HomeMy WebLinkAboutX2019-2744 - PermitsCity of Newport Beach- Building Division
4 100 Civic Center Drive, Newport. Beach, CA 92660
Permit Counter Phone (949)644-3288
'c Inspection Requests Phone (949)644-3255
.Combination Type - SFP GRAD MECH ELEC PLUM
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COMB Permit: X2019-2744
Project No : 1390-2018
Issued Date: 09/04/2019
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 501 TUSTIN AVE NB
Description: NEW SFR W/ATT GARAGE 4,450 & 732 SF, CABANA 261 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 35 LOT 24
Owner:
MOHR STEVENIMOHR CAMMY
Address:
404 10TH ST
HUNTINGTON BEACH CA 92648
Phone:.
Applicant:
BOWEN/BRANDON CHRISTOPHER
Address:
151 KALMUS DR #G-1
COSTA MESA CA 92626
Phone:
714-7544040
Code Edit:
2016
Type of Construction:
V-BSPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4450
Added /New sq. ft. Garage: 732
No of Stories:
2
No of Units:
1
Bldg Height:
24
Bldg Sprinklers:
Y
Flood Zone:
X
Construction
Building Permit Fee: $5,494.00
Plan Check Fee: $61.00
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$110.00
Energy Compliance:
$0.00
CA Seismic Safety:
$112.65
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$35.00
TOTAL FEE: $14,569.5
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: KRS DEVELOPMENT
Address: 2941 GRACE LN STE C
COSTA MESA, CA 92626
Phone: 949-290.6500
Con State Lie: 912477
Lie Expire:
04/30/2020
Bus Lie:
BT30044186
Lie Exp Date:
07/31/2020
Worker's Compensation Insurance
Carrier.
STATE COMP FUND
Policy No:
9129520
Expire:
0613112021
Building. Setbacks
Rear: 5'
Use Zone: R-1
Front:
Left:
Right:
Parking
20'
4'
4'
Spac
Excise Tax:
$1,088.22
Additional Fee :
$722.07
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$241.90
Grading Permit Fee:
$1,251.00
Grading PC Fee:
$53.10
WQ Insp. Fee:
$108.00
Electrical %: $384.58
Mechanical %: $219.76
Plumbing %: $494.46
Plan Check Fee
Architect: BRANDON CHRISTOPHI zi F t U I VV11
Address: 151 KALMUS DR #G-1
COSTA MESA CA 92626
Phone: 714-7544040 State Lic:C031637
Engineer: BURKE THOMAS
Address: 312 OCEAN AVE
LAGUNA BEACH CA 92651
Phone: 949494-0776 State Lic:S-005088
Designer:
Address:
Phone:
Special Conditions: 3 BDRM
Planning Department -
Plan check Fee
Fair Share ;
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $247.50
San Dist: $0.00
NMUSD Fee: $2,986.32
$0.00
PUBLIC WORKS l
PLAN CHECK BY:
Fire Department
$960.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $14,569.56
APPROVAL TO 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 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
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 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).
❑ 1, 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).
❑ 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
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://w .leginfo.ca.gov/calaw.htmi.
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 7000 'vision 31f the Business and Professions Co , and In i nsa is in full force
and effect. License Class License No Date L1—i Contractor Signature
WORKERS' COMPENSATION DECLARATION T
WARNING: FAILURE T0,S£URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPEN9ATIONIDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
irm under penalty of perjury one of the following declarations:
and;Zlaintain 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
:e of thework for which this permit is issued. Policy No.
and wilimeittain 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
Date
"gik(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 agre
t! if I should l;Iec,o; e.subje to the work compensation r isions 0-of the Labor Code, I shall forthwith comply with those provisions.
natal° of Applicant
GLAI2ATIOl%l1rtGA DI G CONSTRUCTION LENDFIRG AGENtY
Ireby affirm uri'dtfoenalitiI of perjury that there is a cons ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 and state laws relating to building construction.
I authorize representatives of this city or county to er the ab e-identifi roperty for inspection purposes.
nature of Property Owner or Authorized Agel i t-Property Owners or Authorized Agent's Name
ACTION I DATE I BY DECLARATION f REGULATIONS OF CI MAIL61 FATIIVTLE 40 AND AOCE WITH CODE OF RULE AL I FOR OFFICE USE ONLY
PERMITEXPIRED
I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
OAQMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
G/7
/1 ! 1/
SIGNATURE: