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HomeMy WebLinkAboutX2019-2152 - PermitsCity of Newport Beach - Building Division C 100 Civic Center Drive, Newport Beach CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 '�'airr+,u*sT Combination Type - SFP ELEC MECH PLUM PERMITS EXPIRE 180 DAYS AFTEF Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m, and Job Address: 27 GOLETA POINT DR NB Description: SFR -ADD 625 SF, REMODEL (E) 850 SF. RE -ROOF Legal Desc.: N TR 7386 LOT 39 III IXIllll0�lllllu�l�ll�l��l�lllllll��lll�ll� II COMB Permit: X2019-2152 Project No : 1561-2019 Issued Date: 0 911 912 01 9 Inspection Area : 4 from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Owner: CASSIDY DAVID Contractor: CORNERSTONE CONSTUCTION Architect: Address: 27 GOLETA POINT DR Address: 15540 ROCKFIELD BLVD STE A110 Address: - CDM CA 92926. Hazardous Mat IRVINE, CA 92616 Building Green Fee : Phone: 949-244-4235 - Phone: 949-369-1979 Phone: Applicant: CONTRERAS FELIPE Con State Lie: 1033864 Engineer: Address:.. 3837 E 7TH ST Lie Expire: 12/31/2019 Address: Grading Permit Fee: LONG BEACH CA 90804 Bus Lie: BT30061583 Building Dept Adm Phone:" 562-879-3756 Lie Exp Date: 1213112019 Phone:. Code: Edit, 2016 Worker's Compensation Insurance Designer: Type. of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 625 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Feer $2,996.00 Plan Check Fee: $2,283.31 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $28.00 Energy Compliance: $245.00 CA Seismic Safety: $45.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $14.00 PROCESSED BY: Carrier: ACCREDITED SURETY & CASUALTY Address: Policy No: IATCA16000621 Expire: 11/2212019 Phone: Building Setbacks Rear: I `-f-'� Special Con ANAHEIM CA 92804 Front: I ly 714-629-5053 State Lic:C-072324 ...... Left: I eoom Right: / Use Zone: Parkine Spaces: 0 Fires Havarri 1NSPECT0 State 'Lie:. CHU TIEN MANH o 9542 PACIFIC AVE $0.00 ANAHEIM CA 92804 714-629-5053 State Lic:C-072324 ...... eoom $0.00 CONTRERAS FELIPE $160.00 3837 E 7TH ST momo LONG BEACH CA 92804 $0.00 562-879-3756 ° a ° ceecoo Jitlons: e 0 o e m o mm m ° o mm©.e mmmmo mmom o °morn m Zone `.N TOTAL FEE: $9,262.51 ZONING APPROVAL: Plan Check Fee : $2,688.31 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $6,574.20 o Excise Tax:. $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $160.00 Fire Inspection:a.�a Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 - In -lieu Housing Fee $0.00 Building Dept Adm $24.00. Grading PC Fee: $0.00 Public Works Department- General Service $197.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 PM Plan Check: $82.50 Grading Bond: $0.00 Electrical %: $209.72 San Dist: $874.00 Mechanical %: $119.84 NMUSD Feer $1,150.00 $0.00 Plumbing %: $269.64 $0.00 TOTAL FEE: $9,262.51 ZONING APPROVAL: Plan Check Fee : $2,688.31 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $6,574.20 OWNER -BUILDER 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 L) 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 ttifit,'exeept 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.htmi. 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 f Cha t r g (commencing with Sectfap 7 0 si of the Bu iness and Pr�iEssCodd�an license is in full force and effect. License Class License No �� �/�L/ $ate! Co ctor Signature i/ �r WORKERS' GONIPF•NSATION DECLARATION W'ARNING6 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 GGIEW"COMPENSAAON, fiAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. thereby affirm undel Dgnalty of perjury one of the following declarations: ElIL6e and wilt 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 SS�hrmance of the work for which this permit is issued. Policy No. • ••• acre and will mairirRain 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' compensatior s rant, carrier -Ad oDlicv number are: rip• S�g�19'�L.W �J Policy Number Expiration Date 71eAf —` Agent . Phone # cer;y that,- Nle•perfor oft for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens ion laws / California, an agree t,if l.should become ect t rs' om ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • —oe/ • j P nature of Ap�4f�1 • D e� CLARATIO GAR IN CO STRUCTION G AGENCY I I th t th construction lendin a ency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ireby amrm under pena v o perjury a ere Is a g g Ider's Name Lender's Address my signature below, I certify to each of the following: r/v 4,.) Ulc 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 p#Ind orrect. 1 agree to comply with all applicable city and cou state laws relating to building construction.I authorize representatives of the cit or coun yto meidentified property for inspection purposes. nature of Prooertv Owner or Autho ' ed Agent Print Property Owner's or Authorized Agent's ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 6-20 BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDEf REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE SUBMITTED ASBESTOS NOTIFICATION TO APPLICABLE TO FOR OFFICE USE ONLY