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Home My WebLink AboutX2016-3907 - Permitsori/oy� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIiglllllllllillllllll COMB Permit: X2016-3907 +a 4' 100 Civic Center Drive, Newport Beach, CA 92660 i X 2 0 1 ,6 3 9 0 7 Project No: 1481-2016 [., + Permit Counter Phone (949)644-3288 c�`i Inspection Requests Phone (949)644-3255 �xcarou Combination Type - SFP GRAD ELEC MECH PLUM Issued Date :11/29/2016 Inspection Area : 2 KINGS RD NB PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. �f Rear: Front: Left: Right: Parking Job Address: 1011 Special Conditions: 2 Fire Hazard Zone : *"LANDSLIDE AREA" N Construction Valuation: $875.320.00 Description: NEW SFR W/ATT GARAGE 3993 & 510 SF; Legal Desc.:. P BK 199 PG 18 PAR 1VIA Building Permit Fee: •+•r Excise Tax: Owner: D'ELISCU BRUCE Contractor: OWNERIBLDR Architect: 4 LASATER EDWARD ANDERSm Fire Department Address: 1011 KINGS RD Address: AUTHORIZED AGENT: Address: 384 FOREST AVE #12 $0.00 NEWPORT BEACH, CA 92663 CHRIS WERNER $825.00 LAGUNA BEACH CA 92651 • "` y='tl: • ° ° Phone: Phone: Phone: 949-497-1827 State Lic:C030374 ° ° e • ° Fair Share : $0.00 Fire Plan Rev 0 o e e o Applicant: HERBST BRANDON Con State Lic: O/B Engineer: MANSHADI FARHAD ° ° ° • ° •e ° Address: 384 FOREST AVE Lie Expire: Address: 1800 E 16TH ST UNIT B e ° "• $158.00 LAGUNA BEACH CA 92651 Bus Lie: SANTA ANA CA 92701 .... • ° ° ° ° e Phone: 949-497.1827 Lie Exp Date: Phone: 714.835-2800 State Lic:C-036840 • ° ° ° ° ° $106.70 Public Works Department - • � oo•eeo Code Edit: 2013 Worker's Compensation Insurance Designer: a•O°°• a ' o Type of Construction: V -B -SPR Carrier: Address: .... ..... ° Occupancy Group: R3/U Policy No: • ® • ° e • • ® ° Added /New/TI sq.ft. Bldg: 3993 Expire: Phone: $0.00 Hazardous Mat Added /New sq. ft. Garage: 510 No of Stories: 2 No of Units: 1 Bldg Height: 24 Bldg Sprinklers: Y Flood Zone: X Building Setbacks Use Zone: R-1 Rear: Front: Left: Right: Parking 10' 10' 4' 4' Spaces: Special Conditions: 2 Fire Hazard Zone : *"LANDSLIDE AREA" N Construction Valuation: $875.320.00 Building Permit Fee: $5,152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $825.00 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 : $486.10 SJH Trans : $0.00 Demolition Fee Record Management: $158.00 Grading Permit Fee: $1,001.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $106.70 Public Works Department - General Service $0.00 CA Seismic Safety: $113.79 WO Inap. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $608.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $360.64 San Dist: $1,410.00 Building Green Fee : $36.00 Mechanical %: $206.08 NMUSD Fee: $4,342.40 $0.00 Plumbing %: $463.68 $0.00 TOTAL FEE : $15,269.39 PROCESSED BY: :a,.�L10 t v -- ZONING APPROVAL: /V/A�_ �` GRADING APPROVAL: `i 'Ol 5'i Plan Check Fee $0.00 Fee Due at Permit Issuance : $15,269.39 PUBLIC WORKS APPROVAL: v PLAN CHECK BY: n l Len APPROVAL TO ISSUE: LDER 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 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). ❑ 1, 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, 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 ved for the purpose of sale). Fa❑ as ownBr6&Ve;property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not y ban 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 an exerMptIr nlicensure under the Contractors' State License Law for the following reason: 8y my signature I elow 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 legalll sLOII.%Rructure that I have built as an owner -builder if' 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 3rofeesions Cgde, js available upon request when t ' has is submitted or at the following Web site:http://vAm.leginfo.ca.gov/calaw.htmi. signature of PrdpErty Owner or Authorized Agent Date LICtNSED CGNI*CTOR'S DECLARATI N 11 libPeby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ane Cffect. Licence Class License No Date Contractor Signature jvQRT1*_:RS' COMPP,NSATION DECLARATION YARNING FAILURE TO SEQIRE 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 iOST-OMPENS4T4(" DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'hesaby affirm ?nd%%malty of perjury one of the following declarations: 1 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 the *rformance of the work 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' 'ance carrier and policy number are: Policy Number Expiration Date ie of Agent Phone # 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 if I should becomesu act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant Dat GLARATION REG DING CONSTRUCTION LENDING AGENCY 3reby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 or nances and state laws relating to building construction. I authorize representatives of this city or county to a er the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name TION DATE BYDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE PERMITEXPIRED I I/-1 I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QM D PERMITFINAL U BESTOS NO ICATION IS NOT APPLICABLE TO CERTIFICATE OF�/ P POSED DE T OCCUPANCYISSUED '`'7 (�J / SIGNATURE: w� 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. Permit No : X2016-3907 Plan Check No: 1481-2016 Address : 1011 KINGS RD Suite No: Owner: WELISCU BRUCE 1011 KINGS RD NEWPORT BEACH, CA 92663 Work Description: NEW SFR W/ATT GARAGE 3993 & 510 SF 0 Code Year Edition :2013 Occupancy Group: RKU ConstructionType: V -B -SPR Occupant Load: N/A Fire Sprinklered: Y 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, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature :�n nnobs) Datefh '