HomeMy WebLinkAboutX2019-0351 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111illCOMB Permit: X2019-03:
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 3 5 1 Project No : 0251-2019
H Permit Counter Phone (949)644-3288
'mn Inspection Requests Phone (949)644-3255
r: is�,w+•' Combination Type - SFP GRAD ELEC Issued Date :
Inspection Arearea :2019
5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2201 WATERFRONT DR NB
Description: SFR -ADD DETACHED GARAGE 377 SF WITEMP. SHORING
Legal Desc.: TR 682 LOT 42 POR OF LOT
Owner:
IWB HOMES LLC
Contractor:
OWNERIBLDR
Architect:
JACOBS DONALD PAUL
Address:
3419 VIA LIDO
Address:
BULONG IRVING
Address:
309 POPPY AVE
NEWPORT BEACH, CA 92663
REFER TO X2019-0794
CORONA DEL MAR CA 92625
Phone:
949-230-0601
Phone:
Phone:
949-285-3200 State Lic:C006483
Applicant:
BUDLONG IRVINE
Con State Lie:
O/B
Engineer:
LU TA-WEI
Address:
3419 VIA LIDO
Lic Expire:
Address:
411 E HUNTINGTONDR #107-370
NEWPORT BEACH, CA 92663
Bus Lie:
ARCADIA CA 91006
Phone:
949-230-0601
Lie Exp Date:
Phone:
626.462-9302 State Lic:C-064216
Code Edit : 2016
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 377
Added /New sq. ft. Garage: 377
No of Stories: 1
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
$50,000.00
Building Permit Fee: $1,175.00
Plan Check Fee: $1,599.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$40.00
Energy Compliance:
$0.00
CA Seismic Safety:
$6.60
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $4,852.75
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
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: 10
Front: 15
Left: 4
Right: 10
'arking Space
$0.00
$0.00
$0.00
$580.56
$875.00
$127.44
$0.00
$82.25
$0.00
$0.00
Designer
Address: NO CONSTRUCTION N(
Phone:
Special Conditions: HIGH DENSITY FORM
RECIEVED ON THE WEEKEND
Fire Hazard Zone : N
Planning Department -
Plan check Fee :
$35.00
Fire Department
Fire Inspection:
' �� TO
Fair Share:
$0.00
Fire Plan Rev
0.
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department-
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PM Plan Check: $330.00
Grading Bond:
$0.00
San Dist : $0.00
NMUSD Fee: $0.00
$0.00
$0.00
Plan Check Fee : $656.00 Fee Due at
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: `0'0� APPROVAL TO ISSUE:
$4,196.75
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, priorto 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 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
im roved for the purpose of sale).
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
ly t n 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).
VILkarn exempt from licensure under the Contractors' State License Law for the following reason:
By y 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,,
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 appli tion is submitt or at the f Ilowing Web site:http://www.leginfo.ca.gov/calaw.html. `U'�2 l
Signature of Property Owner or Authorized Agent ^ D
LICENSED CONTRACTOR'S DECLARATION-
1 hereby affirm under penalty of perjury that I am licensed under provi)MO
ns of Chapter 9 (comme ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License Date Contractor Signature
COMPENSATION DECLARATION
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 ($100,000), IN ADDITION TO THE
:OMPENSATION, 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.
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' compensa'
rance 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
if I should become subje to the workers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant fit Date�� %.i-% li
CLARATION REGA G NSTRU TIC LE D ENCY
;reby affirm under penalty of perjury t t there is a construction le Ing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider'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 owners 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 t enter the above- entifed property for inspection purposes.
A 3i nature of Property Owner or Authorized e Print Property Owners or Authorized Ag
ACTION DATE BY DECLARA ION OF COMPLIANCE ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITCE 40 AND AQMD RULE
PERMIT EXPIRED
I L4 1 SU.RM'TTED ASSESI OS NOTIFICATION TO
PERMITC4NCELLED
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT EXTENDED
61
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PERMITFINAL
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CERTIFIC4TEOF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:
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