HomeMy WebLinkAboutX2019-2419 - Permits�wr4 r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III COMB Permit: X2019-2419
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1273-2018
r~ n: Permit Counter Phone (949)644-3288
r Ar Inspection Requests Phone (949)6443255
�ao��ukt+ Combination Type - SFP ELEC MECH PLUM Issued Date : 08/05/2019
0
Inspection Area :'4 1
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 4411 W COAST HWY NB
Description: SFR -ADD 71 SFIREMODEL 650 SF
Legal Desc.: TR 7530 LOT 1 UNIT 6 OF PROJECT LOCATED ON AP 423-031-01 TOGETHER
Owner:
HOWELL REGINALD A
Contractor:
BOYD CONSTRUCTION & DEVELOPMENT
Architect:
Address:
4411 W COAST HWY
Address:
1130 E 71ST STREET
Address:
2
No of Units :
NEWPORT BEACH CA 92663
Bldg Height:
LONG BEACH CA 90805
Bldg Sprinklers:
N
Phone:
AE
Phone:
562-900-2513
Phone:
State Lie:
Applicant:
RICHART JASON
Con State Lie:
691606
Engineer:
JAMIL BASHAR S
Address:
1041 W 18TH ST (Al 06)
Lie Expire:
07/31/2020
Address:
751 SHASTA DR
COSTA MESA CA 92627
Bus Lie:
BT30068369
CORONA CA 92881
Phone:
949422-9191
Lie Exp Date:
08/31/2020
Phone:
714-8834124 State Lic:C-083129
Code Edit :
2016
Type of Construction:
VB
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
71
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
0
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
AE
Construction
Building Permit Fee: $1,813.00
Plan Check Fee: $61.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$24.00
Energy Compliance:
$72.10
CA Seismic Safety:
$13.39
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 0
Front: 0
Left: 0
Right: 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$126.91
$72.52
$163.17
II TOTAL FEE: $2,397.34® . Plan Check Fee
_ E
PROCESSED BY: ` ° C15
ZONING APPROVAL:
GRADING APPROVAL:
c c --
Uoc
v, o00
Designer: RICHARTJASON
Address: 1041 W 18TH ST (A106)
COSTA MESA CA 92627 ct
Phone:
Special Conditions: \�As§,/�
Planning Department -
Fire Department
Plan check Fee
$0.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
N
$2,392.34 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL: 1� ++,,
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
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
$2,392.34 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL: 1� ++,,
PLAN CHECK BY:
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
i�roved for the purpose of sale).
LJ 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).
J 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 t
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing ' h Se ion 7000) f iv' ion 3 of the Ines,
nd effect. License Class License No Date Contrac
VORKERS' COMPENSATION D CLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALTIES ANO CIVIL FINES UP TO
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:
law, Section
Date
and
Professrode /�ense' in full force
Pre J
DRIED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE
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
e of the work for which this permit is issued. Policy No.
have snd 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'
ranee carrier and policy number are:
of
Policy Number
Date
the pe rmance 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
co subject to,the workers' compensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby 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
spdgr's Nama Lender's Address
y min signature below, I certify to each of the following:
L m the propeirty`owner or authorized to act on the property owner's behalf.
I .have read Akin 5pplication and the information I have provided is correct.
I agree to comply with all applicacity fid county ordinances and state laws relating to building construction.
I authorize representatives of th s ci r county to enteyjhe above�irlent ed propj6 for inspection purposes. S
;¢rs' compensattiio°n laws of California, and agre
IIts r�
Civil Code).
Llg7
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY °
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO