HomeMy WebLinkAboutX2020-1213 - Permits (3)aPok City of Newport Beach - Building Division *X2020-1213* COMB Permit: X2020-1213
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0930-2020
Permit Counter Phone (949)644-3288.
v "a Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM GRAD Issued Date :
Inspection Arearea :29zo
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/26/2023 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: 2810 CATALPA ST NB
Description: SFR ADD 717 SF (BEDIBATHILAUNDRYIPANTRY) & NEW ENTRY PORCH 80 SF W/YARD DRAINAGEIREROOF EXTG HOUSE
Legal Desc.: N TR 5018 LOT 69
Owner:
OMIYA
Address:
2810 CATALPA ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CURTIS LANE
Address:
777 PERALTA HILLS DR
ANAHEIM CA 92807
Phone:
714-381-8393
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 717
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Rldn RnrinklersN
Contractor: SIMON'S FRAMING COMPANY
Address: 25092 FARTHING ST #45
LAKE FOREST CA 92630
Phone: 949-357-7420
Con State Lic:
1028321
Lic Expire:
06130/2021
Bus Lic:
BT30070999
Lic Exp Date:
02128/2021
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9236024
Expire: 08/0212021
Building Setbacks Rear: 6
Front: 6
Left: 6
Right: 6
Architect: CURTIS LANE
Address: 777 PERALTA HILLS DR
ANAHEIM CA 92807
Phone:
714-381-8393 State Lic:C019791
Engineer:
KHOURY NADER
Address:
1278 GLENNEYERE ST#201
LAGUNA BEACH CA 92651
Phone:
949-637-8357 State Lic:C-061402
Designer:
Address:
Phone:
Special Conditions: `NO SANITATION FEES DUE
PER SANITATION DISTRICT
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $162,000.00
Building Permit Fee: $2,045.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,417.00
Additional Fee :
$0.00
Plan check Fee :
$185.00
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 :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $36.00
Grading Permit Fee:
$232.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$26.00
Energy Compliance: $106.40
Grading PC Fee:
$195.00
Public Works Department -
General Service
$219.00
CA Seismic Safety: $19.76
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
$0.00
Disabled Access : $0.00
PAN Plan Check: $344.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$143.15
San Dist: $0.00
$0.00
Building Green Fee : $7.00
Mechanical %:
$81.80
NMUSD Fee: $1,319.28
Plumbing %:
$184.05
$0.00
TOTAL FEE : $7,124.44
Plan Check Fee:
$7,124.44 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC 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
to 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 U all of or U portions of the work, and the structure is not intended proffered 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
nproved for the purpose of sale).
7 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).
D I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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:http://vnmv.leginfo.ca.gov/calaw.htmi.
'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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,006), IN ADDITION TO THE
DST 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:
7 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, forth(
erformance 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
Date
is of Agent Phone #
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
weby 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 enter the above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized ADent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
j�
jyj
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: