The URL can be used to link to this page

Home My WebLink AboutX2021-0916 - Permits,wr•�� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 f M v. Permit Counter Phone (949)644-3288 c , C Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2021-091 Project No : 0846-2021 Issued Date : 0911012021 Inspection Area :5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/10/2024 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: 280 EVENING CANYON RD NS Description: NEW DETACHED POOL HOUSE 1255 SF Legal Desc.: N TR 1116 LOT 62 Owner: MENDELLSTEVE Address: 233 JASMINE AVE CORONA DEL MAR, CA 92625 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 Added /New sq.ft. Bldg: 1255 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $3,648.00 Plan Check Fee: $2,837.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $280.00 CA Seismic Safety: $52.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $16.00 TOTAL FEE : $8,234.60 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: BLACK PETE CONSTRUCTION INC Architect: TEALE MARK Address: 1788 MONROVIA AVENUE Address: 2900 BRISTOL ST BLDG A203 "" COSTA MESA CA 92627 COSTA MESA CA 92626 Phone: 714-612.7678 Phone: 949-975-0123 State Lic:CO22162 Con State Lic: 692383 Engineer: HAKIM FADY Lic Expire: 0813112022 Address: 124 PEONY .-6" Bus Lic: BT00003226 IRVINE CA 92618 Lic Exp Date: 04/30/2022 Phone: 310-422-1536 State Lic:C-075736 Worker's Compensation Insurance Designer: Carrier: EXEMPT Address: Policy No: Expire: Phone: Building Setbacks Rear: 6' Special Conditions: Front: 25' Left: 6' Right: 6' Use Zone: R-1-6000 Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $520.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Electrical W $255.36 San Dist: $0.00 Mechanical %: $145.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $328.32 $0.00 Plan Check Fee $3,565.00 Fee Due at Permit Issuance : $4,669.60 AU PUBLIC WORKS APPROVAL: fir!, PLAN CHECK BY: " �c APPROVAL TO ISSUE: 1� �haa� 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 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Profs-,. ions 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 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 it was 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 o 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 licensure under the Contractors' State License Law for the following reason: By my signature ba:oA 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 sell ❑ 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 Pr,fe=sions Ccoe, Is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.htm 1. Signature of Propel Ly Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION horebq affirm under panalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )�f Division 3 of the Business and Pro;essi ps ode, and my license is in full force and effect. License Gass License No Date Contractor Si naturr�T/,�J. NORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SEe'URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 rmance of the work for which 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: Policy Number of Agent Date [.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 agree t, if I should become sub1',ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / /zo;ti Date CLARATION REGAR NG NSTRUCTION LENDING AGENCY areby 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 ante the abov -i ntified property for inspection purposes. �� 9 / Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's NameI(ZIDate 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 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED 0AQMD PERMIT FINAL IZ'6_L,3 yr ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: