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HomeMy WebLinkAboutX2019-1953 - PermitsCity of Newport Beach - Building Division Illllllllllllllllllllllllllllllllllllllllllll�illlll II COMB Permit: X2019-1953 Per Civic Center Drive, Newport Beach, CA 92660 i t 5 3 Project No : 0981-2018 H. n. PerCounter Phone (949)644-3288 k5 Ct Inspection Requests Phone (949)944-3255 r''trrntV+P> Issued Date Combination Type - MFP ELEC GRAD PLUM MECH Inspection Area : 4 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: 6INVERNESS LN NB Description: NEW SFR+ BASEMENT & GARAGE10,70111,685 SF Legal Desc.: N TR 7638 LOT 58 Owner: WILBUR SMITH III Contractor: UPRITE CONSTRUCTION CORP Address: 6 INVERNESS LN Address: 4300 CAMPUS DR #203 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-877-8877 Applicant: MOSSMAN ERIC Con State Lic: 932018 Address: 2025 W BALBOA BLVD STE B Lic Expire: 06/30/2020 NEWPORT BEACH CA 92663 Bus Lic: BT30062515 Phone: 949-500-7212 Lic Exp Date: 03131/2020 Code Edit : 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added New sq.ft. Bldg: 10701 Added /New sq. ft. Garage: 1687 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $8,633.00 Plan Check Fee: $61.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $170.00 Energy Compliance: $0.00 CA Seismic Safety : $286.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $88.00 TOTAL FEE: $28,975.97 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ [nap. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: 10 Left: 5 Right: 10 along inverne kinn Snares: 0 Architect: MOSSMAN ERIC Address: 2025 W BALBOA BLVD STE B NEWPORT BEACH CA 92663 Phone: 949-675-1252 State Lic:C019718 Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Hazard $2,601.48 Planning Department- $0.00 Plan check Fee $0.00 Fair Share: $1,696.54 SJH Trans : $940.00 In -lieu Housing Fee $1,168.26 Public Works Department - $108.00 Park Dedication : $0.00 PAN Plan Check: $371.25 $604.31 San Dist: $0.00 $345.32 NMUSD Fee: $11,225.84 $776.97 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $28,975.97 PUBLI : WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ( ) f 4 t,PCROV.^.L TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' fo e o ad 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 sh, 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 pro (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 allege f 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 U all of or U 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). ❑ 1 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 legall, 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 provisi If Chapter 9 (commencing with Section 70 ) Ivisio f the Business and Pr fess Co h , hd y ' e' m fWl�force and effect. License Class License N• Date Contractor Signatu n I ' WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 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, 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' lance carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the v4brk 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 agm Is , I should become subje to wor er pe atio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) ignature of Applicant D /��- /�� iECIARATION REGA NS CTION LENDING AGENCY rFFj fir'-/-r hereby affirm under y f erjury that there is a 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 y 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 ordman s state laws relating to building Construction. I authorize representatives of this city or counla 11 th -1 nti d property for inspection purposes. ` ' , = ignature of Property Owner or Authorized Agen e Print ProDertv Owner's or Authorized AnnPs Na ACTION DATE BY (/J 9FECLAAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NCTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED "QMD PERMIT FINAL DASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY155UED 9 7 SIGNATURE: Lu cli Oyy u' i :5-E 0) 00 z In L) LU < w IL mw 4 LU 0Zorn my 0 0 z T LU > z 2 Ei & a. 0 Z -x w -i LU a 002 Z > w f 0 -t. 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' cm3r ��U�n �mamz ? a J cn z Z DO O x mw O)C N a �c> m J� w0QP Z E Y c a N X I oI�Lf)I 'O y Of Z W w J co co LU > 2 U rn ca V N y L ._ ui Z p Z Cn c� CIO o Z L—aN o mzp m z W Cl It U O.� n LWm U Z rn N CL V cc '� a > 0 0 @ °U"' m C) wpm o O Of o d° d za) 0 Z ++ O ` ,ate, 8 O N E � O 'O N :: .. � 7— >, @ rn � N N N n. (D z 0 c m Z avi a) �Uu. a) CD nm C �_¢ CL E y O 0 xI I I m > m d U a E O c0 a=i U 0 a H >. Mimi L U y° 0 0 U z SEW PORT City of Newport Beach II III I III III III IIIIIII II Permit: X2019-1953 °� © 100 Civic Center Drive Plan Check: 0981-2018 u Newport Beach, CA 92660 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: SMITH WILBUR H III TR WIPES TR Code Year Edition: 2016 Address: 6 INVERNESS LN, NEWPORT BEACH, CA 92660 Number of Stories: 2 Tenant: Construction Type: V-B Use Zone: PC - Big Canyon Occupancy: U,R-3 Description of Work: NEW SFR+ BASEMENT & GARAGE10,701/1,686 SF Total Occupant Load: 0 Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: // Z", Date: 6/6/2024