HomeMy WebLinkAboutX2021-1409 - PermitsCity of Newport Beach - Building Division "X2021-1409' COMB Permit: X2021-140(9)
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0251-2019
Permit Counter Phone (949)644-328811��^ nInspection Requests Phone(949)644-3255't.,lS�V�®R Issued Date: 10/17/2021
Combination Type -SFP ELEC MECH PLUM �, ��5§ 1
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/11/2024 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: 2201 WATERFRONT DR NB yJ� I,
4 Description: DELTA 6 -ADDITIONAL SCOPE A U ABOVE IN) ATT GARAGE 481 SF (X2021-1409)
Legal Desc.: TR 682 LOT 42 POR OF LOT
Owner: IWB HOMES LLC Contractor: OWNER/BLDR Architect: JACOBS DONALD PAUL
Address: 3419 VIA LIDO Address: BULONG IRVING Address: 309 POPPY AVE
NEWPORT BEACH, CA 92663 SEE X2019-0351 CORONA DEL MAR CA 92625 ,
Phone: 949-230-0601 Phone: 949-230-0601 Phone: 949-285-3200 State Lic:0006483 '
Applicant: BUDLONG IRVINE Con State Lic: Ole Engineer: LU TA-WEI
Address: 3419 VIA LIDO Lic Expire: Address: 411 E HUNTINGTONDR #107-370
NEWPORT BEACH, CA 92663 Bus Lic: ARCADIA CA 91006 ,
Phone: 949-230-0601 Lic Exp Date: Phone: 626-462-9302 State Lic:C-064216
Code Edit : 2019 Worker's Compensation Insurance Designer:
Type of Construction: VB Carrier: Address:
Occupancy Group: R31U Policy No:
Added /New sq.ft. Bldg: 481 Expire: Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: 10 Special Conditions:
No of Units : 1 Front: 15
Bldg Height: 0 Left: 4 '
Bldg Sprinklers: N Right: 10
Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N _
Construction Valuation: $86,580.00
Building Permit Fee: $1,328.00 Excise Tax: $0.00 Planning Department- Fire Department
Plan Check Fee: $980.00 Additional Fee : ($1,650.35) Plan check Fee : $208.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee
Record Management : $24.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety : $11.26 WQ Inap. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00 P/W Plan Check: $50.75 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $92.96 San Dist : $1,004.33
Building Green Fee : $4.00 Mechanical W $53.12 NMUSD Fee: $0.00 $0.00
Plumbing %: $119.52 $0.00
TOTAL FEE : $2,286.59 Plan Check Fee : $1,267.00 Fee Due at Permit Issuance : $1,019.59
PROCESSED BY:
ZONING APPROVAL:
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 (_) all of or ortlons of the work, and the structure is not intended or offered for sale (Section 7044,
BLsproper who, mess and Professions Code: The Contractors' State License Law does not apply to an owner of propehrough 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 legall
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, Sects n 7 44 of the Business and
Professions Cubs, s available upon request when h pplication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signat're of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATI N
1 hereby affirm under penalty of perjury that I am licensed under ovisions of Chapter commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
and effact. License Class Lice se No Date Contractor Signature
KERS' GOMPIENSATION DECLARATION
AHNING: 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 COMPENS WION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereD)• affirm under penalty of perjury one of the following declarations:
I 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 thi
er'ormance of toe wick for which this permit is issued. Policy No.
I have 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' compensatior
isura%e carrier and oolicy number are:
,arrier Policy Number Expiration Date
Jame of Agent Phone #
I certify 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 become subject to the workers' compensation laws of California, and agre
hat, if I should becom uO ct to the work s' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
signature of Applicant C Dat 9- %/ 2
)ECLARATION REG RDIN ONS UCTIO LEN G AGENCY /
hereby affirm under penalty of perj that there is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi ode).
-ender's 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 city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cou nter the ove-iden ified property for inspection purposes. 1
Signature of Property Owner or Authorized Agent r Print Property Owner's or Authorized Agent's Name Dat
ACTION DATE BY V I DE/ ATION OF COMPL CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RECyI/1LATIONS PART6 FTITLE 40 AND AQMD RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQM D
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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BES NOTIFICATION IS NOTAPPLICABLE TO
ROPOSED MOLIT<ON
SIGNATURE