HomeMy WebLinkAboutX2021-0957 - Permits, wr/ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v, q Inspection Requests Phone (949)644-3255
`r'az,i4s.* Combination Type - SFP MECH ELEC PLUM
"X2021-0957`
I PEzL;Tu
COMB Permit: X2021-0957
Project No : 0887-2021
Issued Date : 07/12/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711212024 OR PERMIT WILL BE INVALID
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:
726 BISON AVE NB
Description:
SFR ADD 391 SF, CONVERTING 351 FAMILY ROOM TO PATIO COVER & REMODEL 2,756 SF
Legal Desc.:
N TR 4892 LOT 49
Owner:
CID MANUELIMICHELE
Contractor:
D L C BUILDERS INC
Architect:
Address:
726 BISON AVE
Address:
11278 LOS ALAMITOS BLVD
Address:
NEWPORT BEACH CA 92660
LOS ALAMITOS, CA 90720
Phone:
562-665-5532
Phone:
562-666-7174
Phone: State Lic:
eeee
Applicant:
CID MANUELIMICHELE
Con State Lic:
985517
Engineer: ABDELHAFEEZ HAITHAM
Address:
726 BISON AVE
Lic Expire:
04/30/2023
Address: 421 N BROOKHURSTST#222
NEWPORT BEACH CA 92660
Bus Lic:
BT30075946
ANAHIEM CA 92801 e m
Phone:
562-665-5532
Lic Exp Date:
01/31/2022
Phone: 714-230.9228 State Lic:C-063359 °
0
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 392
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $3,495.00
Plan Check Fee: $2,865.29
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$46.00
Energy Compliance:
$227.50
CA Seismic Safety:
$42.25
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$13.00
TOTAL FEE: $9,620.29
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9246308
Expire: 02126/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 15
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$244.65
$139.80
$314.65
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share :
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $152.25
San Dist: $1,016.00
NMUSD Fee: $0.00
-
Fire Department
$208.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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meemoo
m
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c maomo
m
$0.00
$0.00
$27.00
$265.00
$564.00
$0.00
$0.00
$0.00
$3,275.79 Fee Due at Permit Issuance : $6,344.50
PUBLIC WORKS APPROVAL: /T
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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
:he 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
Drofessions Code) or that he or she is exempt from Iicensure 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
mprovements 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
mproved 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).
I am exempt from Iicensure 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
Drofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Prpp,rty Owner or Authorized Agent Date
LICENSED C,QyTRACTOR'S DECLARATION
hereby affirm un del penalty oury that I am licensed under provisions of Chapter 9 (commencing with Section 00) ofpl Ision of the Business and Pro io s Code, and my license is in full force
Mid $ffect. Loefperj
nse Class X License No Date i" 12 yl Contractor Signature
NORKERS'*COMPENSATION DECLARATION
OVONG: 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 COM �,VJP,T1CCJ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.hereby affirm undePpenalty of perjury one of the following declarations:
.. .
„1 have aRri 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 the
jiftnance o hle work for which this permit is issued. Policy No.
.l ♦,ave and will rpgintain 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
flSur*ce tarsier and -policy number are:
Policy Number
Date
I certify that, in the performance 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 agree
It, if I should become subject tot'eworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
)nature of Applican // (//\f� Date �/JZ/r'�'
:CLARATION REG G CONSTFWCTION LENDING AGENCY
ereby 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 3097, Civil ode).
nder's Name Lender's Address
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 I have provided is correct.
I agree to comply with all applicable city and coup y ordinances and state laws relating to building construction.
I authorize representatives of this city or cou ty a ter the ab a -id figd property for inspection purposes.
mature of Prooertv Owner or Authorized Aaentl // I l Print Property Owner
DATE BY V REGULATIONS PARTOF 061 O TIIT E 40 AN AQMD RULE MPLIANCE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED is UZ ITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITFINAL
OCCUPANCYISSUED , SIGASTURE; /NNOTIFICATION I^ 5 NOT `APPLICABLE TO
CERTIFICATE OF R POSED OLITIO/"YI//(�lJ
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