HomeMy WebLinkAboutX2019-3005 - Permits (3)City of Newport Beach - Building Division IIII�IIIIIIII�IIIIIIIIIIIIIIIII� II COMB Permit: X2019-3005
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 0 0 5 Project No : 1565-2018
F Y Permit Counter Phone (949)644-3288
m Inspection Requests Phone (949)644-3255 $ + NWJM
Issued Date : 0912312019
Combination Type- SFP ELEC GRAD MECH PLUM p
lSE3./l)i 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: 301 MILFORD DR NB
Description: NEW SFR+ BASEMENT/SHORING 8347 SF, GARAGE 841 SF
Legal Desc.: N TR 3357 LOT 171
Owner:
PRICHARD JOHN & CAROLINA
Address:
PO BOX 176
CON! CA 92625
Phone:
949-7214030
Applicant:
NGUYEN ANNA
Address:
31511 CAMINO CAPISTRANO STE A
SAN JUAN CAPISTRANO CA 92675
Phone:
949496-8991
Code Edit :
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
8347
Added /New sq. ft. Garage:
841
No of Stories:
2
No of Units :
1
Bldg Height:
24
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $8,633.00
Plan Check Fee: $61.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$216.00
Energy Compliance:
$0.00
CA Seismic Safety:
$520.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$160.00
TOTAL FEE : $32,260.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: STODDER CONSTRUCTION INC
Address: 24812 SELVA ROAD
DANA POINT CA 92629
Phone: 949-294-2508
Con State Lie:
447304
Lie Expire:
04/3012021
Bus Lie:
BT30038867
Lie Exp Date:
07/31/2020
Workers Compensation Insurance
Carder: NORGUARD
Policy No: STWC067959
Expire: 0410112020
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
ROSENBAUM SCOTT ,
31511 CAMINO CAPISTRANO #A
SAN JUAN CAPISTRANO CA 92675
949-280-6514 State Lic:C032834
JAFARI MASOUD ,
23 ORCHARD #250 ,
LAKE FOREST CA 92630 ,
949-206-9929 State Lic:S-003812
Rear: 6' Special Conditions: CE02018055
Front: 6' EFFECTIVE 08117/2018
Left: 6' FUEL MOD AREA
Right: 6'
Parkino Soaces: 3 Fire Hazard Zone : N
$1,929.48
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$228.00
$1,257.88
SJH Trans :
$0.00
Demolition Fee
$3,041.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$276.12
Public Works Department -
General Service
$0.00
$108.00
Park Dedication: $0.00
Refund Deposit
$0.00
PNV Plan Check: $660.00
Grading Bond:
$0.00
$604.31
San Dist : $1,794.00
$345.32
NMUSD Fee: $11,649.04
$0.00
$776.97
$0.00
Plan Check Fee
: $0.00 Fee
Due at Permit Issuance :
$32,260.12
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
a
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, demolh, 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-L.a (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
Tot 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
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
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 :1uI'uw 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 legally
sell a structure •ha' : 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:hftp://www.leginfo.ca.gov/calaw.htmi.
Signature of Prope,tvOwner or Authorized Agent zDate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 i Sion of the Business and Profes y license is in full force
and effect. Livens= Class License No Date contractor Signature
NORKERS' COMPENSATION DECLARATION
MARNING: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,000), IN DDITION TO THE
COST OF COMPENSATIUIr, 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:
LI have and,wPI 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,
aerformance of the wotK for which this permit is issued. Policy No.
ave and vAl 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' compensatoor
sce carrier`and policy number are:
me Policy Number Expiration Date
me of Agent Phone #
certify that, in the perfor ante of thew for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp sation Is s of California, and agre
t, if I should become su nnpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L c//
nature of Applicant D e if
CLARATION REGA ING ONS RU154eK LENDING AGENCY
sreby affirm under I nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
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 Vhave provided is correct.
I agree to comply with all applicable city and cobnt ord a d state laws relating to building construction. /
I authorize representatives of this city or tour r the b e-identified property for inspection purposes.
(nature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name
TION DATE BY D RATION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGIUTATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFIC4TEOF
OCCUPANCYISSUED
TO