HomeMy WebLinkAboutX2019-2367 - Permitsti�oo
City of Newport Beach - Building Division
Address:
100 Civic Center Drive, Newport Beach, CA 92660
F "
Permit Counter Phone (949)644-3288
Phone:
Inspection Requests Phone (949)644-3255
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Combination Type - SFP MECH ELEC PLUM
II I IL I I ILII 0IIII ILII III 111111IITIIID6 III II
COMB Permit: X2019-2367
Project No : 1703-2019
Issued Date : 11/18/2019
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: 2000 PORT CHELSEA PL NB
Description: SFR ADD (NEW BEDROOM/BATH) 546 SF & MASTER BATH REMODEL 105 SF
Legal Desc.: N TR 6624 LOT 90
Owner:
BURNHAM THOMAS J
Address:
2000 PORT CHELSEA PL
Occupancy Group:
NEWPORT BEACH, CA 92660
Phone:
546
Applicant:
MEDDOCK CHRISTOPHER H.
Address:
42 SEABIRD CT
1
NEWPORT BEACH CA 92663
Phone:
949-510-4059
Code Edit :
2016
Type of Construction:
V -B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
546
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
32
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee: $2,996.00
Plan Check Fee: $2,283.31
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$78.00
Energy Compliance:
$140.00
CA Seismic Safety:
$26.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$8.00
TOTAL FEE : $9,082.65
PROCESSED BY:
ZONING APPROVAL:
Contractor: MCDONALD CONSTRUCTION
Address: 11051 ARROYO AVE
SANTA ANA CA 92705
Phone: 714-323-5251
Con State Lic:
1024297
Lic Expire:
03131/2021
Bus Lic:
BT30060675
Lic Exp Date:
09/3012020
Worker's Compensation Insurance
Carrier: CALIFORNIA INS CO
Policy No: 460091230303
Expire: 06/01/2020
Building Setbacks
Use
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 20'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$209.72
$119.84
$269.64
Architect: MEDDOCK CHRISTOPHER H
Address: 42 SEABIRD CT
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $62.50
San Dist: $920.00
NMUSD Fee: $1,004.64
NEWPORT BEACH CA 92663
Phone:
949-510-4059 State Lic:C035215
Engineer:
BURKE THOMAS
Address:
312 OCEAN AVE
$0.00
LAGUNA BEACH CA 92651
Phone:
949.494.0776 State Lic:S-005088
Designer:
Refund Deposit
Address:
Grading Bond:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $62.50
San Dist: $920.00
NMUSD Fee: $1,004.64
Plan Check Fee : $3,469.20 Fee Due at Permit Issuance
c a + a m PUBLIC WORKS APPROVAL:
f mPLAN CHECK BY:
GRADING APPROVAL: s il o m -'° APPROVAL TO ISSUE:
e
t o0
ate. co n� c o oou mo
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$5,613.45
Fire Department
$160.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $3,469.20 Fee Due at Permit Issuance
c a + a m PUBLIC WORKS APPROVAL:
f mPLAN CHECK BY:
GRADING APPROVAL: s il o m -'° APPROVAL TO ISSUE:
e
t o0
ate. co n� c o oou mo
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$5,613.45
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
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 U 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
n 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
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).
I 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 the improvements covered by this permit, I cannot legall,
ell 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
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 Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Prof ins Code, and licensf II force
nd effect. License Class License No Dat Contractor Signatur
YORKERS' COMPENSATION DECLARATION
'ARNING: 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
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:
1 have 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 th
er,%rmance of the work for which this permit is issued. Policy No.
have and -wi aintain 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' compensatioi
urance carrie a policy numbe e:
mer PvldlNurnlber Expiration Date
me of Agent Phone #
I certify that, in the performance of th 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
t, if I should become�s/I�b ec ' co s
he wor sation pr ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t� / )))
nature of Applicant A DatP/�
CLARATION REG DING CONSTRUCTION LENDING AGENCY /
:reby affirm under enalty 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
By 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 1 have provided is correct.
I agree to comply with all applicable city and county nancas and s aws re at to building construction.
I authorize representatives of this city or county r k`e abov�-1�dle tifie prop for inspection purposes.
Signature of Property Owner or Authorized Agent iej 1U.r,L.iY e Print Property Owner's or Authorized Ag
ACTION DATE BY I IDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE
1403
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