HomeMy WebLinkAboutX2021-1684 - Permits�,;wrok City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
fi Inspection Requests Phone (949)644-3255
y `a„urt' Combination Type - SFP ELEC MECH PLUM GRAD
COMB Permit: X2021-1
Project No : 1469-2021
Issued Date : 12/07/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210712024 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: 13 BEACON BAY NS
Description: NEW SFR W/ ATTACHED GARAGE 3887 SF & 712 SF
Legal Desc.: R BK 9 PG 42 PAR 13
Owner:
IRWIN NANCY
Contractor:
LONGMAN CONSTRUCTION CO INC
Architect:
BRANDON CHRISTOPHER
Address:
13 BEACON BAY
Address:
2782 CIRCLE DR
Address:
151 KALMUS DR #G-1
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92663
COSTA MESA CA 92626
Phone:
Phone:
949-722-7711
Phone:
714-754-4040 State Lic:C031637
Applicant:
SMITH CAITLIN
Con State Lic:
393881
Engineer:
MANSHADI FARHAD
Address:
151 KALMUS DR G-1
Lic Expire:
08/31/2023
Address:
1800 E 16TH ST UNIT B
COSTA MESA, CA 92626
Bus Lic:
BT00001921
SANTA ANA CA 92701
Phone:
714-754-4040
Lic Exp Date:
0313112022
Phone:
714-835-2800 State Lic:C-036840
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
3887
Added /New sq. ft. Garage:
712
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $6,431.00
Plan Check Fee: $4,416.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$86.00
Energy Compliance:
$303.00
CA Seismic Safety:
$169.79
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$53.00
TOTAL FEE: $21,037.78
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: "' "1
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9062475
Expire: 07/01/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: 3'
Front: 15'
Left: 3'
Right: 3'
$965.79
$0.00
$0.00
$2,341.92
$1,257.00
$514.08
$1,220.00
$450.17
$257.24
$578.79
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION
NO SCHOOL FEES DUE
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PM Plan Check: $406.00
San Dist: $1,068.00
NMUSD Fee: $0.00
Fire Department
$520.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $6,141.00 Fee Due at Permit Issuance I PUBLIC WORKS APPROVAL: E/
PLAN CHECK BY: Er
APPROVAL TO ISSUE:
JSPECT OR
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14,896.78
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 L) 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).
❑ 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
'y 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 impro'
ell 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 applicab
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
'signature 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 Section-Z'OPI he Business and Pro
nd effect. License Class License No Datg Contractor Signature
nents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
UORKERS' COMPENSATION DECLARATION v -
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST 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:
1-1 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 th
rlanUe of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ie of Agent
certify that, in the pi
if I should become
of
Policy Number
one #
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I S of alifornia, and agre
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L/
C._� pW
a
CLARATION REGARIJING CONSTRUCTIgOFLEN DING AGENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 owner's behalf.
I have read this application and the information I have provicorrect
I agree to comply with all applicable city and county or ' sea d relating to building construction.
I authorize representatives of this city or c0 t the ov ad roperty for inspection purposes.
nature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Nam • Date
TION DATE B DECLARATION OF - MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED UAQM D
PERMIT FINAL (�y ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF �I'j0�1'J (//�� PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: