HomeMy WebLinkAboutX2021-2217 - Permits�w�'tny City of Newport Beach - Building Division
c 100 Civic Center Drive, Newport Beach, CA 92660
w Permit Counter Phone (949)644-3288
> Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC GRAD MECH PLUM
*X2021-2217*
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COMB Permit: X2021-2217
Project No : 1917-2021
Issued Date : 12/1012021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/10/2024 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: 3906 RIVER AVE NB
Description: NEW SFR & GARAGE 2677/550 SF
Legal Desc.: CANAL SECTION ELK 239 LOT 4
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Owner: ROSEN RICHARD
Contractor:
GONTERMAN CONSTRUCTION Architect:
, 0
Address: 3906 RIVER AV
Address:
1842 PARK ST
Address:
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NEWPORT BEACH, CA
NEWPORT BEACH CA 92648
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Phone:
Phone:
949-697-0746
Phone: State Lic:
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Applicant: GUIDERO BILL
Con State Lic:
858073
Engineer: GABRIEL MICHAEL R
°
4
Address: 425 30TH ST STE 23
Lic Expire:
0413012023
Address: 483 E 20TH STREET
NEWPORT BEACH CA 92663
Bus Lic:
BT30048414
COSTA MESA CA 92627
Phone: 949-675-2626
Lic Exp Date: 09/30/2022
Phone: 949-646-6596 State Lic:S-002939
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
STATE COMP.
INS Address:
Occupancy Group: R3/U
Policy No:
9259518
Added /New sq.ft. Bldg: 2677
Expire:
08/22/2022
Phone:
`
Added /New sq. ft. Garage: 550
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No of Stories: 3
Building Setbacks
Rear: /
Special Conditions: LIQUEFACTION AREA
No of Units : 1
Front: River 4'
FLOOD ZONE AE 8
Bldg Height: 0
Lek: 3'
Bldg Sprinklers: Y
Right: 3'
Flood Zone: AE8
Use Zone: R-2
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $650 000.00
Building Permit Fee: $5,855.00
Excise Tax:
$677.67
Planning Department - Fire Department
Plan Check Fee: $3,297.00
Additional Fee :
$0.00
Plan check Fee, $520.00 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:
$826.56
SJH Trans : $0.00 Demolition Fee
Record Management: $66.00
Grading Permit Fee:
$973.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $303.00
Grading PC Fee:
$1,027.95
Public Works Department - General Service
$0.00
CA Seismic Safety: $71.50
WQ Insp. Fee:
$1,220.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check : $203.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$409.85
San Dist: $1,015.00
Building Green Fee : $22.00
Mechanical %:
$234.20
NMUSD Fee: $2,533.68
$0.00
Plumbing %:
$526.95
$0.00
TOTAL FEE : $19,782.36
Plan Check Fee :
$5,128.00 Fee Due at Permit Issuance :l
$14,654.36
PROCESSED BY:
S IPUBLIC
WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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
iot more than five hundred dollars ($500).
1, 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,
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
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 nLoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I arl exempt from ncensure under the Contractors' State License Law for the following reason:
By my Fignature'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 legalll
sell a structure t:ICt 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,html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Divjsion 3 of the Business and uroAa�sio�ndrrly I.sse is in full force
and Effect. License Class License No Date �t/V 9°Yj Contractor Signature
YJQKKERS' COMPENSATION DECLARATION
NARNAG: 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 l$100,0001, IN ADDITION TO THE
COST O' COMPENJAT/ON. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I f'e�Phy affirm under penalty of perjury one of the following declarations:
I have an, tJl' raintain 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
performance of the work for which this permit is issued. Policy No.
$J 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' compensatioi
Wscrsance carrier and policy number are:
Policy Number
Date
lame of Agent """
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 agre
lat, if I should become subject to tthheworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�/
ignature of Applicant 4 •�""""- Date
IECLARATION REGA IN ONSTRUCTIONG AGENCY
hereby 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).
ender's Name Lender's Address
y 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 county ordinances and state laws relating to building Construction.
I authorize representatives of this city or cou ty enter the•na ove�-identified property for inspection purposes.
lianature of Property Owner or Authorized Ageni [S�-`a''� �By..m.r� Print Property Owner's or Authorized Agent's Name x `Dat
ACTION
DATE BY v
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EMENDED
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PERMITFINAL
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