HomeMy WebLinkAboutX2020-0849 - PermitsCity of Newport Beach - Building Division
T 100 Civic Center Drive, Newport Beach, CA 92660
ti r Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
COMB Permit: X2020-0849
Project No : 0572-2020
Issued Date : 0511812020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVAL
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:
Description:
3 RUE MONTREUX NB jp
SFR REMODEURELOCATE KITCHEN 456 SF AND ADD TO MASTER BATHROOM 47 SF7 P e
'00) t-'-
Legal Desc.:
N TR 7788 LOT 71
Owner:
HINMAN SARA Contractor: BURKHART BROTHERS CONSTR
Architect: LA ROCHE DENIS A
Address:
3 RUE MONTREAUX Address: 12 BALBOA COVES
Address: PO BOX 3708
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663
TUSTIN CA 92781
Phone:
949-466-9366 Phone: 949.375-6725
Phone: 949-939.3047 State Lic:C013756
Applicant:
LA ROCHE DENIS A Con State Lic: 905510
Engineer: MANSHADI FARHAD
Address:
PO BOX 3708 Lic Expire: 10131/2021
Address: 1800 E 16TH ST UNIT B
TUSTIN CA 92781 Bus Lic: BT30026859
SANTA ANA CA 92701
Phone:
949-939-3047 Lic Exp Date: 03/31/2021
Phone: 714-835-2800 State Lic:C-036840
Code Edit:
2019
Worker's Compensation Insurance
Designer:
Type of Construction:
V-B
Carrier:
SECURITY NATIONAL INS
Address:
Occupancy Group:
R3/U
Policy No:
SWC1275103
Added /New sq.ft. Bldg:
47
Expire:
02/0112021
Phone:
Added /New sq. ft. Garage: 0
No of Stories:
2
Building Setbacks
Rear: 15'
Special Conditions:
No of Units :
1
Front: 5' GARAGE
Bldg Height:
32
Left: 5'
Bldg Sprinklers:
N
Right: 5'
Flood Zone:
X
Use Zone: PC-8
Parking Spaces 2
Fire Hazard Zone
Construction Valuation:
$125,000.00
Building Permit Fee: $2,042.00
Plan Check Fee: $1,701.46
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$87.50
CA Seismic Safety:
$16.25
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $4,521.11
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
cc
0
U
LU
ix
CO
z
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee : $160.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PIN Plan Check: $82.50
Grading Bond:
$0.00
Electrical %:
$142.94
San Dist: $0.00
Mechanical %:
$81.68
NMUSD Fee: $0.00
$0.00
Plumbing %:
$183.78
$0.00
Plan Check Fee
: $2,006.46 Fee Due at Permit Issuance:
$2,514.65
PUBLIC WORKS APNRr1V9L:
�tp
i
PLAN CHECK BY:
J;PPRU�,AI rOISSUE�'
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
: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
iot 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 (_) 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
mprovements 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
mproved 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
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.htmi,
Signature of Property Owner or Authorized Agent Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Divis of the Business and Professi ns , and my I n is in ful ce
and effect. License Class License No Date Contractor Signature
✓✓ORKERS' COMPENSATION DECLARATION 1-1 IF
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
IN ADDITION TO THE
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
'ormance of the work for which this permit is issued. Policy No.
have and w' ma tarn 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 carriand p icy number are: . f� _
ier 1 -1 I Jn - . PolicMumbec f i Expiration Dale
ie of Agent LJ I I N_
certify that, in the performance of^ work for which thi ermit is issued, I
, if I should becomsu/f�ect to th rkers' compen o rovisions of Sef
lature of Applicant Ar A
nreby affirm under penalty of peFjyiryry at there is a constmWon lendllfl�'bgen
Ider's Name //
my signature below, I certify to&dch 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 Wdinances and state la
I authorize representatives of this city or county fo �(II abo e-identifj�c
nature of Property Owner or Authorized ADent �( i' 1
ACTION I DATE 1 BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF i U
OCCUPANCY ISSUED
III not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
13700 of the Labor Code, I shall forthwith comply with those provisions.' t^
Da
for the performance of the work for which this permit is issued (Section 3697, Civil Code).
Lender's Address
building construction.
nspection purposes.
Print Property Owners or
DEZRAT/QN-OF COMPLIANCE WITH CODE OF FEDERAL
REGULATI S PART 1101 TITLE 40 AND AQMD RULE
1403 _
ISUBMIT-FD.15BEiTOSNOTIPCATIONTO- -
EPA
t:UAQMD
TOS NOTIFICKION IS N APPLICABLE
PR SULITI
SIGNATURE:
FOR OFFICE USE ONLY