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HomeMy WebLinkAboutX2021-1062 - PermitsCity of Newport Beach - Building Division s 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 -u. Inspection Requests Phone (949)644-3255 r'risrnur Combination Type - SFP ELEC MECH PLUM GRAD *X2021-1062* I DPLU I ► COMB Permit: X2021-1062 Project No : 0978-2021 Issued Date : 08/04/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/04/2024 OR PERMIT WILL BE INVALI©a .. Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:001.". No work on Sundays or Holidays Job Address: 1101 BERKSHIRE LN NB Description: SFR INTERIOR REMODEL 1775 SF & ADD 1384 SF • a. • ° °� a e �•• e Legal Desc.: N TR 3031 LOT 9 ' Owner: BOTSFORD SCOTT & BARBARA Address: 1101 BERKSHIRE LN NEWPORT BEACH, CA 92660 Phone: Applicant: WEN FRANK H Address: 1691 WESTCLIFF DR NEWPORT BEACH CA 92660 Phone: 949-642-5212 Code Edit: 2019 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1384 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Flood Zone: X Valuation: $510X00.00 Building Permit Fee: $5,234.00 Plan Check Fee: $4,126.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $74.00 Energy Compliance: $303.00 CA Seismic Safety: $66.30 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $21.00 TOTAL FEE: $15,615.05 PROCESSED BY: ZONING APPROVAL: Contractor: GREGORY BUILDERS Architect: WEN FRANK H Address: 233 OCEANVIEW AVE Address: 1691 WESTCLIFF DR NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Phone: 714-747-4027 Phone: 949-642-5212 State Lic:CO21825 Con State Lic: 719030 Engineer: ROMERO RYAN ALCANTARA Lic Expire: 02/28/2022 Address: 10103 STILBITE AVE Bus Lic: BT20012402 FOUNTAIN VALLEY CA 92708 Lic Exp Date: 06/30/2022 Phone: 949-302-2080 State Lic:C-072185 Worker's Compensation Insurance Designer: Carrier: CALIFORNIA INS Address: Policy No: 4604999801 Expire: 09/28/2021 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 larking Spac¢ $0.00 $291.00 $0.00 $0.00 $237.00 $199.00 $0.00 $366.38 $209.36 $471.06 0 Special Conditions: Fire Planning Department - Plan check Fee, Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $406.00 San Dist: $0.00 NMUSD Fee: $2,546.56 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: $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $4,876.39 Fee Due at Permit Issuance : $10,738.66 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ° o a a. • 4 Boa ° aeca• • v aa�a • a� 6gpy 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) ction 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 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 fessions 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 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 portion: Business and-FITN „ sions Code: The Contractors' State License Law does not apply to an owner of property who, throe improvemen%are�of intended or offered for sale. If, however, the building or improvement is sold within one year of c iTgrived for tye purpose of sale). Ms owner of 9 e property, am exclusively contracting with licensed Contractors to construct the project (Section T apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contn • i am exemp64om licensure under the Contractors' State License Law for the following reason: fy m �signatfdr 4V w I acknowledge that, except for my personal residence in which I must have resided for at least c sdll,g structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Pr ssions CodOiere-is available upon request when this application is submitted or at the following Web site:http://www.l Signature of Priy Owner or Authorized Agent 1! NSED CONTRACTOR'S DECLARATION 9ie'reVy affirm.dridgraianalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section nd effect. License Class License No Date bM 4:-RS' CQXP,PNSATION DECLARATION WAAMIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 Direct performance of the work for which this permit is issued. Policy No. of the work, and the structure is not intended or offered for sale (Section 7044, 3h employees' or personal effort, builds or improves the property, provided that the impletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date OF Div" I 3 of the Business and Prof sns de d my lir Is in full force ? Yap Contractor Signature LINES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' carrier and policy number are: Policy Number me of Agent I certify that, in the performance of the work for whi h this permit is issued, I shall not employ any person in any It, if I should becorpe fiubjec9J,"e workers' c ensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant 1 1 CLARATION REG RD G CONS' U N LENDING hKisicy :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for ider'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and count rdinances and state law acing to building construction I authorize representatives of this city or county'\ entgvtgabove-identif' property for inspection purposes. >ignature of Property Owner or AL ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED Z� DECLARATION OF CCI PUANCE WITH CODE _\ FEDERAL FOR 0 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO AQMD PROPOSED D€r�OLITICIr SIGNATURE: x r Date so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. � Datk s /? , i this permit is issued (Section 3097, Civil Code). USE ONLY ,ell 9 roI