HomeMy WebLinkAboutX2019-0796 - Permitsa�EWPORr City of Newport Beach
0 @ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
= Permit Counter Phone: (949) 644-3288
> Inspection Requests Phone: (949) 644-3255
C9G/fOM1��P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
COMB Permit : X201 9-0796
Plan Check No : 0535-2019
Issued Date : 0212012020
Inspection Area : 6
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
Job Address : 616 POINSETTIA AVE Legal Desc : A TR CORONA DEL M R BLK 643 LOT 8 N 9a-..
Description: NEW SINGLE FAMILY RES 1,756 SF C-ARA-;E*5 C; � NITA"
Owner: PAM CAPITAL MANAGEMENT INC. Contractor : Architect : UNSIGN G ROBERT
Address : 13600 MARINA POINT DR #1208 MARINA DEL Address : Address: 2214 PORT LERWICK PL NEWPORT
REY, CA 90292 BEACH, CA 92660
Phone : Phone : Phone: (949) 721-0736
Con State Lie :
State Lie
Applicant: ENSIGN G ROBERT
Lie Expire
Address: 2214 PORT LERWICK PL NEWPORT BEACH,
Bus Lie:
Engineer : WORTHINGTON DAVID
CA 92660
Phone : (949) 721-0736
Bus Lie Expire :
Address : 375 C MONTE VISTA AVE COSTA MESA,
CA 92627
Workers' Compensation
Insurance
Phone : (949) 642-9309
Owner/Builder: PAM CAPITAL MANAGEMENT INC.
Carrier :
Address : 13600 MARINA POINT DR #1208 MARINA DEL
Policy No:
Designer
REY, CA 90292
Phone :
W. C. Expire:
Address
Phone:
Code Edition : 2016
Fire Sprinklers :
YES
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
No
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage: 0
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 penally of perjury that I am exempt from the Contractors' State License Law for the renson(s) indicated below by the checkmark(s) I have placednext to the applicable Hams)
;Section 7031.6. 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 fife 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
Jrofessions Code) or that he or she is exempt from licensors, and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
iot 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 `) 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
mprovemanls 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 builtor
m roved 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
ly 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).
51 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 1n which I must have resided for at least one year prior to completion of the improvements covered by this. permit., I cannot legallt
soli a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand there 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:/lwww.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 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
NARNINM 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 (S100s00). LN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury oneof the following declarations:
111 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.
3 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' compensatiol
insurance carrier and policy number are:
Policy Number
Date
7e Of Agent rnUl,e m
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
, If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I seat] forthwith comply with those provisions.
nature of Applicant,_____, Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
ueby 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).
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 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 county to enter the above -identified property for Inspection purposes.
nature of PrODertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION I DATE I BY
PERMIT EXPIRED
CERTIricATEOr I��Q••=S I DR+�L�
OCCUPANCY ISSUEO I _
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATION5 PART 61 OF TITLE 40 AND AQMD RULE
1403
SUBMITTED A5RESTOS NOTIFICATION TO
IJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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.
