HomeMy WebLinkAboutX2019-2587 - Permitswra City of Newport Beach - Building
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
Job Address
Description:
Legal Desc.:
Owner:
Address:
Phone:
Division *X2019-2587* COMB Permit: X2019-2587
F_ ` PJMQM Project No : 1849-2019
GRAD Issued Date : � r#�.ir M Inspection Area o' 019
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VAUD 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 Sundayyyl prr�ds ��
601 VIA LIDO SOLID NB f
SFR ADD 40 SF, REMODEL 1,134 SF & REMODEL GARAGE 651 SF (NEW LATERAL FORCE RESISTING SYSTEM) E�
N TR 907 LOT 1
CAMPBELL ARGYLE Contractor ALLEGRE CUSTOM CONSTRUCTION Architect: STOLZ FRANK
601 VIA LIDO SOLID
NEWPORT BEACH, CA 92663
Applicant: MYISTOLZ FRANK
Address: 13 CORPORATE PLZ STE 210
NEWPORT BEACH, CA 92660
Phone: 949-720-7022
Code Edit: 2016
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 40
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: X
Construction
Building Permit Fee: $3,520.00
Plan Check Fee: $3,062.40
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$138.00
Energy Compliance:
$268.00
CA Seismic Safety:
$65.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
TOTAL FEE: $10,437.15
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: C
Address:
16131 FANTASIA LANE
Address:
HUNTINGTON BEACH CA 92649
Phone:
714-606.4499
Phone:
Con State Lic:
639244
Engineer:
Lic Expire:
0313112020
Address:
Bus Lic:
BT30070317
Lic Exp Date:
11/3012020
Phone:
Worker's Compensation Insurance
Carrier: NATIONAL LIABILITY
Policy No: A9WC095534
Expire: 12/23/2020
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: 4
Front: 10
Left: 3
Right: 3
Parking Spaces
$0.00
$0.00
$0.00
$774.08
$312.00
$169.92
$0.00
$246.40
$140.80
$316.80
Plan Check Fee
Planning Department -
13 CORPORATE PLZ STE 210
NEWPORT BEACH, CA 92660
949-72 State Lic:CO24409
GHOUL, RAIDA V�8
26040 ACERO #100 iF?®0A f
MISSION VIEJO CA 92691 ®V
949-855-2300 State Lic:C-070882
Designer: O -rE °
Address: '�
Phone:
0 oe
a °
Special Conditions: LIQUEFACTION AREA
0
oaco
Plan check Fee :
$0.00
Fair Share:
$0.00
SJH Trans :
$0.00
In -lieu Housing Fee
:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check,
$618.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
Fire Inspection:
° $0.00
Fire Plan Rev
° °
° a$b.Qp
Demolition Fee
....
Building Dept Adm
$24.00
General Service
$197.00
.. Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$4,080.16 Fee Due at Permit Issuance : $6,356.99
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the n(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 It t ove, 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 p In n rs' 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 a. 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 solecompensation, will do L) all of or L) 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).
111, 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://www.leginfo.ca.govlcalaw.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) of Division 3 of thXBiness and P 7aio s Co e, m ' ense is in full force
and effect. License Class License No a ^2CJ �'{ Cor Signature /
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($10 , 001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
••••••
hereby affnn under penalty of perjury one of the following declarations: '
:It na,%and wjll'maffoin 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,
pqg; to%nce,of theMork for which this permit is issued. Policy No.
Und 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 pRd polQy number are:
Policy Number Expiration Date
in thg performance of the work for
perjury that
Ider's Name
permit is issued, I shall not employ any person in any manner so as to become subject to the wor rs' compensation laws of California, and
1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
my signature below, I certify to each of the'fdllowing:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all appliicable.c,,ty and county ordies�d stag
I authorize representatives of IN or count'vVr?ypjntea t e a dentifie
nature of Prooertv Owner or Au nod Aaent I
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
to building construction.
)r inspection purposes.
Print Prooertv Owner's or Authorized Aae ame ate
DATE BY DECLARATION CFKOMPUANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
I SUBMITTED ASBESTOS
TO
FOR OFFICE USE ONLY