HomeMy WebLinkAboutX2021-3424 - Permits0�'
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD MECH ELEC PLUM
111111111111111111111111111111111111111111111111111�1111COMB Permit: X2021-3424
X 2 0 2 1 3 4 2 4 Project No: 2996-2021
Issued Date : 0710512022
Inspection Area : 3
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: 1227 BERKSHIRE LN NB
Description: NEW SFR 4,479 W/ATT GARAGE 794 SF & ATTACHED ACCESSORY DWELLING UNIT 1,080 SF
Legal Desc.: N TR 3031 LOT 19
Owner:
RUCKER LLOYD
Contractor:
OWNER/BLDR
Address:
260 NEWPORT CENTER DR 1OG
Address:
RUCKER LLOYD
NEWPORT BEACH, CA 92660
Phone:
Phone:
949-463-4509
Applicant:
HERNANDEZ JOSEPH
Con State Lic:
0/13
Address:
19092 CALLAWAY CIR
Lic Expire:
HUNTINGTON BEACH, CA 92648
Bus Lic:
Phone:
714-374-7034
Lic Exp Date:
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
5559
Added /New sq. ft. Garage:
794
No of Stories:
2
No of Units :
1
Bldg Height:
24
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $1 100,000.00
Building Permit Fee: $9,820.00
Plan Check Fee: $6,751.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$72.00
Energy Compliance:
$303.00
CA Seismic Safety:
$143.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$44.00
TOTAL FEE: $31,112.64
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 6'
Left: 6'
Right: 20'
$1,334.13
$0.00
$0.00
$0.00
$973.00
$846.51
$152.00
$687.40
$392.80
$883.80
Architect: HERNANDEZJOSEPH
Address: 19092 CALLAWAY CIR
HUNTINGTON BEACH, CA 92648
Phone:
714-374-7034 State Lic:CO21038
Engineer:
HUSSEY JOSHUA BENNETT
Address:
17642 EL NOPAL LN
HUNTINGTON BEACH CA 92647
Phone:
424-634-0128 State Lic:C-070494
Designer:
Address:
Phone
;Its 30DD4 III „-7e-%-
Special Conditions: _
Fire Hazard
Planning Department -
Plan check Fee
Fair Share:
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PM Plan Check: $406.00
San Dist: $1,068.00
NMUSD Fee: $6,716.00
Fire Department
$520.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $8,352.51 Fee Due at Permit Issuance : $22,760.13
PJBLIC WORKS APFRGVAL:
PLAN CHECK BY:
GRADING APPROVAL: S,9-(A APPROVAL TG 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 applicaGle 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
the 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 Iicensure 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 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).
❑ I am exempt from Iicensure 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 Iegalh
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 provisions of Chapter 9 (commencing with Section 7017f]) i isio of the Business and P�s on y lic nse is in full force
and effect. License Class License No pate 77 Lo Contractor Signa
WORKERS' COMPENSATION DECLARATION (/)
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 0,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
performance 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
Agent
Date
t2rtl 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 ogre
if I h0UId become subject t he w s omp sation p visions of Section 3700 of the Labor Code, 1 shall forthwith comply with
those provisions. �I
na re of Applicant
Zv
LA
of REGA M CONSTRU ION L DING GENCY
:reby affirm under penalty of perjury th there is a Constr cticn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil C e).
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 d state laws relating to building construction.
I authorize representatives of this city or county en a-i ntified operty for inspection purposes.
signature of Property Owner or
ACTION DA
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERML
CERTIFFICATEICATEOF
ITFINA
OCCUPANCYISSUED
gent V Print Property Owner's or Authorized Agent's Name
BY rECLArATION OF OM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
03
� SUBMITTED AS3ESTO'. NOTIFICATION TO
ZF.PA I`
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOU PION
SIGNA rURE: