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HomeMy WebLinkAboutX2019-3625 - Permits (3)�r City of Newport Beach - Building Division *)W19-3625* COMB Permit: X2019-3625 w 100 Civic Center Drive, Newport Beach, CA 92660 _ Project No: 2488-2019 y Permit Counter Phone (949)644-3288 x3 - ra Inspection Requests Phone (949)644-3255 °4rau a Combination Type - SFP GRAD MECH ELEC PLUM Issued Date : 02/1812019 9 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/18/2022 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: 1940 TERESITA LN NB Description: SFR BUILD NEW ATT GARAGE 497 SF, ADD 1,184 SF, REMODEL (E) 1,985 SF Legal Desc.: N TR 1806 LOT 49 Owner: CONN ROBERT & PT Address: 1940 TERESITA LN NEWPORT BEACH, CA 92660 Phone: Applicant: RICHART JASON Address: 1041 W 18TH ST A106 COSTA MESA CA 92627 Phone: 949-422-9191 Code Edit: 2019 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1174 Added /New sq. ft. Garage: 497 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $600,000.00 Building Permit Fee: $6,432.00 Plan Check Fee: $4,643.63 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $60.00 Energy Compliance: $303.00 CA Seismic Safety: $78.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $24.00 TOTAL FEE: $18,356.08 PROCESSED BY: ZONING APPROVAL: Contractor. SHEAR CONSTRUCTION Architect: Address: 31 BLAKEMORE DR Address: LADERA RANCH CA 92694 Phone: 714-615-6108 Phone: Con State Lic: 760853 Engineer: JAMIL BASHAR S Lic Expire: 0713112022 Address: 751 SHASTA DR Bus Lic: BT30049686 CORONA CA 92881 Lic Exp Date: 0113112022 Phone: 714-883-4124 Worker's Compensation Insurance Designer: Carrier: OHIO SECURITY Address: Policy No: XWS61231341 Expire: 04/11/2021 Phone: Building Setbacks Rear: 6' Front: 20' Left: 6' Right: 6' Use Zone: R-1-6000 Parkin Si Excise Tax: $0.00 Additional Fee : $66.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $952.00 Grading PC Fee: $828.24 WQ Insp. Fee: $120.00 Electrical %: $450.24 Mechanical %: $257.28 Plumbing %: $578.88 Plan Check Fee 0 INS17 L_CT0 R State Lic: •°•• State Lic:C-083129 ...... Special Conditions: COSTA MESA SANITATION CMSD FEES PAID PERMIT NO. SD20-0050 Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check : $344.00 San Dist: $0.00 NMUSD Fee: $2,178.66 Fire Department $231.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $4,514.60 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ©©oa• aa000• ° • • e • •ewe• eoo• • $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $13,841.48 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 itemt'alf ction 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 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 fessions 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 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, ;iness 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co pletion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704 , Business and Professions Code: The Contractors' State License Law does not ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: I ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ianden 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo,r lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 8 CUD 000) f and effect. LiceRs mass License No e PORKERS' CORIPENSATION DECLARATION 1 MGrFAILURTb E7;QRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CF OF �OMPEN Arlo , MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. prior to completion of the improvements covered by this permit, I cannot legall, stand that a copy of the applicable law, Section 7044 of the Business and a.gov/calaw.html. Date ti on 3 of the Bu I ss and Prof es ' Code, al �I. my I se is in full force RL Comm, ct Signature 2 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE irm under penalty of perjury one of the following declarations: and .1111 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 e of the work for which this permit is issued. Policy No. ►p191hpin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the and policy number are: • Policy Number of the work for which this permit is issued. My workers' Date that, in the performance of the work f 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 ould ha k%subjec ers' (m sation provisions of Section 3700 of the Labor Code, I shall forthw1ith comply with those provisions. ) % )ECLARATION REGARQING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that the is a construction lending agency for the performance of the work for wh ch this permit is issued .enders Name Lender's Address 3y 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 c' nd county ordinances and laws relating to building construction. I authorize representatives of th' c" or county to a th tifi property for inspection purposes. Signature of Property Owner or Aut gent Print Property Owner's or uth ,zed ent' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMITEXTENDED OR QMD PERMITFINAL ��r �f ESTOSNOTIFICATIO SNOTAPPLICABLE TO CERTIFIC4TEOF 2•Y /'�� PROP SE TN}®a ION OCCUPANCV/SSUED 51�6 Code). Xj2(