HomeMy WebLinkAboutX2021-2170 - Permitsw:oy City of Newport Beach - Building Division *X2021-2170* COMB Permit: X2021-21
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1876-2021
Permit Counter Phone (949)644-3288
�F, $ Inspection Requests Phone (949)644-3255
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Combination Type - SFP PLUM ELEC MECH GRAD Issued A4/05/2022
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InspectLionion Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0410512025 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®,Oq
Job Address: 4539 FAIRFIELD DR NB
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Description: NEW SFR W/ BASEMENT/GARAGE 7459/2209 SF
Legal Desc.: N TR 3357 LOT 53
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Owner: HOGAN ROGER
Contractor: IRVIN ENTERPRISE Architect: ROSENBAUM SCOTT
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Address: 4539 FAIRFIELD DR
Address: 70 PAS EO VISTA Address: 31511 CAMINO CAPISTRANO #A
CORONA DEL MAR, CA 92625
SAN CLEMENTE, CA 92673 SAN JUAN CAPISTRANO CA 92675
Phone:
Phone: 949-485-9780
Phone: 949-280-6514 State Lic:C032834
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Applicant: ROSENBAUM SCOTT
Con State Lic: 1021473
Engineer: ISRAEL MICHAEL RYAN
Address: 31511 CAMINO CAPISTRANO #A
Lic Expire: 12/3112022
Address: 2336 PASEO SAUCEDAL
SAN JUAN CAPISTRANO CA 92675
Bus Lic: BT30076119
CARLSBAD CA 92009
Phone: 949-496-8991
Lic Exp Date: 0813012022
Phone: State Lic:C-077167
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Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier: EXEMPT
Address:
• • - -
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 7459
Expire:
Phone:
Added /New sq. ft. Garage: 2209
No of Stories: 2
Building Setbacks Rear: 30'
Special Conditions:
,
No of Units: 1
Front: 6'
Bldg Height: 0
Left: 6'
Bldg Sprinklers: Y
Right: 6'
Flood Zone: X
Use Zone: R-1.6000 Parking Spaces:
0 Fire Hazard Zone : N
_
Construction Valuation: $1,650,000.00
Building Permit Fee: $9,820.00
Excise Tax: $2,030.28
Planning Department- Fire Department.,
Plan Check Fee: $6,751.00
Additional Fee : $0.00
Plan check Fee: $520.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee: $0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant : $826.56
SJH Trans : $0.00 Demolition Fee
Record Management : $198.00
Grading Permit Fee: $2,632.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $303.00
Grading PC Fee: $181.44
Public Works Department - General Service
$0.00
CA Seismic Safety: $201.50
WO Insp. Fee: $1,220.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check : $602.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %: $687.40
San Dist: $3,099.00
Building Green Fee : $62.00
Mechanical %: $734.54
NMUSD Fee: $9,049.12
$0.00
Plumbing %: $883.80
$0.00
TOTAL FEE : $39,808.64
Plan Check Fee :
$10,222.69 Fee Due at Permit Issuance : $29,585.95
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PROCESSED BY:
PUBLIC WORKS APPROVAL: I
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ZONING 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
:he 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
iot 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 prior 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://w .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 Section 7000 of Division 3 of the Business and Professions Cc nd _ e is in full force
and effect. License Class License No Date L Contractor Signature /
WORKERS' COMPENSATION DECLARATION 11
NARNIVIS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
CJC'. LF COMPvNSA'-ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm ui,aerpenalty 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 thf
performance cf the wcrk 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'
,Price camBr and policy number are:
Policy Number
Date
eriify that; in 'he 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
.; If I should become sub' ct to.he workpse=cortrlpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of App t /� Date ��/ '-- — Z
CLARATION RDI G CON ION 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).
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 county to abovev5pMed property for inspection purposes.
nature of Prooertv Owner or Authorized Agent !fir _.-� _ Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION CF COMPLIANCE WITH CODE OF II REGULATIONS PART 1 OF TITLE 40 AND AQMD RULEFEDE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LIEPA
PERMIT EXTENDED
LJAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
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�EWP°kr City of Newport Beach II III I III II I III II I II II II Permit: x2021-2170
100 Civic Center Drive Plan Check: 1876-2021
Newport Beach, CA 92660
9(I�OI=H
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: ROGER HOGAN
Address: 4539 FAIRFIELD DR, NEWPORT BEACH, CA 92625
Tenant:
Use Zone: R-1-6000 -Single-Unit Residential (6000 indicates minimum lot area)
Description of Work: NEW SFR W/ BASEMENT/GARAGE 7459/2209 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %erc22 /IZCUi
Code Year Edition:
2019
Number of Stories:
2
Construction Type:
v-B
Occupancy:
U,R-3
Total Occupant Load:
Fire Sprinklered:
YES
Date: 2/8/2024