HomeMy WebLinkAboutX2022-1279 - Permitsrwrxo4 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
:'. Permit Counter Phone (949)644-3288
'ss . Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1279
x 2 0 2 2 1 2 7 9 Project No : 1183-2022
Issued Date : 06/15/2022
Inspection Area : 6
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: 6 BARRIER REEF DR NB
Description: MFR REMODEL 1,082 SF
Legal Desc.: N TR 8427 LOT 50
Owner:
MYERS NANCY
Contractor:
HOBSON HOMES
Architect:
Address:
6 BARRIER REEF DR
Address:
6462 ACACIA LN
Address:
CORONA DEL MAR, CA 92625
YORBA LINDA CA 92886
Phone:
Phone:
714-225-6365
Phone:
State Lic:
Applicant:
COBOS FERNANDO
Con State Lic:
930528
Engineer:
NIKJOO SHAHRAM
Address:
4571 DELANCY DR
Lic Expire:
10/3112022
Address:
6011 E BRIGHTON LANE
YORBA LINDA CA 92886
Bus Lic:
BT30073169
ANAHEIM CA 92807
Phone:
714-932-3397
Lic Exp Date:
10/31/2022
Phone:
714-777-7200 State Lic:C-036969
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 3
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $1,477.00
Plan Check Fee: $1,284.99
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$32.00
Energy Compliance:
$98.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $3,245.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Workers Compensation Insurance
Carrier: INS. CO. OF THE WEST
Policy No: WSD505598802
Expire: 06/14/2023
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$103.39
$59.08
$132.93
0
Designer:
Address:
Phone:
Special Conditions: LANDSLIDE AREA
LIQUEFACTION
Planning Department -
Plan check Fee
Fair Share:
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
i
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Plan Chuck- Faee: $1;336a99 Fee Due at Permit Issuance : $1,908.40
°
PUBLIC WORKS APPROVAL: _
PLAN CHECKBY:
fPFR0VAL,-f Q)SSUE:
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 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 (_) 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-Builderwill 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 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 legalll
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 700 of Division 3 of the Business and Pr fa-
idns f e, and my license is in full force
and effect. License Class License No Date Z Contractor 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 HUNG D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
id 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
of the work for which this permit is issued. Policy No.
have and will m*tairti, workers' compeysKtion 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 J licy number are: t l l r^ r -
Date
ie of Agent
JI certify that, in the perforr9ance 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
tat, if I should become subj ct a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
',ignature of Applicant
IECLARATION REGAR ONSTRUCTION LENDING AGENCY
hereby affirm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 rdinances and state laws relating to building construction.
I authorize representatives of this city or count nter the e-Identified property for inspection purposes.
signature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's NameY"�'Y
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
_REEVIATIONS PART 61 OF TITLE 40 AND, RULE
PERMITEXPIRED UI SUB ITTEDASBESTOS;N TIFICATIOjJTO
PERMITCANCELLED EPA �• • e
PERMIT EMENDED
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PERMITFINAL SBESTOJ NOTIPICATION IS NOT APPLICABLE TO
CERTIFICATE OF r
OSED ITION •• ••� • ••�
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