HomeMy WebLinkAboutX2021-0915 - Permitsrwr'k� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
COMB Permit: X2021-091
Project No : 0846-2021
Issued Date : 09/10/2021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0911012024 OR PERMIT WILL BE INV,
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
Jab Address: 280 EVENING CANYON RD NB
Description: NEW SFR W/ATT GARAGE 4533/751 SF; DECK 228 SF
Legal Desc.: N TR 1116 LOT 62
Owner:
MENDELLSTEVE
Address:
233 JASMINE AVE
CORONA DEL MAR, CA 92626
Phone:
Applicant:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
COSTA MESA CA 92626
Phone:
949-975-0123
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4533
Added /New sq. ft. Garage:
751
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $1,000,000.00
Building Permit Fee: $7,371.00
Plan Check Fee: $5,528.00
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Record Management: $96.00
Energy Compliance: $303.00
CA Seismic Safety: $130.00
Disabled Access : $0.00
Hazardous Mat $0.00
Building Green Fee : $40.00
TOTAL FEE : $26,983.61
PROCESSED BY:
ZONING APPROVAL:
Contractor: BLACK PETE CONSTRUCTION INC
Address: 1788 MONROVIA AVENUE
COSTA MESA CA 92627
Phone: 714-612-7678
Con State Lic:
692383
Lic Expire:
08/31/2022
Bus Lic:
BT00003226
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 25'
Left: 6'
Right: 6'
l0 Parking Space:
$1,109.64
$0.00
$0.00
$826.56
$1,518.00
$1,255.02
$1,220.00
$515.97
$294.84
$663.39
Plan Check Fee
Architect:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
COSTA MESA CA 92626
Phone:
949-975-0123 State Lic:CO22162
Engineer:
HAKIM FADY
Address:
124 PEONY
IRVINE CA 92618
Phone:
310-422-1536 State Lic:C-075736
Designer:
Address:
Phone:
Special Conditions:
0 Fire Hazard Zone :
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $456.75
San Dist: $0.00
NMUSD Fee: $5,135.44
Fire Department
$520.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$7,272.09 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$19,711.52
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
to 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).
7 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,
lusiness 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).
7 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
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).
D I am exemptfnr licensure under the Contractors' State License Law for the following reason:
I•, my Fignature.7=low 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 legally
ell a structure`Ihat , 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
', ofer-sions Code, is available upon request when this application is sub d or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
iignihire of Property Owner or Authorized Agent t Date f ✓L%I
ICENSED QODITRACTOR'S DECLARATION
herehy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Qivision 3 of the Business and Professions C de, and my license is in full force
nd effect. Liceds6 Class License No Da t 7 r vl Contractor Signature
VORKERS' CkXi.FENSATION DECLARATION
IARNING: FAILURE TU SECURE 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
'AFT OF COMPENSATION nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urder penalty of perjury one of the following declarations:
J I ha✓e and will ma;ntain 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 the
erformance of the wor!c for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
ertify 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 agree
if I should become s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
nature of Applicant /54
Date—/-- 2/
CLARATION REGARDING C�UCTION LENDING AGENCY If
:reby 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).
ider'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 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 CCU9ty to enter t e-identified property for inspection purposes.
mature of ProDerty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / �y Date
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 h
CERTIFICATE OF / ✓
OCCUPANCYISSUED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
LIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
�EWP°RT City of Newport Beach II II I III II I II IIIII III II Permit: X2021-0915
0111< m 100 Civic Center Drive Plan Check: 0846-2021
Newport Beach, CA 92660
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: MENDELL STEVE EUGENE TR
Address: 280 EVENING CANYON RD, NEWPORT BEACH, CA 92625
Tenant:
Use Zone: R-1-6000 -Single-Unit Residential (6000 indicates minimum lot area)
Description of Work: NEW SFR W/ATT GARAGE 4533/751 SF; DECK 228 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: 7e9.VZ
Code Year Edition:
2019
Number of Stories:
2
Construction Type:
V-S
Occupancy:
U,R-3
Total Occupant Load:
Fire Sprinklered:
YES
Date: 12/19/2023