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HomeMy WebLinkAboutX2017-2737 - Permitsat'o City of Newport Beach - Building Division 40` T 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 °txrrva Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-2737 x 2 9 1 7 2 7 3 7 Project No: 0092-2016 Issued Date: 09/1512017 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 EBB TIDE CIR NB Description: NEW DETACHED SFR PLAN 3A - 2134 & 419 SF.DECKS 573 SF "EBB TIDE" Legal Desc Owner: EBB TIDE LLC Address: 4 PARK PLAZA, STE 1000 Occupancy Group: IRVINE CA 92614 Phone: 949-789-8441 Applicant: EBBTIDE LLC Address: 4 PARK PLAZA, STE 1000 No of Units : IRVINE CA 92614 Phone: 949-789.6441 Code Edit: 2013 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2134 Added /New sq. ft. Garage: 419 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: BT30057158 Construction Building Permit Fee: $3,238.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $62.40 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $20.00 TOTAL FEE: $5,326.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M B K BUILDERS INC Architect: Address: 175 TECHNOLOGY DRIVE Address: SJH Trans: IRVINE CA 92618 In -lieu Housing Fee Phone: 949-789-8441 Phone: Con State Lie: 844533 Engineer: Lie Expire: 08/31/2018 Address: Bus Lie: BT30057158 Lie Exp Date: 11130/2017 Phone: Workers Compensation Insurance Designer: Carrier: MITSUI SUMITOMO Address: Policy No: - WCP9110109 Expire: 07/01/2017 Phone: 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: NA Front: 25 Left: NA Right: NA $536.13 $714.50 $0.00 $0.00 $0.00 $0.00 $106.00 $226.66 $129.52 $291.42 TEXTER CHRISTOPHER S // 17911 VON KARMAN AVE, STE 200 •� IRVINE CA 92614 949.851-2133 State Lic:CO25901 0°°• • o a• SADLER KENNETH WEST 1800 E 16TH ST e m o o e o SANTA ANA CA 92701 ° 714-835-2800 State Lic:C-045316 •° °•ou •m m Special Conditions: Fire Hazard Zone : Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PMN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 0 0 mmmm°m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $5,326.63 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 o e 0 0•mvo m 000m0 °moom0 a° emm°o° m 0000 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 0 mmmm°m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $5,326.63 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 o e 0 0•mvo m 000m0 °moom0 a° emm°o° m 0000 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) Iction 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 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 )fessions 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 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, 3iness 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 xovements 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 xoved 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 )ly 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; PrMili :ensure under the Contractors' State License Law for the following reason: my signature B@IdW 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 ,wetnlcture the*1 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 ifesslons Coria,.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. gat6W of Propetty Owner or Authorized Agent Date ENSED C014TR4CTOR'S DECLARATION jel%affirm elyder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7001 of3 Of the Business and Professions Co is in full force 1 effect. License Class License No Date I Contractor Signature )RKfRS' OOMP.BNSATION DECLARATION M8M': 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 g'pFC.OMPENSAIiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Reby,afff jfNpt "malty of perjury one of the following declarations: 1 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 thf ance oflhawdrk for which this permit is issued. Policy No. have 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' compensatior uance carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance of the work far 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 to o kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant %A— / _. Date;_ 7//�� /1� /17 IECLARATION REGARElN$6 CONSTRUCTION LENDING AGENCY hereby affirm under peKdrly 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). Enders Name Lender's Address ;y 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 ord' nces and state laws relating to building construction. I authorize representatives of this city or county to ent ve-identified property for inspection purposes. ionature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Agent's Name �( ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF (/I OCCUPANCYISSUED 1(� DATE BY DECLARATION OF IREGULAT ONS PART0610 OF 0 AND QMD RUCE WITH CODE OF LE FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED 0 \IIN`YI 1 SIGNATURE: NOTIFICATION IS N9TAPPLICABLE TO Permit No : Plan Check No: Address : Suite No: Owner Work Description : X2017-2737 0092-2016 4 EBB TIDE CIR _ EBB TIDE LLC 4 PARK PLAZA, STE 1000 IRVINE. CA 92614 Code Year Edition :2013 Occupancy Group: R3/U ConstructionType: V -B -SPR Occupant Load: N/A Fire Sprinklered: Y NEW DETACHED SFR PLAN 3A - 2134 & 419 SKDECKS 573 SF "EBB TIDE" THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, T141S STRUCTURE WAS IN COMPLIANCE WITH TFIE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. r P Chief Building Oficial: Samir Ghosn, MS, PE, CBO. Signature : Date: - 3 P }