HomeMy WebLinkAboutX2021-1539 - PermitsCity of Newport Beach - Building Division
' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v ,+, Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
*X2021-1539*
COMB Permit: X2021-1539
Project No: 1356-2021
Issued Date : 09/15/2021
IN %C3 -'-a Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911512024 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: 1822 BUTTONSHELL LN NB
Description: SFR INTERIOR REMODEL 3186 SF, CONVERT (E) GARAGE TO LIVABLE 531 SF, NEW ATTACHED GARAGE 478 SF
Legal Desc.: N TR 3763 LOT 69
Owner:
SHEA PETER
Address:
1822 BUTTONSHELL LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
ENGLISH SCOTT
Address:
1561 ORCHARD DR
NEWPORT BEACH, CA 92660
Phone:
949-355-6228
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
531
Added /New sq. ft. Garage: 478
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
11 Construction Valuation:
$462.1
Building Permit Fee: $5,143.00
Plan Check Fee: $3,549.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$38.00
Energy Compliance:
$303.00
CA Seismic Safety:
$60.06
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$19.00
TOTAL FEE: $14,855.39
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ENGLISH SCOTT GC
Address:
1561 ORCHARD DRIVE
NEWPORT BEACH CA 92660
Phone:
949-355-6228
Con State Lic:
784484
Lic Expire:
09/30/2022
Bus Lic:
BT30056763
Lic Exp Date:
1013112021
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
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: 6
Front: 20
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$237.00
$199.00
$0.00
$360.01
$205.72
$462.87
Architect:
Address:
Phone: State Lic
Engineer: XIAO QIANG
Address: 1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705
Phone: 714-662-0510 State Lic:S-005289
Designer: MICHAEL DAVID
Address: 712 CENTER ST
COSTA MESA, CA 92627
Phone: 949-650-2192
Special Conditions
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $101.60
San Dist: $2,084.00
NMUSD Fee: $977.04
Plan Check Fee : $4,222.82
Fire Department
$260.00
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
$0.00
$0.00
$27.00
$265.00
$564.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $10,632.57
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL 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)
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 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, throw h 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 co Tipletion, 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 70 4, 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).
I 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 or
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I
Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.le
Signature of Properly Owner or Authorized Agent
LICENSED COp17RACTOR'S DECLARATION
Ijrep%by�ffirm unoigr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section
and effeet. License Class License No Data
VQRKERS' COIJPENSATION DECLARATION
VOARNING: FAILURE _'TOO-SECUURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE
COBT OFpCOMPENyy ryV.*MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1:14retw1affirm under penalty of perjury one of the following declarations:
•••
•• P Tave and swill• � �intain a certificate of consent to self -insure for workers' compensation, issued by the Directo
p�esfewaance of fne work for which this permit is issued. Policy No.
I`r'I I"tC and will Llpjain workers' compensation insurance, as required by Section 3700 of the Labor Code, for tht
�ns�rance carrier : n(# policy number are:
Q2dIEr•0 _ Policy Number
Agent ••••••
y that, in the performance Of a work for which t permit is issued, I shall not employ any person in any
hould beco��fnnne su�bJ7t7/( a ons of Section 3700 of the Labor Code, I shall
of AoDlica �' r
CLARATION REGRIRDTNG CONSTP11CTIONI&ENDING AGENCY
ereby affirm under penalty of perju ere Is a construction lending agency for the performance of the work for
Ider'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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordin w s relatih to building construction.
I authorize representatives of this city or coun to -i 1 d property for inspection purposes.
I
year prior to completion or me improvemems covereu oy
Tderstand that a copy of the applicable law, Section 7044
cannot
ass and
/p Date
�/ he Business and Pr a tgjjse I force
Contractor Signature
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,(100), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agre,
i comply with those provisions. G/
Da(A/ ! ,
t this permit is issued (Section 3097. CiVIij Code).
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION DATE BY D CLARATIO�fOF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIO T 61 OF TITLE 40 AND AQMD RULE
1403
PFRMITFXPIRFD I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
!7 q
OCCUPANCYISSUED
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Name %,