HomeMy WebLinkAboutX2021-0288 - PermitsCity of Newport Beach - Building Division
.4 zi r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
a, Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
io X 2 0 21 0 2 8 8�
COMB Permit: X2021-0
Project No : 0308-2021
Issued Date : 0211612021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211712024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and ®Vjdfltrhrern B;BA�.r,O>,t�¢:00 p.m. No work on Sundays or Holidays
Job Address: 3317 OCEAN BLVD NB c%� 41 ii b-A T a�
Description: SFR REMODEL KITCHEN & (5) BATHROOMS (619 SF)
Legal Desc.: TR 1257 LOT 2 AND POR OF LOT 3
Owner:
DUNCAN DAVID
Address:
3317 OCEAN BLVD
CORONA DEL MAR, CA 92625
Phone:
Applicant:
LUSHBAUGH WILLIAM
Address:
17191 CITRON
IRVINE CA 92612
Phone:
949-251-1710
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $1,637.00
Plan Check Fee: $1,337.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$105.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $4,208.84
PROCESSED BY:
ZONING APPROVAL:
Contractor:
PYRAMID CONSTRUCTION INC
Architect:
LUSHBAUGH WILLIAM
Address:
1599 W LORANE WAY
Address:
17191 CITRON
ANAHEIM, CA 92802
IRVINE CA 92612
Phone:
714457-9878
Phone:
949-251-1710 State Lic:CO24867
Con State Lic:
100607E
Engineer:
JAMIL BASHAR S
Lic Expire:
08131/2021
Address:
751 SHASTA DR
Bus Lic:
BT30061961
CORONA CA 92881
Lic Exp Date:
0113112022
Phone:
714-8834124 State Lic:C-083129
Worker's Compensation Insurance
Carrier: EVERST PREMIER
Policy No: 7600021477201
Expire: 0412212021
Building Setbacks Rear: I
Front: /
Left: I
Right: I
Use Zone:
Designer:
Address:
Phone:
Special Conditions: LANDSLIDE AREA & HIGH
DENSITY AREA
Fire
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$43.00
Electrical %:
$107.59
San Dist:
$0.00
Mechanical %:
$61.48
NMUSD Fee:
$0.00
Plumbing %:
$138.33
Plan Check Fee : $1,531.44
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Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$219.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,677.40
WORKS 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
is 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 (_) all of or (_) 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
n roved 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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legall,
ell 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
(rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionSectionji of Division 3 of the Business and Pr! ssions myAeenseT;^full force
nd effect. License Class License No Date 6 —Z Contractor Signature I�
PORKERS' COMPENSATION DECLARATION
DARNING: 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
erfo;mance of the work for which this permit is issued. Policy No.
have and will ma' ain 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 5oIlcv number are:e '
Ie of Agent 4t JK V — T-v vA k_
certify that, in the performance of the work for which this
if I should become subjbjee to the work ompensatio
Iature of Applicant �. 1__ 77/
Date
issued, I shall not employ any person in any manner so as to become subject to the worker,'corn ensation laws of California, and agre
ection 3700 of the Labor Code, I shall forthwith comply with those prov�J\
isions. /J�
Date ) e-/6 - 2021
hereby affirm under penalty of iEfjury that there is F-construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 ordmancesppdstate I relating to building construction.
I authorize representatives of this city or count o nter a-ide erty for inspection purposes.
Signature of Property Owner or Authorized Agent roperty Owner's or Authorized Agent's Name 1 L'
ACTION DATE BY ATION�I OM NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R LATIO 61 OF TITLE 40ANDAQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
NOTIFICAT,
ON 13 — — —
NOTAPPLICABLE TO