HomeMy WebLinkAboutX2020-3012 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type -SFP MECH ELEC PLUM GRAD
COMB Permit: X2020-301
x 2 0 2 0 3 0 t 2 Project No : 2397-2020
NO CONSTRUCTION NOISE Issued A0/211202,
InspectLionion Arrea : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012112024 OR PERMIT WILL BE INVd
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satul�iaV,frJ?tyt �;p0-$.m. tEKEND o work on Sundays or Holidays
Job Address: 434 FERNLEAF AVE NB IJ�V [ I-j t W
Description: NEW DUPLEX 3,141 SF W/ATT GARAGE/CARPORT 3871395 SF, DECKS/PATIO 590 SF
Legal Desc.: CORONA DEL MAR BLK 433 LOT 16
Owner:
MARTIN JOHNIKAREN
Address:
1724 PORT MARGATE PL
NEWPORT BEACH CA 92660
Phone:
Applicant:
GOETZANDREW
Address:
2855 E COAST HWY #234
CORONA DEL MAR CA 92625
Phone:
949-673-3152
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
3141
Added /New sq. ft. Garage: 387
No of Stories:
3
No of Units :
2
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation:
Building Permit Fee: $5,855.00
Plan Check Fee: $3,365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$54.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.59
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $19,685.3B
PROCESSED BY:
ZONING APPROVAL:
Contractor:
I D L HOME
Architect:
GOETZ ANDREW
Address:
5 UPPER NEWPORT PLZ #201
Address:
2855 E COAST HWY #234
NEWPORT BEACH CA 92660
CORONA DEL MAR CA 92625
Phone:
949-945-9945
Phone:
949-673-3152 State Lic:C018499
Con State Lic:
760451
Engineer:
CHEN MING-TARNG
Lic Expire:
11/3012021
Address:
12121 CANDOR DR
Bus Lic:
BT30059341
CERRITOS CA 90703
Lic Exp Date:
0513112022
Phone:
714-521-0169 State Lic:C-054011
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 15'
Left: 3'
Right: 3'
Parking Spac
$947.73
$0.00
$0.00
$0.00
$997.00
$867.39
$0.00
$409.85
$234.20
$526.95
Designer:
Address:
Phone:
Special Conditions: HIGH DENSITY
Fire
Planning Department -
Plan check Fee : $520.00
Fair Share : $1,941.00
SJH Trans : $0.00
In -lieu Housing Fee : $0.00
Public Works Department -
Park Dedication : $0.00
PM Plan Check : $456.75
San Dist : $1,124.00
NMUSD Fee: $2,323.92
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $4,866.24 Fee Due at Permit
PUELII: 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
$14,819.14
OWNER -BUILDER
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 fora 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 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
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 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 licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pnor to completion of the improvements covered by this permit, I cannot legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 of Ivisi n 3 of the Business and Pro s n o , a icense is in full force
and effect. License Class License No Date ` D z Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 the
performance of the work 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'
rance carrier and policy number are:
Policy Number
Te of Agent
Date
certify that, in the perfonna f the work f hich this pennit 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 bec a su ' ct t othat
oy nsaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican DCLARATION R AR NLENDING AGENCY
:reby affirm under pen f- erje 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
I authorize representatives of this city or cou
iature of Property Owner or Authorized ADen
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
relating to building construction.
operty for inspection purposes.
� Print Property Owner's or Authorized Ag
E WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403 _
SUBMITTED ASBESTOS NO'. IFIC..TIGN TO
LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
✓1 Ci"1Cr
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