The URL can be used to link to this page

Home My WebLink AboutX2019-4181 - Permits`�rN1Uk City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4181 100 Civic Center Drive, Newport Beach, CA 92660 1 X 2 0 1 9 4 1 8 1 Project No : 2905-2019 H - Permit Counter Phone (949)644-3288 n. � Inspection Requests Phone (949)644-3255 Issued Date : 06I19/2020 Combination Type - SFP ELEC MECH PLUM GRAD Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0612012023 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: 1500 GALAXY DR NB Description: SFR INTERIOR REMODEL 3488 SF & ENLOSE ENTRY & ADDITION 246 SF INSPECTOR Legal Desc.: N TR 4224 LOT 67 Owner: GOULD JOHN & JANICE Contractor: LOS TRANCOS DEVELOPMENT INC Architect: OATMAN HOMER C Address: 1500 GALAXY DR Address: P O BOX 982 Address: 412 31ST ST , NEWPORT BEACH, CA 92660 LAGUNA BEACH CA 92663 NEWPORT BEACH CA 92663 Phone: 617.216-3740 Phone: 949-400-0002 Phone: 949-675-1755 State Lic:C018254 Applicant: OATMAN HOMER C Con State Lie: 753666 Engineer: BURKE THOMAS Address: 412 31ST ST Lie Expire: 0413012021 Address: 151 KALMUS DR #140 - NEWPORT BEACH CA 92663 Bus Lie: BT30000898 COSTA MESA CA 92626 Phone: 949-675-1755 Lie Exp Date: 08131/2020 Phone: , 949-494-0776 State Lic:S-005088 J Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: WIC EXEMPT Address: Occupancy Group: R31U Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: 246 Expire: Phone: , Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: , .. No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Flood Zone: X Right: 1 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $710,000.00 Building Permit Fee: $5,057.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $4,321.02 Additional Fee : $304.00 Plan check Fee: $166.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee $24.00 Record Management: $100.00 Grading Permit Fee: $904.00 In -lieu Housing Fee: $0.00 Building Dept Adm $197.00 Energy Compliance: $294.00 Grading PC Fee: $786.48 Public Works Department - $0.00 General Service Refund Deposit $564.00 CA Seismic Safety : $92.30 WQ Insp. Fee: $0.00 Park Dedication : P/W Plan Check : $467.50 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $353.99 San Dist: $0.00 $0.00 Building Green Fee : $29.0 Mechanical %: $202.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $456.13 TOTAL FEE. $14,317. 0 Plan Check Fee : $6,035.99 Fee at Permit Issuance : $8,281.71 PROCESSED BY: PUBLIC WORKS PPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: I 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 ?P.m(s) iection 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 apprica;lt for is 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 rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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). 7 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 improvements covered by this permit, I cannot legalt, all a structure Thal 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 rofessions Codc, .c , vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignP[v= of Prop?,t;''Dwner or Authorized Agent Date ICENSED CON TRACTOR'S DECLARATION hereby affirm and=r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 DiIvision 3 of the Business and Profs ode, an is in full force nd Cfact. License Class License No Date L°1 Iz oZ�Contractor Signatur 1ORF FRS' COMPENSATION DECLARATION ARNING: FAILURE TO SECI IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIM Al_ PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPEN1`4TIO'I, CAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .h.=rehy affirm under penalty of perjury one of the following declarations: lava 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 'ormance of the a ark for which this permit is issued. Policy No. nave and willmrigtam 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' compensa L anve carrier and policy number are: Policy Number Date ce Ify that, in the performance of the work for w is Is 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 t, i should becomesube a workers' co ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date 6�/9�Za� CLARATION REG RDING CONSTRUCTION LENdING AGENCY Ireby affirm under benalty 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 provided is correc I agree to comply with all applicable city and county ordinances and state aws relating to building construction. ��;<if I authorize representatives of this city or coun ` the a e`r property for inspection purposes. nature of Prooertv Owner or Authorized Ace ,-�J O Print Prooertv Owner's or Authorized ADent's Name i.�'E,,,A.-+ IL(i i �-0�—nnta ACTION DATE Ely \ r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ) PERMIT EXPIRED U I5UBM ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED III MD PERMIT FINAL 51 Q- S SBESTOS NOTIFICATION IS NOT''AP. ICABLE TO CERTIFICATE OF {{ PROPOSED-nrnl�LnL�ITION Q L OCCUPANCYISSUED SIGNATURE: Yf L— /