HomeMy WebLinkAboutX2019-0125 - PermitsCity of Newport Beach Building Division IIIIIIIXIIIIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIIIIIIIIII�IIII
100 Civic Center Drive, Newport Beach, CA 92660
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§ Permit Counter Phone (949)644
� - 0 -Inspection Requests Phone (949)644-3255 � � YM K.
e'�trnu Combination Type - SFP GRAD ELEC MECH PLUM
COMB Permit: X2019-0125
Project No : 0102-2019
Issued Date: 04/25/2019
Inspection Area : 1
-
Construction Hours: Monday-
rcmm� s tXY/RE 180 DAYS AFTER ISSUANCE OR LAST VALID lNSPECTlON.
Friday 7:00 a.m. to 6:30 Saturday
.Job Address: 61136TH ST N8
LIQUEFACTION AREA
p.m. and from 6:00
a.m. to 6:00 p.m. No work on Sundays or Holidays
Description: NEW SFR W/ATT GARAGE 3,639/690 SF,
DECK 430 SF & CABANA
Bldg°S'p0*1ers: °°C°.Left:
Y
Legal Desc.: CANAL SECTION LOT 6 BLK 536(AND SWLY1/2 LOT
200 SF
7 BILK 536
Use Zone:
.Right 4
Parkin S aces:
Owner: HOLDINGS GARDEN GROVE SIMPSON
Contractor:
n ValLatior,.: $730.000.00
Address: 21 ATUO CENTER SR
Address:
PATTERSON CONSTRUCTION
Architect: LINSDAY BRANDON R
BUEN PARK CA 90621
15 CORPORATE PLAZA STE.150.
Address: 151 KALMUS DR #G-1
Phone:
Phone:.
NEWPORT BEACH CA 92660
NEWPORT B
COSTA MESA, CA 92627
.Applicant: KENNEDY/LINSDAY BRANDON R
Fee: $4„047.00
Plan,';Jk $0.00
Additional Fee :
Phone: 714-7544040 State Lic:C035799
Address: 151 KALMUS DR #G-1
Con State Lie:
Lie Expire:
802367 "
Engineer: PETROV PLAMEN
COSTA MESA, CA 92627
Phone:
Bus Lie:
07/31/ 2020
BT021 10534
BT02120 5
Address: 28161 CASITAS CT
714-7544040
Lie Exp Date:
SJH Trans : $0.00.
LAGUNA NIGUEL CA 92677
Code Edit: 2016..
Grading Permit Fee:
$1,209.00
Phone: 714 717-7542 State Lic:C-066947
,t
Type of Construction. V-BSPR
Worker's Compensation
Insurance
r
Designer:. i
Occupancy Group: R3/U
Carrier:
STATE COMP
Address:
Added /New sq.ft, Bldg; 3639
Policy No:
90654062018
906642019
u ; ��'
n
Added /New sq. ft. Garage: 690
Expire:
PNV Plan Check: $247.50
Phone:
No of Stories: 3 -
No of Units : 1
Building Setbacks Rear. 5
Special Conditions:
LIQUEFACTION AREA
Bldg Height: 29
Front:. 30
Bldg°S'p0*1ers: °°C°.Left:
Y
4
o
FId60°Z0Fl°' ° ° 0.2
Use Zone:
.Right 4
Parkin S aces:
3
n ValLatior,.: $730.000.00
Fire Hazard Zone :
N
F8L'01diQ9rmit Fee: $5,494.00
Excise Tax:
$909.09
Fee: $4„047.00
Plan,';Jk $0.00
Additional Fee :
$294.00
Planning Department -
Plan check Fee:
Fire Department
°Overtime
° ° °
'Inaashgation Feg:° $0.00
Grading Bonds Fee:
$0.00
$417.00
Fair Share: $0.00
Fire Inspection;
aecol°d Management z $84.00
Grading PC Consultant:
$1,064.3fi
SJH Trans : $0.00.
