HomeMy WebLinkAboutX2021-0310 - PermitsCity of Newport Beach - Building Division
a 100 Civic Center Drive, Newport Beach, CA 92660
'-, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
*X2021-0310*
COMB Permit: X2021-0310
Project No: 0324-2021
Issued Date: 0512512021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512512024 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: 54 BEACON BAY NB
Description: SFR -ADD 61 SF ENTRY. REMODEL PRIMARY BATH 70 SF o o ° • °
Legal Desc.: R BK 9 PG 42 PAR 54
Owner:
CITY OF NEWPORT BEACH
Address:
100 CIVIC CENTER DR
NEWPORT BEACH CA 92660
Phone:
Applicant:
CONTRERAS FELIPE
Address:
3837 E 7TH ST
LONG BEACH CA 90804
Phone:
562-879-3756
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
61
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
0.2 %
Building Permit Fee: $1,014.00
Plan Check Fee: $801.86
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,332.66
PROCESSED BY:
ZONING APPROVAL:
Contractor.
LEWIS R W CONSTRUCTION
Architect:
Address:
1863 BAYPORT WAY
Address:
NEWPORT BEACH CA 92660
Phone:
714-321-4126
Phone:
State Lic:
Con State Lic:
597309
Engineer:
CHU TIEN MANH
Lic Expire:
0613012022
Address:
9542 PACIFIC AVE
Bus Lic:
BT00021581
ANAHEIM CA 92804
Lic Exp Date:
0313112022
Phone:
714-829-5053 State Lic:C-072324
Worker's Compensation
Insurance
Designer:
PRIES LYNN
Carrier:
CONTINENTAL INDEMNITY
Address:
1476 TEMPLE HILLS DR
Policy No:
46864922
LAGUNA BEACH CA 92651
Expire:
12111/2021
Phone:
949-280-0893
Building Setbacks
Rear:
Special Conditions: LIQUEFACTION AREA
Front: T and 5'
Left: 4'
Right: 4'
Use Zone: R-2
Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$185.00 Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
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
Grading PC Fee:
$0.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check :
$43.00
Grading Bond:
Electrical %:
$70.98
San Dist:
$0.00
Mechanical %:
$40.56
NMUSD Fee:
$0.00
Plumbing %:
$91.26
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,029.86 Fee Due at Permit Issuance : $1,302.80
PUBLIC WORKS APPROVAL: IZA
PLAN CHECK BY:
GRADING APPROVAL: _ _ APPROVAL TO ISSUE:
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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)
ection 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
s 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
ofessions 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
�t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Isiness 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
provements 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
proved f9athe Purpose of sale).
I, as o'� 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
ply to ag pwrie rof 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 ekempWrom licensure under the Contractors' State License Law for the following reason:
' my signatlye 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,
)Pa structure thp& 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
ofessionstode,1s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
gaature of Property Owner or Authorized Agent ate
CENM21DATRACTOR'S DECLARATION
iAreby affirm uAoer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) o Divi on 3 of the Business and Prof ions o my license is in full force
deffect. License Class License No Date '?✓ Contractor Signature
OF7,KERS' COADENSATION DECLARATION
,RNIAG: FAILURE-ro SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
,%T.W COMPEN$ATIO i DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Araby affirTf dnr%'r penalty of perjury one of the following declarations:
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 th
rformance 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
me of Agent
Date
I Certify that, in the pe rmance o t e ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agre
It, if I should be com s bI to th rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //////
(nature of Applican, DateJC �4
!CLARATION REG* D CONSTRUCTION LENDING AGENCY
areby 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, Ivll ode).
riders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act o prop
I have read this application and the informati I have provi
I agree to comply with all applicable city and Do n rdinan
I authorize representatives of this city I colklt to en r the
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
laws relating to building construction.
ad property for inspection purposes.
Print Prooertv Owner's or Authorized
DATE' CLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGUWIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA _
TO
FOR OFFICE USE ONLY