HomeMy WebLinkAboutX2017-1467 - Permits1,gwr�r,,p City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�l Permit Counter Phone (949)644-3288
'+b Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD MECH ELEC PLUM
IIIIXIIIILI 0II1II7IIIIIIIIIILII4III6IIII7 II
COMB Permit: X2017-1467
Project No : 1907-2016
Issued Date: 05105/2017 e °
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Inspection Area: 1 sae a omom^n
Applicant: OLSEN ERIC
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
852282
Engineer: FORBES DALE L
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
Lie Expire:
01131/2019
Address: 1800 E 16TH ST #B
ORANGE CA 92866
emeoc
Job Address:
70OWBAYAVENB
Phone: 949-887-8856
Lie Exp Date:
Description:
NEW SFR WIATT GARAGE 4,7151774 SF, BALCONY 151 SF & ROOF DECK 1,566 SF
Code Edit : 2016
Worker's Compensation Insurance
Legal Desc.:
TR NO 710 LOT 1 AND T6S R10W SEC 34 POR OF E1/2�
Carrier:
EVEREST NATIONAL
Address:
Occupancy Group: R3/U
Added /New/TI sq.ft. Bldg: 4715
Policy No:
Expire:
07110001227
0710112017
Owner:
WARMINGTON JAMES P JR TRUST 1 Contractor: WARMINGTON RES CA INC
Architect: OLSEN ERIC
Demolition Fee
Address:
37 CAPE ANDOVER Address: 3090 PULLMAN STREET
Address: 158 N GLASSELL ST #201
Rear: 4
Special Conditions: C
NEWPORT BEACH CA 92660 COSTA MESA CA 92626
ORANGE CA 92866 ° ° m •
° e e a o e;
Phone:
Phone: 714-434-4436
Phone: 949-687-8856 State Lic:C034489 OO°o
Left: F-4
Grading PC Fee:
Bldg Sprinklers: Y
e °
Right: 4
$0.00
Flood Zone: X10.2
some
Parkinq Spaces: 3
Applicant: OLSEN ERIC
Con State Lie:
852282
Engineer: FORBES DALE L
Address: 158 N GLASSELL ST #201
Lie Expire:
01131/2019
Address: 1800 E 16TH ST #B
ORANGE CA 92866
Bus Lie:
ST30056666
SANTA ANA CA 92701
Phone: 949-887-8856
Lie Exp Date:
09/3012017
Phone: 714-835-2800 State Lic:C-030407
Code Edit : 2016
Worker's Compensation Insurance
Designer
FZRE
Type of Construction: V -B -SPR
Carrier:
EVEREST NATIONAL
Address:
Occupancy Group: R3/U
Added /New/TI sq.ft. Bldg: 4715
Policy No:
Expire:
07110001227
0710112017
Phone:
QUjj�`ERS
Added /New sq. ft. Garage: 774
SJH Trans : $0.00
Demolition Fee
'REQ
No of Stories: 3
Building Setbacks
Rear: 4
Special Conditions: C
No of Units : 1
In -lieu Housing Fee: $0.00
Front: 10
$0.00
Bldg Height: 29
Energy Compliance:
Left: F-4
Grading PC Fee:
Bldg Sprinklers: Y
Public Works Department -
Right: 4
$0.00
Flood Zone: X10.2
Use Zone: R1
Parkinq Spaces: 3
Fire Hazard Zone : N
Building Permit Fee:
$5,888.00
Excise Tax:
$1,152.69
Planning Department -
Fire Department
Plan Check Fee:
$0.00
Additional Fee :
$1,056.08
Plan check Fee : $300.00
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:
$0.00
Grading PC Consultant:
$827.30
SJH Trans : $0.00
Demolition Fee
Record Management :
$74.00
Grading Permit Fee:
$820.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$181.60
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$156.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
PNV Plan Check: $608.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$412.16
San Dist: $0.00
Building Green Fee :
$48.00
Mechanical %:
$235.52
NMUSD Fee: $3,133.52
$0.00
Plumbing %:
$529.92
$0.00
TOTAL FEE :
$15,422.79
Plan Check Fee
: $0.00 Fee Due at Permit Issuance : $15,422.79
PROCESSED BY:
PUBLIC WORKS APPROVAL:
KC
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MILD
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ZONING APPROVAL:
PLAN CHECK BY:
S
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GRADING APPROVAL:
LTJ
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 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® 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
eidfOftns Coaferordbat 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
netamme than five hunQred dollars ($500).
P.1, ay' owner'o$ th 4operty, 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,
lgeslRam and Profgssions 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
irlmprauements 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
qVQyeB for th$ pwr'pose of sale).
leas owner -oFtiteproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
rR T%n owrW,? 8?prgper y who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).
9 •••.
N I dpi exempt Trom licensure under the Contractors' State License Law for the following reason:
By rtry�slgnature b&ow 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 legall)
sell a structure ttla�l•Maye 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
Fjroloorions Code+4s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
3ignatur@ of Propp4ty Awner or Authorized Agent Date
LICENSED COgI.TRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7.00) e of Division 3 of the Business and Profes ions C and y license is in full force
and effect. License Class License No Date (7 Contractor Signature,
NORKERS' 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 FORI ECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of �. Ilowing declarations:
1 have arjCJ,, 11 9kiafl a�in� te 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
sy'rnahcooth.'e.JJdrkor whlct)Ptktis°pIit is issued. Policy No.
h ve and will Nf intain Nt_111Wers'- 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
ice carrier Adlpolicy number are:
'ier Policy Number Expiration Date
is of Agent Phone #
certify that, in the performance f the work for 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
if I should become subject tot rkers' co ensation ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�f 1 P y
lature of Applicant /� Date,/ -77 (y
CLARATION REGARDING CONSTRUCTION LENDING 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 provided is correct.
I agree to comply with all applicable city and county ordi antes and state laws relating to building construction.
I authorize representatives of this city or county to enter abW,9�fdentified property for inspection purposes.
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
CANCELLED
DEPA
EXTENDED
UAQMD
FINAL
:ATE OF
NCYISSUED
O—dS-1
LIAS13ESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.