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HomeMy WebLinkAboutX2021-1684 - Permits�,;wrok City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 fi Inspection Requests Phone (949)644-3255 y `a„urt' Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2021-1 Project No : 1469-2021 Issued Date : 12/07/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210712024 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: 13 BEACON BAY NS Description: NEW SFR W/ ATTACHED GARAGE 3887 SF & 712 SF Legal Desc.: R BK 9 PG 42 PAR 13 Owner: IRWIN NANCY Contractor: LONGMAN CONSTRUCTION CO INC Architect: BRANDON CHRISTOPHER Address: 13 BEACON BAY Address: 2782 CIRCLE DR Address: 151 KALMUS DR #G-1 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Phone: Phone: 949-722-7711 Phone: 714-754-4040 State Lic:C031637 Applicant: SMITH CAITLIN Con State Lic: 393881 Engineer: MANSHADI FARHAD Address: 151 KALMUS DR G-1 Lic Expire: 08/31/2023 Address: 1800 E 16TH ST UNIT B COSTA MESA, CA 92626 Bus Lic: BT00001921 SANTA ANA CA 92701 Phone: 714-754-4040 Lic Exp Date: 0313112022 Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 3887 Added /New sq. ft. Garage: 712 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $6,431.00 Plan Check Fee: $4,416.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $86.00 Energy Compliance: $303.00 CA Seismic Safety: $169.79 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $53.00 TOTAL FEE: $21,037.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: "' "1 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9062475 Expire: 07/01/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 3' Front: 15' Left: 3' Right: 3' $965.79 $0.00 $0.00 $2,341.92 $1,257.00 $514.08 $1,220.00 $450.17 $257.24 $578.79 Designer: Address: Phone: Special Conditions: LIQUEFACTION NO SCHOOL FEES DUE Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $406.00 San Dist: $1,068.00 NMUSD Fee: $0.00 Fire Department $520.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $6,141.00 Fee Due at Permit Issuance I PUBLIC WORKS APPROVAL: E/ PLAN CHECK BY: Er APPROVAL TO ISSUE: JSPECT OR $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14,896.78 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 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 not 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 (_) 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 'y 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 impro' ell 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 applicab 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section-Z'OPI he Business and Pro nd effect. License Class License No Datg Contractor Signature nents covered by this permit, I cannot law, Section 7044 of the Business and Date UORKERS' COMPENSATION DECLARATION v - 'ARNING: 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 DST 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: 1-1 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 rlanUe 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' carrier and policy number are: ie of Agent certify that, in the pi if I should become of Policy Number one # Date this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I S of alifornia, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L/ C._� pW a CLARATION REGARIJING CONSTRUCTIgOFLEN DING AGENCY �reby 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 provicorrect I agree to comply with all applicable city and county or ' sea d relating to building construction. I authorize representatives of this city or c0 t the ov ad roperty for inspection purposes. nature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Nam • Date TION DATE B DECLARATION OF - MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQM D PERMIT FINAL (�y ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �I'j0�1'J (//�� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: