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HomeMy WebLinkAboutX2019-0797 - PermitsCity of Newport Beach II III I III III II II IIII II II COMB Permit : X201 9-0797 D4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0535-2019 Permit Counter Phone: (949) 644-3288 Issued Date : 09/25/2019 Inspection Requests Phone: (949) 644-3255 c94FenN�P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP Work Class - New PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS �� p Si Legal wry I>Wdb Job Address : 616 POINSETTIA AVE b�TA At Legal Desc : A T`R1 �CORONADEL MAR BLK 643 LOT 18 Description: NEW F,HdP,h-FftSid�-RC-S 1,149 SF "UNIT B" W/ ik'C -A6 M Ccj-41AM �Co � Owner: PAM Capital Management Contractor : Architect Address: 13600 marina pointe dr #1208 marina del rey, Address : Address CA 90292 Phone : (310) 591-9402 Phone : Phone Con State Lic Applicant: ENSIGN G ROBERT Lic Expire Address: 2214 PORT LERWICK PL NEWPORT BEACH, Bus Lic: CA 92660 Phone: (949)721-0736 Owner/Builder : PAM Capital Management Address : 13600 marina pointe dr #1208 marina del rey CA 90292 Phone: (310)591-9402 Bus Lic Expire : Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: State Lic : Engineer Address Phone: Designer: Address Phone: ENSIGN G ROBERT 2214 PORT LERWICK PL NEWPORT BEACH, CA 92660 (949)721-0736 WORTHINGTON DAVID 375 C MONTE VISTA AVE COSTA MESA, CA 92627 (949)642-9309 Code Edition : 2016 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 3 Added/New sq. ft. Garage Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that; 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 7031.6. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to 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 Code) or that he or she is exempt from licensure and the basis far 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). ❑ 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 licensure under the Contractors' Slate 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 legall7 sell a structure that I have bull as an owner -builder if it has not been constructed in its anfirely 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 sile:hftp://Www.leginto.ca.gov/colaw.htmi. 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature 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 ($100,000). IN AnOnION 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: Q 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 performance 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' rance carder and policy number are: Policy Number Date area of Agent Phone if 11 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 Calffomia, and ogre rat. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignalure of Applicant _NDale_ ECLARATION REGARDING CONSTRUCTION LENDING 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 providetl is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. innaturw of Pronartv Owner or Authorized Anent Print Prooertv Owner's or Authorized Aaent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE J 1403 PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQM O PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIE(CATEOF 5 g ZS A��• PROPOSED DEMOLITION OCCUPANCY 155UEO SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool. t�wruµ City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2019-0797 s � 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 1 9 0 7 9 7 k =� Project No: 0535-2019 ti � s n Permit Counter Phone (949)644-3288 � its aCG u , A Inspection Requests Phone (949)644-3255 ,,r xY.* MMS Combination Type - MFP MECH ELEC PLUM REQUIRED Issued Date : 09125/2019 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 616 POINSETTIA AVE NB Description: NEW DET. SINGLE FAMILY RES 1,149 SF "UNIT B" Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 I p { �1 ���O�S`J 0 Owner: PAM CAPITAL MANAGEMENT INC Contractor: OWNER/BLDR Architect: ENSIGN G ROBERT J Address: 13700 MARINA POINTE DR #1802 Address: AUTH AGENT: Address: 2214 PORT LERWICK PL MARINA DEL REY CA 90292 RYO SAKAMOTO NEWPORT BEACH, CA 92660 Phone: Phone: Phone: 949-721-0736 State Lic:0006217 Applicant: ENSIGN G ROBERT Con State Lic: O/B Engineer: ROSS SCOTT WILLIAM Address: 2214 PORT LERWICK PL Lic Expire: Address: 1800 E 16TH STREET #B - NEWPORT BEACH, CA 92660 Bus Lic: SANTA ANA CA 92701 - - Phone: 949-721-0736 Lic Exp Date: Phone: 714-835-2800 State Lic:C-045309 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R311.1 Policy No: Added/New sq.ft. Bldg: 1149 Added /New sq. ft. Garage: 0 Expire: Phone: NO CONSTRUCTION NOISE No of Stories: 3 Building Setbacks Rear: .6' Special Conditions: No of Units : 1 Front: 20' Bldg Height: 0 Left: 3' Bldg Sprinklers: Y Right: 3' Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N ON THE WEEKEND Construction Valuation: $535,000.00 Building Permit Fee: $3,453.00 Excise Tax: $241.29 Planning Department - Fire Department Plan Check Fee: $2,630.00 Additional Fee : $0.00 Plan check Fee : $417.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $69.55 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $483.42 San Dist: $3,221.00 Building Green Fee : $22.00 Mechanical %: $379.63 NMUSD Fee: $2,114.16 $0.00 Plumbing %: $310.77 $0.00 TOTAL FEE : $13,610.02 Plan Check Fee : $3,197.50 Fee Due at Permit Issuance : $10,412.52 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: y� ` 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 reasons) Indicated below by the checkmark(s) I have placed next to the applicable items) ;Section 7031.5, Business and Professions Code: Any city or county that requires a pefmlt to construct, alterimprove, derldlish;ror 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 Professions 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 act 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 (_) 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 mu t have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner -builder 4 has not been constructed in its en ety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and Professions CodC, i6 available upon request when t s application is bmitted o eb site:http://www.leginfo.ca.gov/calaw.html. Sigic.t•Jrs of Property Cwner or Authorized Agent Dat 5X-�to hs�.1.�?-Qi( 9 LICENSED CONTPACTOR'S DEC] ARa I N I hereby affirm under penalty of perjury that I am iC nsed under ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force and Effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WAi FAILURF 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 ri 01 COMPENSATON, rAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: C � ,reve 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 parforni of 7.a v.cd: for which this permit is issued. Policy No. ❑I 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' compensatio. msur oce carrier ant, nulicy number are: Policy Number Date Tie of Agent certify that, in the perfor ante of the work for which this p mit 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 t, if I should become su ect to the orkers' compen rovisio he Labor Code, I shall forthwith comply with those provisions. c� F. nature of Applicant Date J P�Yi-ra L.,6el— 1 CLARATION REGA DI CO RUCT ON LEND GENCY ;reby affirm under penalty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). 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 owner's behalf. I have read this application and the information I hap provided is correct. I agree to comply with all applicable city and count ordinances and state laws vela' g to building construction. I authorize representatives of this city or county t enter the a ve-identif' ' spection purposes. /ate nailIre of PrDDertv Owner or AuthorizPrint Property Owner's or Authorized Agent's Name L<" �OKQwaT o ACTION DATE BY l I gig: ATIONS POF COMPLIANCE ART 610E TITLE I TH AND DE OF RUDLE AL FOR OFFICE USE ONLY NOTIFICATION TO PERMIT CANCELLED li PERMIT EXTENDED QMD PERMITFINAL r ~� ESTOS rIFICATION IS NOT APPLICABLE TO CERTIFICATEOF OPO D D OLITIO OCCUPANCYISSUED SIGNATUR .