I have placed ned tic the applicable RwRf;i
(Section 7031.5, Business and Professions Code: Any city or COUnty that ragkdres a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ire permit to file a signed statement that he Or site is licensed pursuant to the provisions of this Contractors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 or the Business and
Professions Code) or trial he or she is exempt from licansua and the basis far the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the olxplicant to a civil penally of
not more than live hundred dollars ($500).
�I 1, as owner of the property, or my employees with wages as Melr sole Compensation, will do ( ) all of or f } portions or the work, and pie structure is not intended or offered lof sale (Section 7044,
Business and Professions Code: The Contractors'State License. Law crow not apply tow owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
mproverrents are not Intended or -offered for sale. If, however, the bUikting or Improvement Is soldwlMin one year of compieton, the Owner -Builder wnTf have the burden of prov'ng that It was not, built or
mproved far the purpose of sale).
I, as owner of the property, am exciuslvey contracting with licensed Contractors to construct pie project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or irepraves Nrereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licansure, under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I in uat have resided' for at;east one year prior to completion of the Improvements Covered -lty this permB„ I cannot legally
cell a structure that 1 have Duch as An owner -builder It It has not been constructed In its entirety by licensed contractors. I understand that a mpy of the apphcabfe law, Section 7144 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:httpyAvww.leginfo.ca.aov(caiaw.html.
S(gtiature of Property Owner or Authorized Agent Date_
LICENSED CONTRACTOR'S DECLARATION
I hereby of irm under penalty of perju hat 1 am licensed under provisions of Chapter9 (0cppmmencing with Section 7000)) of D islon 3 of the Business and PrafessionsfCode, a license is in full force
and effect. License Class License No &1117199 Da rAeE Contractor SlgnaTuv.
NORKERS' COMPENSATION DECLARATION
VARNINGt FAILURETO SECURE w'ORKERS COMPENSATION COVERAGE Is uNLAwFUL, AND SHALL SUB JEOT AN BAPLOYER TO CRM@ni PEHALTES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOIJAnlS. a}100,000), IN AaGrh0N TO THE
DOSTOFCOMPENAworR
GESAS PROVIDED FORM SECTION VQ6 GFTHE LABOR COOS INTEREST,ANDATTORNETSFEES
hereby affirmy of perjury one of the following declarations:
1 n �"n a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3710 Of the Labor Code. for thi
)erfo which INS permit is Issued. Policy No.
will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Coda, for me performance of the work for which this permit Is Issued. My workeis compensator
rEW,�cd l�femier JASW"U, Pokcymumber 7(0000t.2 4a 201 Expiration Date
Of Agent Phone 4
certify that, In the performance of The work for which this permit Is issued, I Shak not employ any person In any manner so Ds 10 become subject to the workers' compensation laws of California, and agfo
if I should become subject totheworkers CCompersapwt provisio" of So ion 3700 Of the Labor Code, I shall forthwith comply with those provisionts-
IatureofAppIIcw?V if �..✓ �0'{ffGC itia,7,k / Da $ 07,/opdovU
ueby affirm Under penalty of perjury that there is a construction fending agency fo' the performance of tyre work for which this permit is Issued (Section 3097, Civil Code).
der's Name Lender's Address
MY signature below, I certify to each of the following:
I am the pmperty owner or auNorized to act on the property Owner's behalf.
I have read this application and the Information 1 have provided is correct.
1 agree to comply wrht all applicable city and county ordinances and state laws relating to buikifng construction.
i authorize representatives of this city or coun enter the above-Iderill prop for mfor inspection purposes.
nature of Prooerw Owner or Authorized Agent yr Ig_ �G %9iC iVl [t / J Print Poertv Owner's or Arnhnrizad Aoans t'Nax. Ra at, 1,
REGULATIONS PART 6L OF TITLE 40 AND AOMD RULE
TO
P£RMIFFMAL U ASBESTOS NOTIFICATION IS NOT'APPUCA L. TO
CERnFrr4TEOF �/J01.�. �A�i�� PROPOSED DEMOLITH)N
OCCUPANCYISSUED SIGNATURE>f