rB�+�Prtn City of Newport Bey --A - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II
.� 100 Civic Center Drive, Newport. Beach, CA 92660 X 2 0 1 0 0 7 9 6
F fi Permit Counter Phone (949)644-3288
v �t Inspection Requests Phone (949)644-3255 ` w Nor SPNNKLMs
Combination Type - MFP GRAD PLUM ELEC PLUM
COMB Permit: X2019-0796
Project No : 0535-2019
Issued Date:
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 8r00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address:
616 POINSETTIA AVE NS
Description:
NEW DET. SINGLE FAMILY RES 1,756 SF GARAGE 400 SF "UNIT
Legal Desc.:
A"
CORONA DEL MAR BLK 643 LOT 18
Owner:
PAM CAPITAL MANAGEMENT INC Contractor: OWNERIBLDR Architect: ENSIGN G ROBERT
LiJ,
Address:
13700 MARINA POINTE DR #1802 Address: AUTH AGANET: Address: 2214 PORT LERWICK PL
MARINA DEL REY CA 90292 RYO SAKAMOTO NEWPORT BEACH, CA 92660
Phone:
Phone: Phone: 949-721-0736 State Lic:C006217
7
Applicant: ENSIGN G ROBERT
Con State Lic: O/B
Engineer:
ROSS SCOTT WILLIAM
Z
Address: 2214 PORT LERWICK PL
Lic Expire:
Address:
1800 E 16TH STREET #B
O
NEWPORT BEACH, CA 92660
Bus Lic:
SANTA ANA CA 92701
Phone: 949-721-0736
Lic Exp Date:
Phone:
714-835-2800 State Lic:C-046309
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
Type of Construction: V-BSPR
Carrier:
:
AddressOccupancy
R3/
Policy No
INSPECTOR
Added /New sq.ft..Bldg: 1756
Expire:
Phone:
Added /New sq. ft. Garage: 400
V_:i
No of Stories: 3
Building Setbacks
Rear: 5'
Special Conditions: OWNER/BLDR ATTACHED
2
No of Units: 2
Front: 20'
NOISE FORM ATTACHED
d
Bldg Height: 0
Left: 3'
U
Bldg Sprinklers: Y
Right: 3'
Flood Zone: X
Use Zone:
Parkin Spaces:
0 Fire Hazard Zone : N
O
Construction Valuation: $535,000.00
Building Permit Fee: $3,453.00
Excise Tax:
$452.76
Planning Department -
Fire Department
Plan Check Fee: $2,691.00
Additional Fee :
$0.00
Plan check Fee : $417.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $50.00
Grading Permit Fee:
$875.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
Energy Compliance: $268.00
Grading PC Fee:
$761.25
Public Works Department -
General Service
CA Seismic Safety: $69.55
WO Insp. Fee:
$108.00
Park Dedication : $0.00
Refund Deposit
Disabled Access, $0.00
PAN Plan Check: $330.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$483.42
San Dist: $368.00
Building Green Fee : $22.00
Mechanical %:
037q - i�3
NMUSD Fee: $1,483.04
Plumbing %:
$310.77
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE: $12,142.79 Plan Check Fee: $4,053.25 Fee Due at Permit Issuance : $8,069.54
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: 1� PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: (�
�en
W.
Y°
W-
LL
W
I-
Z
O
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the jeason(s),,(ndicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 7031.5, Business and Professions Code: Any city or county that requires a permit tbconstruct alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant to the p*isions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500). -
7 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,
Iusiness 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 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
nproved 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for 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 legally
ell a structure th3:: Lave built as an owner -builder if' has not been constructed' its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of the Busij�ess and
'rofessions Code, it available upon request wheeN
applic is subm' owing Web site:http://www.leginfo.ca.gov/calaw.html. e�fa'
lignatufe of Property Owner or Authorized Agent Date ?7
.ICEN3ED CONTRACTOR'S DECLARATI
LereLy�affirm under penalty of perjury that I a rider provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co , and my license is in full force
nd cfect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARN:x3: 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 I$100,0001, IN ADDITION TO THE
OST OF COMPENaALON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 ' h3--e 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 IN
erformonce of the work for which this permit is issued. Policy No.
,l had. 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' compensation
rrcr^.roe came- and. policy number are:
Policy Number
Date
me of Agent
certify that, in thekI
of the work for which is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agree
t, if I should becomhe workers' c pe anon r visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature nature of ApplicanDate 2%
CLARATION REGSTR CTION LE ING AGENCY
areby affirm underjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
lder'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 ha provided is correct.
I agree to comply with all applicable city and count ordinances and state laws relating to building construction.
authorize representatives of this city, or county t enta above d I fi U ro art 'nspection purposes. �
nature of Pronertv Owner Or Authorized Anent Print Property Owners or Authorized Agent's Name / `/ 0 /ir��Q'ta6- n Zate2- , /
ACTION DATE I BY /�IePKLARATION OF U)MOLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED
PERMITFINAL ON IS NOT
CERTIFICATE O CATI
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