Fire Plan Rev
° °
°EQdjy,Compltance:° ° $268.00
Grading Permit Fee:
$1,209.00
Fee:
In -lieu Housing$0.00
Demolition Fee
GA Seismic Safet� : $94,90
Gradin PC Fee:
$233.84
Public Works Department -
a
Building Dept Adm
Disc blvd Access`. � ° ° $0.00.
s
WQ Insp. Fee:
$108.00
Park Dedication : $0.00
General Service
'Hazardous M5't° ° ° $0.00
Electrical
PNV Plan Check: $247.50
Refund Deposit
Grading Bond:
Building Gree °pogo
8 $30.00
Mechanical %:
al
$384.58
$219.76
San Dist : $803.00
...b°..
Plumbing %:
$494.48
NMUSD Fee: $3,332.24
_
11 TOTAL FEE: $19,734.53
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $5,734.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14,000.53
OWNER -BUILDER DECLARATION
olish, or repair any structure, prior to its issuance, also requires the applicant for
I hereby affirm under penalty of perjury that I am exempt from the Contractor' State License Law for the ea on ' toted below by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county that requir Il o aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
a permit to file a signed statement that he or she is licensed pursuant s the p of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
ofessions Code) or that he or she is exempt from licensure and the basis for the alleg
it more than five hundred dollars ($500). all of or ortions of the work, and the structure is not intended or offered for sale (Section 7044,
11, as owner of the property, or my employees with wages as their sole compensation, will do () U P
er fin employees' personal ffiI property, provided
tar
isiness d professions Code:
Contractors'
StaLicense
Law
dospllytoa own
oldwitho year of completion, the Ower-Buiderwhave the burden of proving that it was nobuilt o
Iprovemenare not intended or offered for e. however, theng or improvement nsse
State License Law does not
(proved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractor to construct the project (Section 7044, Business and Professions Code: The Contractors' It
,ply 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 licensure under the Contractors' State License Law for the fallowing reason:
Bit ay signature
below
l have built le an owner -builder except f If it has personal
not been sidence in constructed aI itslentirty by licensed must have resided o contractors. I undersr at least one year talnd that a copy of theapplicable law, Section 7044iq tof the Business and
his permit, I cannot lega
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html. Date
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATIONusiness and
hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecEla? 7000) - '� ion 3 of tconttractor SignaWrofessions , an li is in full force
nd effect. License Class License No
THE
IARNIOF CO (LURE TTOION, URE WO AS S' COMPEPOR INS CSECRKERNSATION OT ERAGE IS THE UNLAWFUL, AND SH (ANTER SUBJECT
AN EMPLOYER TO ATTORNEY'S P EES' PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAN OLLARS (E100,0001, IN ADDITION TO
VORKERS' COMPENSATION DECLARATION
NG: FA
OST
VIDED
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, for th
)A mance of the work for which this permit is issued. Policy No.
t,an
and will maintain workers' compensation in, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa to
carrier and policy numberare: Expiration Date . Policy Number Phone IF
.000
Name of Agent
01 certify that, in the performanc of thew k to h this permit is issued, I shall not employ any person in any manner sc as to become subject to the workers' compensation 18V of California, ynn �a9rPl
that, if I should become submjej the w ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da A _�S `q •• . o o U o
•• oo °O
Signature of Applican'
DECLARATION REG RbIN CON LICTION LENDING AGENCY o
I hereby affirm under penalt of p ury that there is a construction lending agency forthe per Address of the work for which this permit is issued (Section 3097, Civil Code . : •• • • o
Lender's Name • • • u
By 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. ....
• ocuou
I have read this application and the information I have provided is correct. •,,.
I ogre to comply with all applicable city and couqty ordinances and tate I s relating to building construction. ((pp .0 'Date •��'r 19
I authorize representatives of this city or courXty $o a ab e d property for inspection nt Property Owner's or Authorized Agents NalnA.y� OCA
of Property Owner or Humonzeu
DATE BY CLA ION OF COMPLIANCE WITH CODE Of FEDERAL FOR OFFICE USE ONLY
Pr ATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMIT EXTENDED
NOTIFICATION IS NOT APPLICABLE TO
PERMITFINALf ti31� `n
l JV•
ASBESTOS
PROPOSED DEMOLITION
CERTIFICATE OF
SIGNATURE:
OCCUPANCY ISSUED