HomeMy WebLinkAboutX2019-0844 - Permits�Ewro City of Newport Beach - Building Division IIIIIIIIIII IIII IIIII IIIIIIIIIII IIIIIII II COMB Permit: X2019-0844
t 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 6 4 4 Project No : 0740-2018
H n Permit Counter Phone (949)644-3288
+p Inspection Requests Phone (949)644-3255 Issued Date: 03/1412019
Combination Type - SFP MECH ELEC PLUM Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 906 BELLIS ST NB
SF, NEW ATTITRELLIS 255 SF, ATT/COVERED PATIO 474 SF & BALCONY 136 SF.
Description: SFR ALT 1,567 SF, ADD 405
Legal Desc.: N TR 4893 LOT 14
-
Owner: DENNIS KENNETH L
Contractor:
CP MC CLARY
CONSTRUCTION INC Architect:
VOLK MICHAEL W
Address: 906 BELLIS ST
Address:
1013 LINDEN PLACE Address:
2151 MICHELSON OR#140
NEWPORT BEACH, CA 92660
COSTA MESA
CA 92627
Phone:
IRVINE CA 92612
949-852-5900 State Lic:C019344
e-`-,.T:
Phone:
Phone:
949-642-9264
_
�`� I
Applicant: VOLK MICHAEL W
Con State Lic: 513053
Engineer:
MANSHADI FARHAD
-.
Address: 2151 MICHELSON DR #140
Lic Expire:
10/31/2019
Address:
1800 E 16TH ST UNIT B
IRVINE CA 92612
Bus Lic:
BT00004228
Phone:
SANTA ANA CA 92701
714-835-2800 State LicC-036840
Phone: 949-852-5900
Lic Exp Date:
0813112019
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier.
STATE COMP
INS FUND Address:
Occupancy Group: R3/U
Policy No:
1300846
Added /New sq.ft. Bldg: 405
Expire:
06101/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 1
Front: 6
Bldg Height: 0 �a/
Left: 6
Bldg Sprinklers: 4t 7
Flood Zone: X
Use Zone:
Right: 6
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $300,000.00
Building Permit Fee: $3,227.00
Excise Tax:
Fee
$0.00
$183.25
Planning Department -
Plan check Fee :
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $61.00
Overtime Plan Ck: $0.00
Additional :
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 :
In -lieu Housing Fee:
$0.00 Demolition Fee
$0.00 Building Dept Adm
$24.00
Record Management: $54.00
$0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
$0.00
Public Works Department-
General Service
$197.00
Energy Compliance:
CA Seismic Safety: $39.00_
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
$0.00
Disabled Access: $0.00-
PAN Plan Check: $41.25
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$225.89
San Dist: $0.00
$0.00
Building Green Fee : $12.00
Mechanical %:
$129.08
NMUSD Fee: $0.00
$0.00
Plumbing %:
$290.43
TOTAL FEE : $5,047.90
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance : $5,047.90
♦
PUBLIC WORKS APPROVAL:
PROCESSED BY:
ZONING 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, priorto 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 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).
❑ 1 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 Section 700) of Division t� of the Business and Profe , brtS�o anpd� ray I' enge_is _in full
and effect. License Class License No DateN� I l contractor Signatu U41/L`
NORKERS' COMPENSATION DECLARATION � I '
14ARNING: 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
:OST 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 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 IN
`erformance of the work for which this permit is issued. Policy No.
have and Intain 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'
rance carrier olicy number /a1,�)
ier �� I �J . Expiration Date
of
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
t, if I should become�supbj}tt to IV workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant JQ " 3 ( 4;
CLARATION REGARD CONSTRUCTI LENDING AGENCY D I I�
: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).
tder'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 ordinances and state laws relating to building construction.
I authorize representatives of this city or coun en?13 the above -id ntified property for inspection purposes. p 0
nature of Prooertv Owner or Authorized Anent ' 1 I - L= _ Prinf arnnod%i nw„>rm nr n1ifhnH7mA n^e.,r', kri < A kvo I ta..
ACTION I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION 15 NOT APPLICABLE TO
FOR OFFICE USE ONLY