HomeMy WebLinkAboutX2019-3702 - Permitsx� City of Newport Beach - Building Division
100 Civic Center Drive, Newporraeach, CA 92660
h `+ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'*ziaiarc'> Combination Type - SFP MECH ELEC PLUM GRAD
11�11111111111111111111101IE11111111II COMB roject Peraitos019-3702111111I1Permit:
NO CONSTRUCTION N NOISE Issued Date: 0311612020
Inspection Area : 1
PERMITEXPIRES 180 DRYS AFTER ISSUANCE OR LAST VALID INSPECTION. P %MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satur B&n. No work on Sundays or Holidays
Job Address: 605 VIA LIDO SOLD NB
Description: NEW SFR WIATT GARAGE 3,0151469 SF
Legal Desc.: N TR 907 LOT 2
Owner:
CAMPBELL ARGYLE & BRIDGET
Contractor:
ALLEGRE CUSTOM CONSTRUCTION Architect:
STOLZ FRANK
Address:
605 VIA LIDO SOLD
Address:
16131 FANTASIA LANE
Address:
13 CORPORATE PLZ STE 210
NEWPORT BEACH CA 92663
HUNTINGTON BEACH CA 92649
NEWPORT BEACH, CA 92660
Phone:
Phone:
714-606-4499
Phone:
949-720-7022 State Lic:CO24409
Applicant:
STOLZ FRANK
Con State Lic:
639244
Engineer:
CHEN MING-TARNG
Address:
13 CORPORATE PLZ STE 210
Lic Expire:
03/31/2020
Address:
12121 CANDOR DR
NEWPORT BEACH, CA 92660
Bus Lic:
BT30070317
CERRITOS CA 90703
Phone:
949-720-7022
Lic Exp Date:
1113012020
Phone:
714-521-0169 State Lic:C-054011
Code Edit:
2016
Type of Construction:
V-BSPR
Occupancy Group:
R311)
Added /New sq.ft. Bldg:
3045
Added /New sq. ft. Garage:
469
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $1,000,000.00
Building Permit Fee:
$4,866.00
Plan Check Fee: $3,035.00
Overtime Plan Ck:
$2,589.00
Investigation Fee:
$0.00
Record Management:
$148.00
Energy Compliance:
$268.00
CA Seismic Safety:
$130.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$40.00
TOTAL FEE: $16,361.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carder: NATIONAL LIABILITY
Policy No: A9WC095534
Expire: 12123/2020
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: /
Front: /
Left: I
Right: /
Parking Spa
$737.94
$0.00
$0.00
$1,257.88
$1,144.00
$276.12
$108.00
$340.62
$194.64
$437.94
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
HIGH DENSITY AREA
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : - $0.00
PM Plan Check: $371.25
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee : $4,428.00
Fire Department
$417.00
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
Fee Due at Permit Issuance : $11,933.39
• H Y
e p • ABCsC WORKS APPROVAL:
p p B • N
p o -o PLAN CHECK B*: •
APPROV#L TO, ISSUE:
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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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
❑ 1, 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 legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I �Inderstand 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 per1'yry that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Pr fe6 ns o e, an my ' $m full force
and effect. License Class tS License No 4,S9 {'� Date --6 ZnLO Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAIIID DOLLARS (E1110,00 N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director, of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
pert mance of the work for which this permit is issued. Policy No.
have and will m orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
nsurance carrier an policy' umber are: (� q
Carrier ,I ; - 6-/ G 1) P id rt *>ni bJr% 0 Expiration Date
ie of Agent - T— "" I- L_A LJT I Phone #
certify that, in the pert mance of Ihefor whic this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should beco Iact the p ss�tion provisions of Section 3700 of the Labor Code, I shall forth ith comply with those provisions. /lature of Applicant V,I /i) ^v Dat �i���
:reby affirm under penalty of P4dury that there is a cgn$truction lending agency for the performance of the work i
Ider's Name I I I Lender's Address
my signature below, I certify to each of the following: v
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 0 enter the @§N91ZllTtitifqd property for inspection purposes.
ACTION DATE BY DECLARATION OF CO LANCE WITH CODE OF FEDERAL FOR
PART O REGULATIONS F TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED L1 I SUBMITTED AS•4S?=NOTIFJNICM1U
PERMITCANCELLED OEPA w • • • ••� • •••
PERMIT EXTENDED QMD • • • • i
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF ' PROPOSED DEMOLITION
aayy •• a•• • • • •••
OCCUPANCY ISSUED 2J SIGNATURE: • • • • • • • • • w
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this permit is issued (Section 3097, Civil Code).
USE ONLY
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