HomeMy WebLinkAboutX2021-0620 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-0620
.,.. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 2 0 Project No : 0568-2021
Iq( n Permit Counter Phone (949)644-3288
U >~ Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM GRAD Issued Date : Area
2021
i�ra,v
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/04/2024 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: 302 KINGS RD NB
Description: NEW SFR W/ATT GARAGE 6,4691649 SF, PATIO 168 SF, DECK 378 SF, COVERED DECK 170 SF
Legal Desc.: N TR 1219 8LK H LOT 12
Owner: KERR CHERYL Contractor: BUENA .YID&A_SSE - EMENf 7 Architect: AUST ERIC
Address: 12777 GARDEN GROVE BLVD#308 14 IRIS AVE Address: 62 BALBOA COVES
GARDE CORONA DEL MAR, ct?j5pdNN}I'lcabie' NEWPORT BEACH CA 92663
Phone: p{,'�� 0 2 949-922-166 tl Phone:: r-y 949-637.5220 State Lic:CO29374
Applicant: AUST E C Date' Con State Lic: 968985 s00% OrGe ,00 d LLIEN THOMAS CHRISTOPHER
Address: 62 BAL A COVES Lic Ezpi /3 11 Address: 2 VENTURE #400
NEWPO T BEACH CA 663 B b _6 IRVINE CA 92618
Phone: 949-637- 20 Li `�^ '9ta 0 /3 0 tO WhO1"(f?hone• °AO�'i•4001 State Lic:S-005460
co
Code Edit: 20 Par om sa su ance Designer:
Type of Construction: V- ! Carrier. NO EMPLOYEES Address:
Occupancy Group: R3/ Policy No
Added /New sq.ft. Bldg: 6469,...F " Phone:
Added /New sq. ft. Gera pm,94:w.���,
No of Stories: 3Linac �`1Re Special Conditions:
No of Units : 1 �� .., rangy: 0' _
Bldg Height: �,4,. Left: 4'
Bldg Sprinklers: Y Right: 4' -
Flood Zone: X Use Zone: R-1 Parkin S a 0 ' za -_4= Np
Construction Valuation:IF
�� a �� a '
Building Permit Fee: Carl.. $ ,494.78 Plan(�,'+�g�D�j'j�arfiei� Fire Department
Plan Check Fee: $6,68Additio F+e $0.00 PIe+1 bTfecii Fee : $520.00 Fire Inspection: $0.00
Overtime Plan Ck: wO�j$dm OWL: $0.00 Fair Share: $0.00 Fire Plan Rev.: $0.00
Investigation Fee: Grading PC Consultant: $2,617.44 SJH Trans : �lition Fee
Record Management:Grading Permit Fee: $13471.00 ee : $0.00 ilding Dept Adm $0.00
Energy Compliance:Gradin P Public Works De�altgl€7,t i�itiais; neral Service $0.00
CA Seismic Safety :Q Insp. Fee : $152.00 Park D ' �t �t ��NN$0.U0 Refund.Deposit $0.00
Disabled Access : $0.00 PNV Plan C c` ading Bond: $0.00
Hazardous Mat $0.00 nca /o:�: �,e,$.$!SZ �n st: $2,084.00
Building Green Fee J.64.00 $392.80 NMUSD Fee: $73074.80 $0.00
Plumbing %: V $883.80 $0.00
TOTAL FEE: $36,181.58 Plan Check Fee: $8,360.00 Fee Due at Permit Issuance : $27,821.58
PROCESSED BY: - PURL,C WORKS APPROVAL: 1
ZONING APPROVAL: PLAN CHECK BY: V
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
ction 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
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
fessions 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
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 L) portions of the��ltens'fructure'is not intended or offered for sale (Section 7044,
lease and Professions Code: The Contractors' State License Law does not apply to an owner of propert - mployees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improveme i one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale). � 3"" 1 ,,-��99 �bie'. _
I, as owner of the property, am ezclusivel (tensed C cfar9�to construct the project (§% ono-od Business and Professigf Ccide: The Contractors' State License Law does not
Iv to an owner of Drapers e�+w+t r Improves )heRe d tgho c r f" odkhe prgjeGts-wiith a licensed Contrac or ur t-1dn ,%nfliitbfs'1State License Law).
I am exempt from I
my signature below
a structure that I hi
(fessions Code, is a'
nature of Property(
hereby affirm under pent
no effect. License Clas
✓ORKERS'COMPEN
'ARNING: FAILURE TO SECURE
DST OF COMPENSATION, DAMA
hereby affirm under penalt.
1 have and will maintaii
erformance of the work for
JI have and will maintain
isurance carrier and policy
e of Agent
:ertify that, in the p
if I should become
of Applicant
re under the
or
t, exce rsonal residence in which I
Der -builder if it has not been constructed in its E
request when thrscakpllcapon, is submrttod orat the
reason: In Roo VC, 10rL_J
for aTleast one year prior to completion of the improvements covered by this permit, I cannot
contractors..) undergtand that a pplicagle law, Section 7044 of the Business and
r)ury that t am licensed Urr r pro Ilgs o77Chapter 9 (commencing with Section 7 of Div io 3 of the Business and Prof
License No Date 2 Contractor Signaturr:l
D % ECLARATION
KERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED'
AS,RRCVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,, AND ATTORNEY'S-FEES.
perjury one of the following declarations.
certificate of consent, -to self -insure for workers' compensation, issued by the Director of Industrial Relations at rwi ed for
ch tltlspermit is Issued. Policy No. ^ �" `' ..
kers compens tion insurance, as requir by Se tion 3700-of-tor d r�et4@m rf�IIrrmance of the work for which this
fber are:riidn
i�g� eC� SaStGt
ui t (now Expiration Date
for v hjg10(9K` p&kkRriF%-6d, I shall not employ any person in any manner ome subject
co o sation rov" f Section 3700 of the Labor Co raft} with comply with t+jnsedoyi
Insp. Illtea
Date
force
DOLLARS ($100,000), IN ADDITION TO THE
Section 3700 of the Labor Code, for
is issued. My workers'
I hereby affirm under KFRnMty—of rjklr�4fihMf ere is a construction lending agent rmance of is -this permit is issued (Section 3097, Civil Code).
Lender's Name
By my signature below, I certify Unmf*rmatlon
ng`.
I am the property owner or e y owner's behalf.
I have read this application 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 the ove-idenf d property for inspection purposes.
Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Na 6-
ACTION DATE BV ATI0N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
/ / _ 1403
PERMITEXPIRED I jVi'f z I 'h'il// LJ I SUBMITTED ASBESTOS NOTIFICATION TO _ _ _
PERMITCANCELLEO EPA
PERMITFINAL LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
of California, and