HomeMy WebLinkAboutX2017-2022 - Permits�7,�„�
City of Newport Beach - Building Division *M017-2022*
COMB Permit: X2017-2022
0.
�' `-
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
A, '�'Y
�� SPRIIVKl.ERS
Project No: 1404-2017
,
• n
(949)I;A4-3268.......
62 BALBOA COVES
LANCASTER, CA 93539
*
Inspection Requests Phone (949)644-3255
Type SFP GRAD MECH ELEC
/
PLUM REOUIREI3
Issued Date :12/2012017
'skw",#`
.Combination -
Phone:
Phone:
949-637.5220 State Lic:CO29374
Inspection Area : 1
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 Sundarkorogjl y T r
Job Address: 1223 E BALBOA BLVD NB i ;� n , }
Description: NEW SFR W/ATT GARAGE 2,8181447 SF
n
Legal Desc.: BALBOA TR EAST SIDE ADD BLK 20 LOT 11". -*-
w
Owner: ARRACHE RONALD B
Contractor:
OWNERIBLDR
Architect:
AUST ERIC
Address: PO BOX 2143
Address:
ARRACHE RONALD B
Address:
62 BALBOA COVES
LANCASTER, CA 93539
NEWPORT BEACH CA 92663
Phone:
Phone:
Phone:
949-637.5220 State Lic:CO29374
Applicant: AUST ERIC
Con State Lic:
O/B
Engineer:
VIDIKAN ANDREW S
Address: 62 BALBOA COVES
Lic Expire:
Address:
3611 MOTOR AVE #210
NEWPORT BEACH CA 92663
Bus Lic:
LOS ANGELES CA 90034
Phone: 949-637-5220
Lic Exp Date:
Phone:
310.815-0667 State Lic:C-035623
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B -SPR
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 2818
Expire:
Phone:
Added /New sq. ft. Garage: 447
No of Stories: 3
Building Setbacks
Rear:
0' (Street)
Special Conditions: PA2017-090 (CD2017.038)
No of Units : 1
Front:
10' (Beach)
O/B AUTH ATTACHED
Bldg Height: 24
Left:
3'
Bldg Sprinklers: Y
Right:
3'
Flood Zone: 0.2
Use Zone: R-1
Parking
Spaces, 2
Fire Hazard Zone : N
Construction Valuation: $850.000.00
Building Permit Fee: $4,563.00
Excise Tax:
$685.65
Planning Department -
Fire Department
Plan Check Fee: $2,903.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant: $1,161.12
SJH Trans :
$0.00 Demolition Fee
Record Management: $102.00
Grading Permit Fee:
$861.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
Energy Compliance: $268.00
Grading PC Fee:
$254.88
Public Works Department -
General Service
CA Seismic Safety: $110.50
WQ Insp. Fee:
$108.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
PAN Plan Check:
$380.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$319.41
San Dist:
$731.00
Building Green Fee: $34.00
Mechanical %:
$182.52
NMUSD Fee:
$1,137.12
Plumbing %:
$410.67
-
TOTAL FEE: $14,602.87
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee : $3,562.40 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ___i"Ge APPROVAL TO ISSUE:
e
m.mmmm
m
0
�a.oc�•
o m
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11,040.47
moo
coot
m
oroo
0
eoo
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors t t o 4 F, lfe r on = 1 ted 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'ib�olt"cYltef�; lish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions 00)�'�',D�,�tP2p(cense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that he or she is exempt from licensure and the basis for the allegedtbaienapti8fi4A foj 11 of Section 7031.5 by any applicant for a permit subjects the applica5t to a civil penalty of
ore than five hundred dollars ($500).
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 (Seotion 7044,
mess 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
nprovements 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
Tn roved for the purpose of sale).
9, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BusinessandProfessions Code: The Contractors'. State License Law does r;-<_
pply to an owner of property who builds or improves thereon, and who contracts for the projec with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State Licen aw for the following re on:
y my signature below I acknowledge that, except fo4�p
p
net resi nc in which I m ave resided for at least one year prior to completion of the improvements c vend by this permit, I cannot legall,
ell a structure that I have built as an owner -builder is been n ted in its ty by licensed contractors. I understand that a copy of the applicable law, ction 7044 of the Business and
'rofessions Code, is available upon request when thlicati ubmi ed or tT owing Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agi§ctt," Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sects 7000) of Division 3 of the Busi e d Professi ode nd m s in full force
nd effect. License Class License NoD Contract I nature
YORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 91MILL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 8703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirptlyrrJe6 penalty of perjury one of the following declarations:
I inave amr� will giaintain 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 th
Alounance.o# the work for which this permit is issued. Policy No.
..
�ISi3ve 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' compensatioi
iausance carrier agcJ policy number are:
'An{ar _ • [ PDlicv NunAd _ Expiration Date
atffe of Agent / rnone s
�i certify that *IF'
ttte erform of th work 15i�� tis issued, I shall not employ any pe son in any manner so as to become subject to the wor ars' compensation laws of California, and agree
11111f I shout meS the o s' ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
....
1gnalire of yG - ate
DECLARATION REG'AR CONSTRI619115N LeflDING AGENCY
Hereby affirm u nde7 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).
Erg's 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 behalfJating
I have read this application and the information I have prov correct.
I agree to comply with all applicable city and county Inances n state I to building construction.I authorize representatives of this_Ety or county V?* the o a is for inspection purposes.
signature of Property Owner or AL
ACTION DATE
PERMIT EXPIRED
PERMIT CANCELLED
1-3
CERTIFICATE OF lh"( a—
OCCUPANCYISSUED
Print ProDertv Owner's or Authorized
EXCLARATION OF CQIVPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
2091 e U z2 '> 223 ?
Permit No: X2017-2022
Plan Check No: 1404-2017
Address : 1223 BALBOA BLVD E
Suite No:
Owner: ARRACHE RONALD B
PO BOX 2143
LANCASTER, CA 93539
Work Description: NEW SFR W/ATT GARAGE 2.818/447 SF
Code Year Edition :2016
Occupancy Group: R3/U
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 CONSTRUCTIOO��N OR USE.
Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature:_