HomeMy WebLinkAboutX2020-2703 - Permitsoq'nro
City of Newport Beach - Building
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
Division
GRAD
COMB Permit: X20
Project No: 2144-2020
Issued Date : 0410512021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/05/2024 OR PERMIT WILL BE INV)
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: 16 CAPE FRIO NB
Description: SFR -ADD 984 SF TO 1ST AND 2ND FLR, NEW COVERED PATIO & FISH TANK EQUIP ROOM/2ND FLR BALCONY/REMODEL 762 SF
Legal Desc.:
Owner: MAROUF GHANIM
Address: 16 CAPE FRIO
NEWPORT BEACH CA 92657
Phone
Applicant:
BAILEY DAVID
Address:
23183 LA CADENA DR #101
LAGUNA HILLS CA 92653
Phone:
949-573-1050
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R31U
Added /New sq.ft. Bldg: 984
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone:
11 Construction Valuation: $650.000.00
Building Permit Fee: $3,054.00
Plan Check Fee: $2,294.83
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$58.00
Energy Compliance:
$303.00
CA Seismic Safety:
$84.50
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$26.00
TOTAL FEE: $8,708.13
PROCESSED BY: � 1
ZONING APPROVAL: CC/ L
GRADING APPROVAL: ("
Contractor:
JACK W MITCHELL
Architect:
BAILEY DAVID
Address:
2902 CALLE HERALDO
Address:
23183 LA CADENA DR #101
SAN CLEMENTE,
CA 92673
LAGUNA HILLS CA 92653
Phone:
949-498-3127
Phone:
949-573-1050 State Lic:CO27404
Con State Lic: 988218
Engineer:
WILSON KALEN
Lic Expire:
11/3012021
Address:
23152 VEROUGO DR #102
Bus Lic:
BT30055847
LAGUNA HILLS CA 92653
Lic Exp Date:
07/31/2021
Phone:
714-576-6524 State Lic:C-083753
Worker's Compensation
Insurance
Designer:
Carrier:
WC EXEMPT
Address:
Policy No:
(NO EMPLOYEES)
Expire:
Phone:
Building Setbacks
Rear: 10
Special Conditions: CR & R TO HAUL
Front: 20
DEBRIS
Left: 0
IRWD/LB UNIFIED SCH DIST
Right: 0
Use Zone: RS-D
Parking Spaces:
0
Fire Hazard Zone : N ®�
p
Excise Tax:
$0.00
Planning Department -
I it
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$185.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$826.56
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$232.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$26.00
Grading PC Fee:
$181.44
Public Works Department -
General Service
$219.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
PAN Plan Check :
$43.00
Grading Bond:
$0.00
Electrical %:
$213.78
San Dist:
$0.00
Mechanical %:
$122.16
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$274.86
$0.00
Plan Check Fee
: $2,825.83
Fee
Due at Permit Issuance : $5,882.30
PUBL18 WORK APPROVAL.;
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION - . -
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) 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
Ie 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
'rofessions 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
of 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,
lusiness 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).
1 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legaly
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 applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapj?te 9 (commencing with Section 7 0 f Di ision 3 of the Business and P essions nd my license is in full force
nd effect. License Class 91 License No 1� _3 Date \ Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, 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:
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
hormance 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:
Policy Number
Date
�c rtify that, in the performance of the work for tL�i 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
:ha If should become subje t to the work pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant DatNe2
3ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
-ender's Name Lender's Address
3y 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 c t.
I agree to comply with all applicable city and county ordinance state laws relating to building construction.
I authorize representatives of this city or county to enter ove-identified property for inspection purposes. ran
Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Name �2r'`L-? `\� Date y
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
NOTIHrATIOr'. TO
�� ASBESTOS NOTIFICATION ISN PLICABLE TO
PROPOSED EMOLITI