HomeMy WebLinkAboutX2021-1222 - Permits,�t•f,�
City of Newport Beach - Building Division
*X2021-1222*
COMB Permit: X2021-1222
1'00 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Project ND : 1078-2021
UG"..00
nspection Requests Phone (949)644-3255
I S F E�Issued
Date:09/02/2021
Combination Type - SFP GRAD ELEC MECH PLUM
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 09/02/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday7:00 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: 127 E BAY AVE NB
Description: NEW SFR W/ATT GAR 2696 & 439 SF ,
Legal Desc.: EAST NEWPORT BILK 1 LOT 2 AND W 3FT OF LOT 1 AND E 5FT OF N 52.40FT AND
Owner: BASSO MICHAEL
Address: 7 SHELL BEACH
NEWPORT BEACH CA 92657
Phone: 9491922-8324
Applicant:
SEPULVEDA BUILDERS
Address:
790 NEWTON WAY
COSTA MESA CA 92621
Phone:
7141288-0732
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R-311_1
Added. /New sq.ft. Bldg:
2696
Added /New sq. ft. Garage:
439
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
lil Construction Valuation:
$750,000.00
Building Permit Fee: $5,194.00
Plan Check Fee: $3,297.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$78.00
Energy Compliance:
$303.00
CA Seismic Safety:
$97.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE: $18,155.01
PROCESSED BY:
ZONING APPROVAL:
Contractor:
SEPULVEDA BUILDERS INC
Address:
790 NEWTON WY
COSTA MESA CA 92627
Phone:
714-222-1150
Can State Lic:
695401
Lic Expire:
1013112022
Bus Lic:
BT30058100
Lic Exp Date:
02/28/2022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5
Front: 10
Left: 3
Right: 3
$658.35
$0.00
$0.00
$1,377.60
$973.00
$302.40
$1,220.00
$363.58
$207.76
$467.46
Architect:
Address:
0
CJ
Phone:
State Lic:
Cn
Engineer:
ROHRER PAUL DUANE
Address:
1527 E. AUTUMRIDGE CT
M
ORANGE CA 92866
Phone:
714-272-9579 State Lic:S-004340�
° ° °
c
Designer:
OSLIN BRIAN
Address:
8621 BELLMEAD DR
Q
HUNTINGTON BEACH CA 92646
f1" I
z
Phone:
714/962-1148
L
0
Special Conditions:
ITi
Fire Hazard
Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $203.00
San Dist: $1,015.00
NMUSD Fee: $1,B47.36
Plan Check Fee : $4,710.00
Fire Department
V
$520.00
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 : $13,445.01
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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).
1, 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, 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).
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).
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 one year prior to completion of the improvements covered by this permit, I cannot legally
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 SectionX05,
ision 3 of the Business an o ndieer s>'e is in full force
and effect. Liceus3 Class License No Date Contractor Signature
WORKERS' COFARENSATION DECLARATION
Y:AR.J.Ad. FAILURE', O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
LOST 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:
I have and wall 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
dnrmPnce of th+errk for which this permit is issued. Policy No.
I have and will mahnain 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' compensa
urancz carrier _r.d prAcy number are:
Policy Number
Date
r' ^er' fy that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' comp cation laws of California, and agrei
plat, if I should berme R b o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applica Date L7 /
IECLARATION G DI NSTRUCTION LENDING AGENCY
hereby affirm de alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, IVII Code).
Ender's Name Lender's Address
y 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. y� lv 2 q
I agree to comply with all applicable city and county ordinances and state laws r lating to building construction. `� G(,{VI,(
I authorize representatives of this city or countyl'(or€nl { VI� j vvee i Infik''g for inspection purposes.
ionature of Property Owner or Authorized Agent dd 7/ A.( Print Prooertv Owner's or Authorized Aaent's Name D t
ACTION
DATE
BY V
DECtARATION OFjCOMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMIT FINAL
SBES OS TIFI N IS NOT APPLICABLE TO
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