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Home My WebLink AboutX2017-2724 - PermitsQ City,of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-2724 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 7 2 4Project No :0092-2076 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM 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: 40 EBB TIDE CIR NB Description: NEW DETACHED SFR PLAN 3A - 2134 & 419 SRDECKS 573 SF "EBB TIDE" )� /' Legal Desc.: V& Owner: EBB TIDE LLC Contractor: M B K BUILDERS INC Architect: TEXTER CHRISTOPHER S • ° Address: 4 PARK PLAZA, STE 1000 Address: 175 TECHNOLOGY DRIVE Address: 17911 VON KARMAN AVE, STE 200 p +®• • IRVINE CA 92614 IRVINE CA 92618 IRVINE CA 92614 Phone: 949-789-8441 Phone: 949.789-8441 Phone: 949-851-2133 State Lic:CO25901 Applicant: EBBTIDE LLC Con State Lie: 844533 Engineer: SADLER KENNETH WEST Address: 4 PARK PLAZA, STE 1000 Lie Expire: 0813112018 Address: 1800 E 16TH ST " , •" "" ° IRVINE CA 92614 Bus Lie: BT30057168 SANTA ANA CA 92701 Phone: 949-789-8441 Lie Exp Date: 11/3012017 Phone: 714.835-2800 State LiaC-045316 °® ° "."•°a Code Edit: 2013 Worker's Compensation Insurance Designer. oo"m°o Type of Construction: V -B -SPR Carrier: MITSUI SUMITOMO Address: Occupancy Group: R31U Policy No: WCP9110109 °cc c c Added /New sq.ft. Bldg: 2134 Expire: 07/0112017 Phone: Added /New sq. ft. Garage: 419 No of Stories: 3 Building Setbacks Rear: NA Special Conditions: No of Units : 1 Front: 25 Bldg Height: 0 Left: NA Bldg Sprinklers: Y - Right: NA Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $480.000.00 Building Permit Fee: $3,238.00 Excise Tax: $536.13 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $714.50 Plan check Fee : $0.00 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: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $62.40 WO Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $226.66 San Dist: $0.00 Building Green Fee: $20.00 Mechanical %: $129.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $291.42 $0.00 TOTAL FEE : $5,326.63 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $5,326.63 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 U 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 im roved for the purpose of sale). 1, as owner of theproperty, 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 owrtel bP roperty 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: lriliygnature 8@W4 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 legalll sell a §tructure that f 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 Professions Code his available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignafure of Property Owner or Authorized Agent Date LIGEIVSED Ctlft"UCTOR'S DECLARATION f her96y affirm ylprjer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f Di ision 3 of the Business and Profession ode and my I n is in 1 force and effect. Li moans e Class License No Date Contractor Signature s/ WeAORKERS' COy1PENSATION DECLARATION JJAIMICb FAILURE JO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS ($100,000), IN ADDITION TO THE COST ONCOMPENSAVQN DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. under p9nalty of perjury one of the following declarations: ... I;y(ifi maintain a certificate of consent to self -insure for workers' F the work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of 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 S9 the workers' compprisatioq provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date`s Wi CLARATION RE G CONSTRUVION LENDING AGENCY areby affirm and enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 o Inances and state laws relating to building construction. I authorize representatives of this city or county to a er fir above -i a tified property for inspection purposes. p. .,nn,�o s or...,oe,, n,.,ner mr A„rnnd7on Ana„r N A Bw _�% �il4—� Print Property Owner's or Authorized Acent's Name I r'L�'J� DATE BY /J DECLARATIA OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY (/ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS PERMIT EXTENDED I lr=KQMD PERMITFINAL SBESTOS NOTIFICATI N IS NOTAPPLICABLE TO CERTIFICATEOF OCCUPANCY ISSUED /17I7Z1'W / PROPOSED DEMOLIT SIGNATURE: Civil Code).