HomeMy WebLinkAboutX2020-2625 - Permits0.Nya•ro4•r City of Newport Beach - Building Division I IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2625
y 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 6 2 5
p Project No: 2073-2020
Permit Counter Phone (949)644-3288
,;.._ Inspection Requests Phone (949)644-3255
Combination Type- SFP ELEC GRAD MECH PLUM Issued Date r12022
Area
:
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 205 VIA KORON NB
Description: NEW SFRIGARAGE 3617/752 SF
_
Legal Desc.: TR 907 LOT 681(AND NELY112 LOT
682
Owner. ADAMS EILEEN & WARD
Contractor:
T M GRADY BUILDERS Architect: JEANNETTE BRION S -,� .� -`i_.7 ;
Address: 205 VIA KORON
Address:
1294-D SOUTH COAST HWY Address: 470 OLD NEWPORT BLVD r .• -
NEWPORT BEACH, CA 92660
LAGUNA BEACH CA 92657 NEWPORf BEACH CA 92663 - $
Phone:
Phone:
949-607-6062 Phone: 949-645-5854 State Uc:C008012
Applicant: BARD MARTIN
Con State Lic:
485749 Engineer: DEIHIMI AMIR HOSSEIN
Address: 470 OLD NEWPORT RD
Lic Expire:
0813112022 Address: 23172 PLAZA POINTE DR STE 145
NEWPORT BEACH CA 92663
Bus Lic:
BT30068084 LAGUNA HILLS CA 92653 '
Phone: 949-645-5854
Lic Exp Date: 07/3112022 Phone: 949-954-7244 State Lic;C-078194
Code Edit: 2019
Worker's Compensation Insurance Designer: -
Type of Construction: V-B-SPR
Carrier:
INS CO OF WEST Address: - • -
Occupancy Group: R3IU
Policy No:
WSA606329600
Added /New sq.ft. Bldg: 3617
Expire:
01101/2023 Phone:
Added Mew sq. ft. Garage: 752
No of Stories: 2
Building Setbacks
Rear: 4' VIA JUCAR Special Conditions: HIGH DENSITY
No of Units: 1
Front: 0' LIQUEFACTION AREA
Bldg Height: 0
Left: 4' 3 BDRM TO 3 BDRM
Bldg Sprinklers: Y
Right: 4'
Flood Zone: X
Use Zone:
Parking Spaces: 0 Fire Hazard Zone: N
Construction Valuation: $711,220.00
Building Permit Fee: $6,431.00
Excise Tax:
$917.49 Planning Department- Fire Department
Plan Check Fee: $4,484.00
Additional Fee:
$743.50 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:
$1,371.86 SJH Trans : $0.00 Demolition Fee
Record Management: $108.00
Grading Permit Fee:
$973.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $303.00
Grading PC Fee:
$1,147.65 Public Works Department - General Service $0.00
CA Seismic Safety: $92.46
WQ Insp. Fee:
$1,220.00 Park Dedication: $0.00 Refund Deposit $0.00
Disabled Access : $0.00
PAW Plan Check: $558,25 Grading Bond: $0.00
Hazardous Mat $0.00
Electrical W
$450.17 San Dist: $mo
Building Green Fee: $29.00
Mechanical %:
$257.24 NMUSD Fee: $3,056.24 $0.00
Plumbing %:
$578.79 $0.00
TOTAL FEE : $23,241.65
Plan Check Fee: $6,245.24 Fee Due at Permit Issuance : $16,996.41
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
Cn
APPROVALTOISSUE:
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 items)
;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
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 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 said 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 owrer 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:
3y'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, 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
nirOess'ons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Prorerty : wner or Authorized Agent Date
LICENSED CONI RP.CTOR'S DECLARATION
I hereby affirm nder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) Division 3 of the Business and Pro sions D license is in full force
rrd cffect. Lic<msa Class License No Do `r Z -LL Contractor Sig natury
%C RKERS' COMPENSATION DECLARATION
J:0..iil Ldu: FAILURE TO SECORE 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
GOS , OF r-OMPENPATION, C IMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I herebv affirm under penalty of perjury one of the following declarations:
I LLve and Will nlaiHtain 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 the
peffornance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work for �IIII which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre
that, if I should become subject to the wo ration provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applica pat
DECLARATION RE DING CONSTR ON LENDING AGENCY
I hereby affirm and pen f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ivil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act an 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 ounty ordinances and state laws relating to building construction.
I authorize representatives of this city or cou - toenter . e-_Obve-i ied property for inspection purposes. A,t
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name~'�'� rt k-T p
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQMD
PERMITFINAL ^ BISESTOS NOTIFICATIONOT APPLICABLE TO
CERTIFICATE OF 2 ✓ PROPO M ITIO
OCCUPANCY ISSUED SIGNATURE:
City of Newport Beach 111111II Permit: X2020-2625
o e
100 Civic Center Drive x 2 0 2 0 - 2 6 2 s pion Check: 2073-2020
Newport Beach, CA 92660
"9Cl FOnN- "
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: WARD ADAMS
Address: 205 VIA KORON, NEWPORT BEACH, CA 92663
Tenant:
Use Zone: R-1 - Single -Unit Residential
Description of Work: NEW SFR/GARAGE 3617/752 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %orae'�'
Code Year Edition:
2019
Number of Stories:
2
Construction Type:
V-B
Occupancy:
U,R-3
Total Occupant Load:
Fire Sprinklered:
YES
Date: 312612025