HomeMy WebLinkAboutX2020-1765 - Permits (3)t�'xtor City of Newport Beach - Building Division
G 100 Civic Center Drive, Newport Beach, CA 92660
F, s Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC MECH
��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiI �� COMB Permit: X2020-1765
x 2 0 2 0 1 7 6 5 Project No: 1408-2020
Issued Date : 10/26/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/27/2023 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: 3514 SURFVIEW LN NB
Description: SFR -ADD GUEST SUITE 409 SIF
Legal Desc.: N TR 6228 LOT 3
Owner: KATZ ROBERT
Contractor:
RJ TANNER CONSTRUCTION Architect:
RANIERI RANDY
Address: 3514 SURFVIEW LN
Address:
893 OAK STREET Address:
206 112 ABALONE AVE
ryl
CORONA DEL MAR, CA 92625
COSTA MESA
CA 92627
NEWPORT BEACH CA 92662
Phone:
Phone:
949-236 4856
Phone:
714-296-5502 State Lic:CO24225
Applicant: TANNER JEFF
Con State Lic:
744104
Engineer:
MORRIS KYLE
Address: 893 OAK ST
Lic Expire:
1213112021
Address:
1401 DOVE ST #520
COSTA MESA CA 92627
Bus Lic:
BT98043220
NEWPORT BEACH CA 92660
Phone: 949-235-4856
Lic Exp Date:
06130/2021
Phone:
949-502-5323 State Lic:C-072911
Code Edit: 2019
Worker's Compensation Insurance
Designer:
r�
Type of Construction: VB
Carrier:
PREFERRED PRO
INS Address:
Occupancy Group: R3/U
Policy No:
ONOB97402
Added /New sq.ft. Bldg: 409
Expire:
06101/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 1
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers: N
Right: 6
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard
Zone : N
Construction Valuation: $81,000.00
Building Permit Fee: $1,328.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $978.00
Additional Fee :
$0.00
Plan check Fee: $185.00 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:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $34.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $61.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $10.53
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check : $258.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$92.96
San Dist: $994.00
Building Green Fee : $4.00
Mechanical %:
$53.12
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $3,998.61
Plan Check Fee
: $1,166.00 Fee
Due at Permit Issuance : $2,832.61
PROCESSED BY:
PUFLIO WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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 t0 its issuance, also requires the applicant for
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 Cade) 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).
❑ 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
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
improved for the purpose of sale).
❑ I, 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 legall,
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 o erjury that I am licensed under provisions apter 9 commencing with Section 70 ivision 3 of the Business and Prof ssio n y license is in full force
and effect. License Class �- License No Date &a ntractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: 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 1$100,0001, IN ADDITION TO THE
COST 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
oerfprmance of the work for which this permit is issued. Policy No.
QI have and will mapqtain workers' mpensation 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
nsurance carrier andcy numb r
barrier \li- of per Expiration Date
lame of Agent Phone #
�I certify that, in the performance oft a rk for which this p nnit 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
:hat, if I should become subject to the a com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s0
Signature of Applicant DLt\_& r
DECLARATION REG DI G CONSTR ENDING AGENCY
hereby affirm under nalty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name 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' rect.
I agree to comply with all applicable city and count rdina state laws relating to building construction.
I authorize representatives of this city or county nter a-i d property for Is ecurposes. -.
Signature of Property Owner or Authorized A ent Print Property Owners or Authorized Agent's a e D
ACTION DATE BY D R TI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
. REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED i I /I I,.J 13MITTED ASBESTOS NO, IFICaTION TO _
PERMITCANCELLED EPA I j I- '
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CERTIFICATEOF 7-1"Z( D pR Skk, ,,,, MOLITI =--- —
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