HomeMy WebLinkAboutX2021-1685 - PermitsCity of Newport Beach - Building Division
4 I
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
,
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
Job Address
Description:
Legal Desc.:
Owner:
Address:
Phone:
Applicant:
Address:
Phone
Ili iiiiiiiiiii II
COMB Permit: X2021-1685
Project No : 1470-2021 1
FEMA ELEVATION CERTIFICATE Issued Date : 1012912021
REQUIRED FOR FINAL Inspection Area : 2
PERMIT EXPIRES 1 AYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012912024 OR PERMIT WILL BE INVALID
Construction o— Os onday -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
400 5 BAY FRONT NB (5
NEW SFR WI ATTACHED GARA - SF & 415 SF AND A JR ADU 331 SF
BALBOA ISLAND RESUB SEC 1 LO 7 AND LOT 2 BLK 7
S' ISGURY GLENN ® ntractor.
40)BAY FRONT •�` /, ss
NEWPORT BEACH, CA 92662�
Phone:+0
SMITH LiC
KALMUS DR STE G-1 Lic Expire:
151
COSTA MESA, CA 92626 6bLic:
714-754-4040 Exp Date:
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
2703
Added /New sq. ft. Garage: 415
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
A01
Valuation: $623,000.00
Building Permit Fee: $5,855.00
Plan Check Fee: $3,297.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$76.00
Energy Compliance:
$303.00
CA Seismic Safety :
$80.99
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$25.00
TOTAL FEE: $17
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
5*1&_1
78
SHOWALTER CONST INC
Architect:
BRANDON CHRISTOPHER
1791 WHITER AVE
Address:
151 KALMUS DR#G-1
COSTA MESA CA 92627
COSTA MESA CA 92626
949-673-1645
Phone:
714-754-4040 State Lic:C031637
ii�54380
Engineer:
MANSHADI FARHAD
b2/28/2022
Address:
1800 E 16TH ST UNIT B
BT00006144
SANTA ANA CA 92701
05/31/2022
Phone:
714-835-2800 State Lic:C-036840
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9220812
Expire: 11/02/2021
Building Setbacks
0_ 1
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5
Front: 5
Left: 3
Right: 3
Parkino Spaces
$654.78
$291.00
$0.00
$1,377.60
$1,257.00
$1,148.91
$1,220.00
$409.85
$234.20
$526.95
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions: A01 FLOOD/HIGH DENSITY
LIQUEFACTION ���
1 i
NO SAN/SCHOOL FEES DU
%Dr
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PNV Plan Check: $344.50
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$520.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$5,157.24 Fee Due at Permit Issuance : $12,424.54
PUBLIC WORKS APIROVAL: > - �.{'U_)t�
PLAN CHECK BY: s IN 1 „r
APPROVAL TO ISSUE:.'
,OR
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 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 Iicensure 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).
❑ 1, 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
a ply 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 Iicensure 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 legally
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 at
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 Di ion f the Business and Professio de, a y icens sin 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 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:
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
Ice of the work for which this permit is issued. Policy No.
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' compensa
carrier and policy number are:
IS of Agent
certify that, in the performal
if I should become subject
Policy Number
Date
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 ag
I prgWons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant / �Z DatL�/
DECLARATION REGARDITRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency far 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 th/property n be If.
I have read this application and the information I Is corr t.I agree to comply with all applicable city and counan laws re g to building construction.
I authorize representatives of this city or coun�ty/ tnt' ed arty for inspection purposes.�� L�ignature of Prooertv Owner orAuthorized Agent /� Print Prooertv Owner's or Authorized ADent's Name ��i A.,.
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I S'JBM11 fcU ASEE3TOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMITEXTENDED
QMD
PERMITFINAL
ETASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
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"WPORT City of Newport Beach II III I III II I III IIII III II Permit: X2021-1685
100 Civic Center Drive Plan Check: 1470-2021
Newport Beach, CA 92660
C9<I FDR�`P
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: GLEN SALISBURY Code Year Edition: 2019
Address: 400 BAY FRONT S, NEWPORT BEACH, CA 92662 Number of Stories: 3
Tenant: Construction Type: V-6
Use Zone: R-BI -Two-Unit Residential, Balboa Island Occupancy: U,R-3
Description of Work: NEW SFR W/ ATTACHED GARAGE 2,372 SF & 415 SF AND A Total Occupant Load:
JR ADU 331 SF
Special Conditions: Fire Sprinklered: YES
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: /_Lul Date: 12/19/2023