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Home My WebLink Aboutx2022-0127 - PermitsCity of Newport Beach - Building Division -- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .", Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH PLUM PLUM GRAD 1111111111111111111111111111111111111111111111111111 JillCOMB Permit: X2022-0127 Project No : 1279-2018 Issued Date: 01/19/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/19/2025 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: 41 BEACON BAY NB Description: NEW SFR W/ATT GARAGE 4,7101800 SF, DECK 118 SF & ROOF DECK 1,045 SF'Chg of contractor' Legal Desc.: R BK 9 PG 42 PAR 41 Owner: TODD MICHAEL Contractor: OWNER/BLDR Architect: BENSON JEFFREY JAMES Address: 41 BEACON BAY Address: TODD MICHAEL Address: 234 BROADWAY NEWPORT BEACH, CA 92660 41 BEACON BAY NB CA 92660 COSTA MESA CA 92627 Phone: Phone: 310-962-3931 Phone: 949-534-2724 State Lic:C032268 Applicant: BENSON JEFF - Con State Lic: O/B Engineer: CHEN MING-TARNG Address: 234 BROADWAY AV Lic Expire: Address: 12121 CANDOR DR COSTA MESA CA 92627 Bus Lic: CERRITOS CA 90703 Phone: 949-534-2724 Lic Exp Date: Phone: 714-521-0169 State Lic:C-054011 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 4710 Expire: - Phone: Added /New sq. ft. Garage: 800 No of Stories: 3 Building Setbacks Rear: 5 (front, ketc Special Conditions: LIQUEFACTION AREA No of Units : 1 Front: 6 (shelter cove) change of contractor to Bldg Height: 0 Left: 4 O/B Bldg Sprinklers: Y Right: 4 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Ls9 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee : $0.00 Fire Inspection:. $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $870.84 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 in -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $191.16 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : 138.00 Plan phec k Fee : $38.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: : • a ® e o .. a ° o 0 PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ono o 0 . . °o 0 APPROVAL TO ISSUE: moo o.,o 0 0 0�� o0 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 @em(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 ljr 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 bt of more than five hundred dollars ($500). 31, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are n 'tended or offered far sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n Quad _,- e of sale). W I, as a property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors' State License Law does not to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt from licensure under the Contractors' State License Law for the following reason: y signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall ell a structure that I have built as an owner -builder if it has not Veen constructed in ks entire licens co ors. I understand that a copy of the applicable lax, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is sub01$te0pr at the toll I g We s' p ww.v.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent V iM pofe 1/19/22 JCENSED CONTRACTOR'S DECLARATIO�J� �� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Sioeoe%, IN ADDITION REST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 ormance of the work for which this permit is issued. Policy No. have 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' rare carrier and policy number are: of Ag6.gMs nify that, in the performance of I should become suhe_" the Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ;ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 1/19/22 areby 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 Code). ides 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 ell applicable city and county ordinances and at laws re 'ng t wilding construction. I authorize representatives of this city or courr�1jjyy tpp(ep{�fjhe above-ide 'led p�p�a�IJly r' spection purposes. „m,,.e,.ro..,....n,n,.me. ,.. e,,.r...:.,.,d n...,...Y i�ln _ �/ _..,-___�. X Michael Todd ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TIRE 40 AND AQMD RULE 1403 PERM?FINAL ! L.J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • • • • CERTIFICATE OF PROPOSED DEMOLITION �•• • •• •• OCCUPANCY ISSUED I � SIGNATURE: ! ' • • • • • • • • • • e •e e s e o s e e o 0 0 • see oss •• • • aw• ••