HomeMy WebLinkAboutX2018-0502 - Permitsw1r�$r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2018-0502
q4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 5 0 2
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Permit Counter Phone (949)644-3288 Project No : 0416-2018
gar Inspection Requests Phone (949)644-3255 ,FRE SMULM
c rrnu'' Combination Type - SFP GRAD ELEC MECH PLUM ���y Issued Date: 05/23/2018
PEOMInspection Area : 5
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: 4501 HAMPDEN RD NB
Description: NEW SFR W/ATT GAR 4430 & 715 SF, COVERED PATIO 627 SF
Legal Desc.: N TR 3357 LOT 10
Owner:
HOGAN ROGER
Address:
4501 HAMPDEN RD
Occupancy Group:
CORONA DEL MAR, CA 92625
Phone:
714422-7565
Applicant:
GUIDERO WILLIAM
Address:
425 30TH ST, STE 23
No of Units :
NEWPORT BEACH CA 92663
Phone:
949.675-2626
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
4430
Added /New sq. ft. Garage:
715
No of Stories:
1
No of Units :
1
Bldg Height:
24
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $5,152.00
Plan Check Fee: $3,795.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$96.00
Energy Compliance:
$268.00
CA Seismic Safety:
$117.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3fx0U
11 TOT L FEE
PROCESSED BY:
ZONING APPROVAL: _
GRADING APPROVAL:
Contractor:
J P CONTRACTING
Address:
3419 VIA LIDO #233
Expire:
NEWPORT BEACH CA 92663
Phone:
714-337.3700
Con State Lic:
6240654
Lic Expire:
0513112019
Bus Lic:
BT30046672
Lic Exp Date:
07/31/2018
Worker's Compensation Insurance
Carrier:
WC EXEMPT
Policy No:
(NO EMPLOYEES)
Expire:
m r
State Lic: m mm. ossmo�
Building Setbacks
Rear: 6'
Address:
Front: 15'
$1,363.60
Left: 15' MILFORD (FR)
Phone:
Right: 6'
Use Zone: R-1-6000
Parkinc Snaces: 3
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$1,080.45
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I Td'r�.
k
Address:
. Ou
eomm
Phone:
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State Lic: m mm. ossmo�
Engineer:
mm m
GABRIEL MICHAEL R m ° ° • ° °
Address:
483 E 20TH STREET m m o
$1,363.60
COSTA MESA CA 92627
Phone:
949-646-6596 State Lic:S-002939 • • ° e m
Designer:
GUIDERO WILLIAM ° ° ° • m e m m m ° °
•
Address:
° ° ° ° °
425 30TH ST, STE 23 m
$206.08
NEWPORT BEACH CA 92663 000°co
o m
Phone:
949-675-2626 ......
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00000n
Special Conditions: CE02018016 ° ° ° m ` m ` ......
$0.00
EFFECTIVE 0 312 812 01 8
$1,080.45
Planning Department -
$l1.00
Plan check Fee:
$0.00
Fair Share
$0.00
SJH Trans
$1,040.00
In -lieu Housing Fee:
$1,363.60
Public Works Department -
$0.00
Park Dedication : $0.00
$0.00
P/W Plan Check : $152.00
$360.64
San Dist: $770.00
$206.08
NMUSD Fee: $3,221.84
$463.68
Plan Check Fee : $5,626.40
PUBLIC WORKS
PLAN CHECK BY:
Zone : N
Fee Due at Permit Issuance: $13,112.09
PPRAL:
APPROVAL TO ISSUE:
Fire Department
$225.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $13,112.09
PPRAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contract at License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) I
.ction 7031.5, Business and Professions Code: Any city or county that requ' a IBM
- M molish, or repair any structure, prior to its issuance, also requires the applicanEfOr
permit to file a signed statement that he or she is licensed pursuant to the t t 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 aIle g ion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). 11
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
alness 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
)rovements 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
moved for the purpose of sale)...
I, as owner,& the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
fly 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:
my signature pEIEMl jacknowledge 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
a structure that 1 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
IfoaSkCils Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi.
natun! of Prog'erfy,Qfter or Authorized Agent Date
SENSXD CONIRACTOR'S DECLARATION
;rel5l affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f the Business and Profess' dig Code4 my license is in full force
I effect Liceese cfa°es License No Date L Contractor Signature o r v
)RKERS' CpMPkNSATION DECLARATION
UfIR3 FAILURE-rO-BECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDEDHOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT (1F�dbMPENS%,tOrT, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;rEbyyffirm undaff penalty ofperjury one of the following declarations:
I have and will"aiMain 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 the
foraTBRce of the work'for which this permit is issued. Policy No.
' D9vk and wi}1.1nt.g.tain 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' compensatlol
urance carrier and policy number are:
crier Policy Number Expiration Date
Agent
that, in the performance
ould become subjept to i
of
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y
'202.1 Da�nflL
hereby affirm under pen ty 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).
-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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances. d state laws relating to building construction.
i �—
Iauthorize representatives of this city or county a erthe -identified property for inspection purposes.
3i nature of Property Owner or Authorized Print Property Owner's or Authorized Agent' s Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
\ REGULATIONS PART 61 OF TITLE 40 AND AQMD R;Awr
PERMIT EXPIRED
PERMIT CANCELLED
PERMITFINAL
CERTIFICATE OF ll
OCCUPANCYISSUED
ASBESTOS NOTIFIWrIION TO
IS NOTAPPLICABLE TO