HomeMy WebLinkAboutX2020-1826 - PermitsCity of Newport Beach - Building Division 11111111111111p111111111111 11111111111COMB Permit: X2020-1826
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 a 2 6 Project NO : 1460-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date : 2020 .
Inspection Arearea : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/01/2023 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: 1419 DOLPHIN TER NB
Description: DEMO SFR & GARAGE 2845 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 2334 LOT 10
Owner:
HEUSER GEORGE
Contractor:
LEGACY CUSTOM HOMES INC
Address:
1419 DOLPHIN TER
Address:
1000 QUAIL ST. STE 220
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92660
Phone:
Phone:
949-8874750
Applicant:
RIELLY BRUCE
Con State Lie:
986194
Address:
1000 QUAIL ST STE 220
Lie Expire:
08/3112021
NEWPORT BEACH CA 92660
Bus Lie:
BT30045036
Phone:
949-679-7006
Lie Exp Date:
1013112020
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Worker's Compensation Insurance
Carrier: OAK RIVER INSURANCE
Policy No: LEWC912262
Expire: 12102/2020
Building Setbacks Rear: /
Front: I
Left: I
Right: I
Architect:
Address:
Phone:
State Lie:
Engineer: RIOS CALEB
Address: 139 AVENIDA NAVARRO
SAN CLEMENTE CA 92672
Phone: 949-492-8586 State Lic:C-057587
Designer:
Address:
Phone:
Special Conditions: BC HAULING
Construction Valuation:
$28 000.00
Building Permit Fee:
$120.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $227.60
Additional Fee :
$0.00
Plan check Fee:
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
Record Management!
$4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA -Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
P1W Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$10.00
TOTALFEE:
PROCESSED BY: '! '
ZONING APPROVAL:
TO HAUL DEBRIS INSPECTOR
Fire Department
$92.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.06
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$316.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee , %00 Fee Due at Permit Issuance : $2,490.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ _ APPROVAL TO ISSUE:
I h✓mby arrive under penally of peejuryihat I are exempt imm the Commct V state License Law for the reason(s) indicated below by the checkmarh(s) I have placed rextto ice applicable Rem(s)
(SODffen 7M.5, Business and Pofbmk ms (title_ Any My or county that requites a permit to conshuct, alto, Improve, demolish, or repair any structure prior toils issuance, also requires the applicant for
Ore per relit tD file a signed slatementiftat he"she is licensed putsuam to the provisions of the Contractom' Slate License Law (chapter 9 (commencing with Section 7000) of bMskm 3 of the BusInass'ard
Pmros3lons Code) or that he or she is exempt from InenssuIR and The basis for the alleged OXEMp0un Aryvlolafan of Section 7031.5 by arty applicant fora permit subject the applicant to a rive penalty of
not mC M man live hundred dollars ($500).
111, is owner of the properly, "my employees with wages as their sole compensation, will do U Sit otor L) portions of the wooly and Vna Structure Is out Intended or offered for sale (Section 7044,
imprElusiov ss and Professions code: The Cenhactae. State License raw dons not apply loan owner IX properly win, through employees' or personal effort, burlds or implores file property, provided mat the
improvements ere not trended "offered f"sale. If, havevw, die DUiding"improvement is sop an one year of completion, file Owner -Builder will have fie burden Of proving that a was nut built or
TI vad for the purpose of sale)-
Ll I, ::S owner of the property, am exdusivey contracting with licensed contractors to contact the project {Section 7044, Business and Professions code: The contractors' State License Law does not
a" 13 an owner of property who buim or improves thereon, and who contacts [or the projects with a foensed Contract" pursuant to Ute Contractors' State License Law).
111 a: n exempt from Itcansum under the Contactors" State License Law for the following reason:
By my skpnalum below f acknowledge mat, exce(A for my personal residence in which I must have resided for at least one yew ptbrlo completion of Ole improvements covered by this permit, I cannot legatl
sell a eh icture that t have built as an owner -build" # it has net been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 70" of the Business and
Pmfes;lmns code, is available upon request when this application Is submitted "at the following Web eftein iAliww.kgpntolca.govkalaW:hit".
Signatne of Property Owner or Authorized Agent Date
L ICEf ISED CONTRACTOR'S DECLARATION
1 herety affmm under penally of perjury mat T am licensed under provisions of Chaplere (oommem:IDg idh Section 7 00 nt DMsI n 3 of the Elusitness and Pmfesslons nd my B m f
and eliegL License Gass License No pat Contractor Sign
NORKERS'-COMPENSATION DECLARATION
mN�COYPEMSATIOR oOVOVME 64 OaCAWFU., ANB arNLh. SURASUT RKEWILOYER TO Coll L FGHALTESMe CTM Mae UPTO
FSASPROVIDED FORM SECTION 3m6 OFTNELAWRCUDE INTER ,, AIDATTORWrari L'&
of perlmy one of the following declarations:
torn a mrUffeate of consent to self -insure for workers' compensation, Issued by the Direol"" Industrial Rell imis as providecif for by Section 3700 of lie Labor Code, for
for which this parmitls issued. PolicyNo-
and will maintain 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'
carder and policy number are:
he .it Agent
cei lily that, in the performance of
B : shroud become scdfeott
haltire of AmtlranlV
Policy Number P�Ipirallon Date
Phone #
Issued, I shall not employ any person in any manner so as to become sm9ijeof to the wtdfew' compensation laws of California, and afire
is of Section Sion otthe Lab" cow, I Shan forthwith comply WHh close provisions.
DaK_F/U/C-O
homb f affirm hmderpenaity, of perjury that them ifa c"rsbuct ant lending agency for the performance of the work for which this permit Is Issued (Section 9097, Civil Code).
.ender s Name Landers Address
y my ;Igoatum Dillow, l cattily to each of tie TOBowing:
I a:n the property owner or authorized to act on Bhe property owners behalf, -
I have read this appflea0on and the Information I have provided is comacL
I agree to compiywfm all applicable city and county orrijorm and state laws relating to builds ng coosfructium
l a it hwdze mpreserrtaftm or7Ns dtyoreo L ante abol grope r nspeetlon purposes. }�
rgreture m Propery Owner or Author ed Agent 2 Pilot PropeT1Y OMIL7'S Or Authorized Agent's Nafie 1 YLJ/!f mKA6
WEIC"I I DATE I By —T-DECLARATION OF 7'lii�'.PLTANCE WHA CDOEOF FEDERAL I FOR OFFICE USE ONLY
CEar7PC4TE OF
OCCUP4NCY1SSUW
REGULATIONS PART61 OF TITLE 40AND AOMO RULE
140-4 _
SUBMITTEB ASBESTOS NOTIFICATION TO
P
OMD
BESToSNOTIF"IIOMISMOTAPPUCABLE TO
PROPOSED DEEW LOION
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