HomeMy WebLinkAboutX2019-4038 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
., Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
x Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2019-4038
IIIIIIIIIII�IIIIIIIIIIIIIIIIIIII4IIIIIIIIIIIIIII II
Project No : 2782-2019
Issued Date : 02/14/2020
Inspection Area : 4
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: 1794 PORT CARLOW CIR NB
Description: SFR ADD 335 SF (60 SF 1ST FL, 275 SF 2ND FL) REMODEL 1000 SF
Legal Desc.: N TR 14533 LOT 12
Owner:
CARD STEVE & ANGELA
Contractor:
COUSENS CONSTRUCTION INC
Address:
1794 PORT CARLOW CIR
Address:
6100 SAN FERNANDO RD #201
CA Seismic Safety:
NEWPORT BEACH, CA 92660
Disabled Access :
GLENDALE CA 91201
Phone:
949-719-0577
Phone:
818.236-3999
Applicant:
COUSENS PAUL
Con State Lic:
535683
Address:
6100 SAN FERNANDO RD
Lic Expire:
11130/2020
GLENDALE CA 91201
Bus Lic
ST20052603
Phone:
818-522-8080
Lic Exp Date:
05/31/2020
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 335
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $2,963.00
Plan Check Fee: $2,396.96
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$175.00
CA Seismic Safety:
$32.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$10.00
TOTAL FEE: $7,180.31
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1251698
Expire: 09101/2020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 20'
Front: 10'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$207.41
$118.52
$266.67
Plan Check Fee
Architect: 1 v l
Address: ��� j
Phone: State Lic:
Engineer: HUSZCZ MARIAN JOHN
Address: 8 CORNWALLIS
IRVINE CA 92620
Phone: 949-551-3316 State Lic:S-003555
Designer: JAUERT DENNIS
Address: 17504 WINDCREEK CIR .o..
RIVERSIDE CA 92503 . a o C C °
Phone: 951-688-5421 m®
c .
Special Conditions: LANDSLIDE AREA
Go
c.occco
0
Fire Hazard Znne - N
Planning Department -
Fire Department
Plan check Fee
$160.00
Fair Share
°®
0$0141),•
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$2,598.21 Fee Due at Permit Issuance : $4,582.10
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$160.00
Fire Inspection:
°®
0$0141),•
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
......
$0.00
Building Dept Adm
$2$t1°
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$2,598.21 Fee Due at Permit Issuance : $4,582.10
PUBLIC WORKS APPROVAL:
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 to
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).
13I, 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,
Business and Professions Code: The Contractors' State License Law does not applyto 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
im roved for the purpose of sale).
1, 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 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
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 of Chapter 9 (commencing with SEC'on 7000) of Division 3 of the Busi as and rofe s -i I force
and effect. License Class License No ate .2— `7�i 0 Cont or Signa ur -
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm urI jfdrjalty of perjury one of the following declarations:
....
12•1•hava and wi11 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
th
•Vrformdhce of the vw%for which this permit is issued. Policy No.
I M� VB. and 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' compensatiol
easier
insurance carne.... policy number are: policy Number Expiration iration Date
that, in 4hft 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 workers' compensation laws of California, and agre
ould become ubject to mP _ _ ' _mm�ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
PREGAR61NG CONSTRUCTION LENDING AGENCY
undec penalty 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).
_ _ _ • 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 owners behalf.
I have read this application and the information I 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 thisrl�ity or co e e a 'ed-preperiy-foLi>L�ection purposes.
signature of Property Owner or Autho�AganT----ter — t Property Owner's or Authoriz
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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