HomeMy WebLinkAboutX2020-2954 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2020-2954
'166'°Gtstc Center Drive, Newport Beach, CA 92660
X 2 0 2 0 2 9 5 4
Project No : 2351-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255Issued
*,�o-
Date : 03/19/2021
Combination Type - MFP ELEC MECH
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED
BY 03/19/2024 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: 438 CARNATION AVE NB
Description: MFR -CONVERT UNFINISHED BASEMENT TO LIVING SPACE
Legal Desc.:
730 SF "AS BUILT"
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I it S P E CT
1 V
!may
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Owner: BENSON TODD Contractor:
OWNER/BLDR
Architect:
Address: 438 CARNATION AVE Address:
Address:
CORONA DEL MAR CA 92625
Phone: 714-719-5414 Phone:
Phone:
State Lic:
Applicant: JEHEBER ROD Con State Lic: O/B
Engineer:
REZAEI ALI
,
Address: 410 32ND ST #202 Lic Expire:
Address:
18021 SKYPARK CIR #E2
NEWPORT BEACH CA 92663 Bus Lic:
IRVINE CA 92614
,
Phone: 949-723-4393 Lic Exp Date:
Phone:
949-466-9394 State Lic:C-041068 ,
Code Edit : 2019 Worker's Compensation Insurance
Designer:
JEHEBER ROD
Type of Construction: VB Carrier:
Address:
410 32ND ST #202
Occupancy Group: R3/U Policy No:
NEWPORT BEACH CA 92663
Added Mew sq.ft. Bldg: 730 Expire:
Phone:
949-723-4393 -
Added /New sq. ft. Garage: 0
No of Stories: 4 Building Setbacks
Rear: I
Special Conditions: N® C®NSTRU�a. '=16N IV
NOISE
,�JE
No of Units : 2
Front: I
,
Bldg Height: 0
Left: I
"
Bldg Sprinklers:
Right: I
Flood Zone: X Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $109,500.00
/� TY ' p I q A� v
ON SA t V r1LJ%'t 1 ET
Building Permit Fee: $1,297.00 Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,128.39 Additional Fee : $1,627.20
Plan check Fee : $46.25 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: $1,297.00 Grading PC Consultant:
$0.00
SJH Trans:
$0.00 Demolition Fee
Record Management: $40.00 Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm $0.00
Energy Compliance: $76.65 Grading PC Fee:
$0.00
Public Works Department -
General Service $0.00
CA Seismic Safety: $30.66 WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access : $0.00
PNV Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$181.58
San Dist: $945.00
Building Green Fee : $5.00 Mechanical %:
$142.67
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL F E : $6,817.40
Plan Check Fee :
$1,157.72 Fee
Due at Permit Issuance : $53659.68
PROCESSED BY:
PUBLIC WORKS APPR
AL:
\
`
ZONING APPROVAL:
PLAN CHECK BY:
J
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 reason(s) 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 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 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
ore than five hundred dollars ($500).
7I, 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,
r mesa 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 f ed Contrac rs 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 there , and who contracts or the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' ate License Law forth following reason:
By my signature below I acknowledge that, except for ersonal residence 1 hich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal[)
sell a structure that I have built as an owner -builder if' no a const ad in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, :s :.vailable upon request wh t s ap licatio su ad or at the following Web site:http://v .leginfo.ca.gov/calaw.html.
Signature of Propert Owner or Authorized Agent Date
L43E1`X1:D CONTRACTOR'S DECLARATION
I hereby affirm und=t 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 affect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
Nf WHIG: rAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
CAST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I LE;�Ly affirm urder penalty of perjury one of the following declarations:
❑ I 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
pHf,on nal ice of the work for which this permit is issued. Policy No.
haveand wiil.•raintain 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
rance Carrier and policy numb
t r Policy Number Expiration Date
to f Agent Phone #
c ify that, in the perform nce of the work 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
I should become subject the wo compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applican D
.:LARATION REGA DING CONSTRUCTION LENDING
Heby affirm under pe ally of perjury that there is a cc ruction lending age cy for the performance of the work for which this permit is issued (Section 3097
Idler's Name Lender's Address
my signature below, I certify to each of the followi� g:
I am the property owner or authorized to act on ljla property owner's b alf.
I have read this application and the information 1 rovided is c rect.
I agree to comply with all applicable city and county ordina s d state laws relating to building construction.
I authorize representatives of this city or county to;mter the - arty for inspection purposes. /\ L
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTAPPLICABLE TO
FOR OFFICE USE ONLY
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