HomeMy WebLinkAboutX2017-2532 - PermitsI'o4 City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII�II� II COMB Permit: X2017-2532
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 5 3 2
Project No :1800-2017
h +. r.. Permit Counter Phone (949)644-3288)644 FIRE SPRINKLERS
Inspection Requests Phone (949)644-3255
4 r inc* Combination Type - MFP ELEC MECH PLUM GRAD ���i '�� Issued Date : 11116/2017
(J Inspection Area: 5
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: 302 IRIS AVE NB
Description: NEW MFR W/ ATTACH GARAGE 4243 SF & 500 SF
Legal Desc.: CORONA DEL MAR LOT 4 BLK 236 NELY 20 FT(AND SWLY 20 FT LOT 6 BLK 2 36
Owner:
BUBION INVESTMENT PROPERTIES LLC
Address:
1 CORPORATE PLAZA DR STE 110
Occupancy Group:
NEWPORT BEACH, CA 92660
Phone:
949-975.0123
Applicant:
TEALE MARK
Address:
2900 BRISTOL BLDG A STE 203
2
COSTA MESA, CA 92626
Phone: -
949.975-0123
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3IU
Added /New sq.ft. Bldg:
4243
Added /New sq. ft. Garage: 500
No of Stories:
3
No of Units :
2
Bldg Height:
Building Green Fee:
Bldg Sprinklers:
,.0
y
Building Permit Fee: $5,152.00
Plan Check Fee: $3,795.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$66.00
Energy Compliance:
$268.00
CA Seismic Safety:
$104.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$32.00
TOTAL FEE: $18,345.11
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
NICHOLSON CONSTRUCTION CO
Address:
1 CORPORATE PLZ #110
$0.00
NEWPORT BEACH CA 92660
Phone:
949.872-6637
Con State Lic:
660295
Lic Expire:
12/31/2018
Bus Lic:
BT98032850
Lic Exp Date:
04/30/2018
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9074255
Expire: 10/01/2018
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 20'
Left: 3'
Right: 3'
$996.03
$276.00
$0.00
$193.52
$820.00
$755.88
$0.00
$721.28
$566.72
$463.68
Architect:
TEALE MARK
Address:
2900 BRISTOL ST BLDG A203
$0.00
COSTA MESA CA 92626
Phone:
949-975-0123 State Lic:CO22162
Engineer:
HAKIM FADY
Address:
124 PEONY
$0.00
IRVINE CA 92618
Phone:
310.422.1536 State Lic:C-075736
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PM/ Plan Check: $228.00
San Dist: $1,538.00
NMUSD Fee: $1,978.00
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
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$0.00
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $5,443.40 Fee Due at Permit Issuance : $12,901.71
PUBLIC WORKS APPROVAL: i�'
PLAN CHECK BY: C�
APPROVAL TO ISSUE: 1<14_ 2 N./\ \
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 c1heckmark(s),I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requ ppe'rni, " strudt,'.""ICe'P1' ImfQ'�, "� molisti, 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 9s#b41 "af'�*AttootatLk�iLx nBE 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 aIle viol on 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). 9�
❑ I, as owner of the property, 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,
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).
U I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below 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,
sell a structure 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 Busir
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Profs Iona Code, and rfy license is in full force
and effect. License Class License No Date l - 1 to - \-( Contractor Signature S
WORKERS' C61NPEaSATION DECLARATION
NN��LBtyt1lyy AILURE TQQ SECLLLLRRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM Al PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TOT
Cj1119 MPENS(1jIQIII,U$MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under peSalty of perjury one of the following declarations:
0 I haae 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
peplionmence of thu wollk for which this permit is issued. Policy No.
Nleeand will.%4r4tain 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' compensat
carrie nand policy number are:
39RIei • Policy Number Expiration Date
and
I certifyy that, in the perfor nee 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' co pensation laws of California, and agre
I'sllould becorgq cu et to the workers' cc t, provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of AppAi!ant
!CLARATION RE RIDING CONSTRUCTION LENDING AGENCY
areby affirm and 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).
rider'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 Pave provided is correct.
I agree to comply with all applicable city and coyfity ordinances and state laws relating to building construction.
I authorize representatives of this city or coun to enter the above -identified property for inspection purposes. _
(nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na Da
:TION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED I I / I IdMUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED MD
PERMITFINAL SBESTOS N IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF �1 I9i� PROPOSED DE LITION
OCCUPANCY ISSUED B 1:'6 SIGNATURE• SVQ A5V/-_%\.0 9_