HomeMy WebLinkAboutX2021-2565 - PermitsQ�Y,wr•ra4,T City of Newport Beach - Building Division
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
COMB Permit: X2021
Project No : 2223-2021
Issued Date : 0612912022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4 RUE SAINT CLOUD NB
Description: SFR ADD 261 SF (CONVERT ATRIUM TO LIVABLE). REMODEL (E) 1962 SF. RE CONSTRUCT/RE-ROOF. RE -STUCCO PORTION.
Legal Desc.: N TR 7519 LOT 52
Owner:
BARMAN BETTY B
Address:
4 RUE SAINT CLOUD
NEWPORT BEACH, CA 92660
Phone:
Applicant:
FRANCIS TIM
Address:
15761 HUMMINGBIRD LN
HUNTINGTON BEACH CA 92649
Phone:
714-230-6416
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
261
Added /New sq. ft. Garage: -31
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation:
$240,000.00
Building Permit Fee:
$2,925.00
Plan Check Fee: $2,437.39
Overtime Plan Ck:
$0.00
investigation Fee:
$0.00
Record Management :
$40.00
Energy Compliance:
$168.00
CA Seismic Safety:
$31.20
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee : $10.00
TOTAL FEE: $7,311.34
PROCESSED BY:
ZONING APPROVAL:
Contractor: W A M CONSTRUCTION
Address: 11240 MOUNTAIN AVE
RIVERSIDE CA 92505
Phone: 949-290-1842
Con State Lic:
781538
Lic Expire:
07/31/2022
Bus Lic:
BT30024689
Lic Exp Date:
0813112022
Worker's Compensation Insurance
Carrier: NORGUARD INS
Policy No: WIWC326396
Expire: 06/11/2023
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: 15'
Front: 10'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$204.75
$117.00
$263.25
Architect:
Address:
Phone: State Lic: ,
Engineer: FORBES DALE L
Address: 1800 E 16TH ST #B
SANTA ANA CA 92701
Phone:
714-835-2800 State Lic:C-030407
Designer:
FRANCIS TIM
Address:
15761 HUMMINGBIRD LN
HUNTINGTON BEACH CA 92649
Phone:
714-230-6416
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PIW Plan Check:
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$200.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$27.00
$265.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $2,458.14 Fee Due at Permit Issuance : $4,853.20
PUBLIC WORKS APPROVAL: n
PLAN CHECK BY:
GRADING APPROVAL: -� APPROVAL TO ISSUE: l fTX�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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 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
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).
I am exempt.from licensure under the Contractors' State License Law for the following reason:
By my signature belnW 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 ztructure 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
Pfcfessions Cod,, 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 Dato
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of49ivision 3 of the Business and Pro ins Co rid y license is in full force
and effect. Licorse Class License No Date v- Contractor Signatur
WORKERS' CCMPPNSATION DECLARATION
WARNING: FAILURE -. u ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
033. JF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I :1J,abv affirm under penalty of perjury one of the following declarations:
I have and %A1 m6intain 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 thl
xi funrance of the wo-k for which this permit is issued. Policy No.
have and wil 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'
;.ante carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of work to 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
that, if I should become subject to the r ers' c ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature of Applicant
DECLARATION REGA D CONSTRUCTI LENDING AGENCY
I 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, Ci 'I Code).
Lender's Name Lender's Address
By 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 or 'ded is corr t.
I agree to comply with all applicable city and county Droll es ands a laws relating to building construction.
authorize representatives of this city or con t to nier h above -id tified property for inspection purposes. / u
Signature of PropertyPropeqy Owner or Authorized A e Print Property Owner's or Authorized Agent's Nam, ( G�DaR'°
ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I)
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
AQMD
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