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HomeMy WebLinkAboutX2011-1116 - Permitsgwno I , ., c�° ' City of Newport Beach Building Division M y v. PO Box 1768 Newport Beach, California 92656-8915 Permit Counter Telephone (949)644-3288 COMB Permit No: X2011-1116 PROJECT NUMBER: 0870.2011 Inspection Requests/Telephone (949)644 3PAT iNa 1.FOR Combination Type - SFP/ ELEC/ MECH/ PLUM/ GRAD Job Address: 920 W OCEAN FRONT NB Issued Date , 12/21/2012 . Description:NEW SFR W/BASEMENT & GAR 4496 & 724 SF, MECH RM 200 SF & DECKS 362 SF Inspector Area: 1 Legal Desc.: N TR 234 BILK 9 LOT 6 Owner: LAINER MARK Contractor:. R D M S INC Architect: RICHARDSON KARI Address: 17527 MAGNOLIA BLVD Address: 250 E BAKER ST, STE 300 Address: 642 FLOWER AV ENCINO, CA 91316 COSTA MESA CA 92626 VENICE CA 90291 mommmm Phone: Phone: 714-546-1130 Phone: 310.450-4875 State Lic:CO26982 E Applicant: FRANCIS TIM Con State Lic: 815872 Engineer: FORBES DALE L e° m Address: 15761 HUMMINGBIRD LN Lic Expire: 12/31/2014 Address: 1800 E 16TH ST ° HUNTINGTON BEACH CA 92649 Bus Lic: BT30008726 SANTA ANA CA 92701 Phone: 714-230-6416 Lic Exp Date: 01/31/2013 Phone: 714-835-2800 State Lic:C-030407 < CC Code Edit : ,'2010% Worker's Compensation Insurance Designer: m o Type of Construction: V -B -SPR Carrier: EVEREST NATIONAL Address: Occupancy Group: R3/U Policy No: 7600007821121 Added /New sq.ft. Bldg: 4696 Expire: 09/01/2013 Phone: �. Added/New sq. ft. Garage: 724 No of Stories: 2 Building Setbacks Rear: ZERO Special Conditions: CDP 5-12.166 No of Units : 1 Front: 8/5 2ND FL DECK $ ° o ` o Bldg Height: 24 Left: 3 ° °O IBIdg Sprinklers: Y Right: 3 Flood Zone: Use Zone: R-1 Parking Spaces: 3 Fire Hazard Zone :-N J Construction Valuation: $1,038.400.00 Building Permit Fee: $5,784.36 Solar System PC: $0.00 Planning Department- Fire Department Plan Check Fee: $4,216.74 Excise Tax: $1,138.20 Plan check Fee : $363.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $204.00 Grading Permit Fee: $969.20 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $253.00 Grading PC Fee: $673.20 Public Works Department - General Service $0.00 CA Seismic Safety: $103.84 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $199.50 Fee Increase: Fee: $0.00 Electrical W $404.91 San Dist: $673.00 Additional Fee : $0.00 Mechanical %: $289.22 NMUSD Fee: $4,408.64 2ND PC EXT $52.00 Hazardous Mat : $0.00 Plumbing %: $578.44 3RD PC EXT $52.00 Building Green Fee : $ .00 TOTAL EE : $20,4 8.051 Plan Check Fee: $4,969.26 Fee Due at Permit Issuance : $15,456.79 PROCESSED BY: PUBLIC WORKS APPRO L: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.19. 14.1 9. 315.2 m mmeoco m r m c m m mm �, o c o m u omeco mmmoo aom000 c u c. o ommoco 0 m000� OWNER -BUILDER DECLARATION 1. 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 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). _ ❑ 1, 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). ❑ 1 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, I cannot legall) sell a structure ftiAW.IvVe 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 P,rofessipns Code, is a�lailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html. linaE teip of Pro pertyy O�wner or Authorized Agent Date LICEgSED COPhTMTOR'S DECLARATION I-heveby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an no s ons de and my license is in full force and d.—Z. (— I,iCP,nstiesE,Flass y • License No to V7_/o`ntractor Signature � AfORKERS' COMPENSATION DECLARATION .. NARNI1N%FAILUR9 TBSE*RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT Aryi EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE SO&TOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANO/ATTORNEY's FEES. -h,erasy affirm under penalty of perjury one of the following declarations: • have and W11 Tff*tain 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 =&"r' nce of tqe work for which this permit is issued. Policy No. h v and will sriairhin 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' compensatiol nsura0 carrier and policy number are: 1e of Agent certify that, in the p( of I should become of Policy Number Date 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 Ar, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING'CONSTROCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. ction 3097, Civil Code). 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 count r nces and state laws relating to building construction. .4uthorize representatives of this city or county t e he q�e-identified property foi inspectlsln purposes._ - re of Property Owner or Authorized Agent (, — 7Prlvt roperty Owner's or Authorized Agent's Name ACTION DATE BY eJtr.r tg4irrvry ur L,vmrunry vnrn wV cvr rvrturrl. we vivo FEDERAL REGULATIONS PART 69 OF TITLE40AND AQMDRULE 1403. PERMIT EKPfRED ❑ ISUBMITTEDASBESTOSNOAFICATIONTO.' ❑ EPA ❑ AQMD PERMITCANCELLED - PERMITEXTEND€D ©OPOSEDDEMOLITION.TOS RONlSNOTAPPlICABlETO PERMTFFINA! f ��—!� b 7 .,. CERTIRCATEOF SIGNATURE. OCCUPANCYfSSUED A �.- 111 U Permit No : Plan Check No Address : Suite No: Owner: Work Description X2011-1116 0870-2011 920 OCEAN FRONT W LAINER MARK 17527 MAGNOLIA BLVD ENCINO, CA 91316 Code Year Edition :2010 Occupancy Group: R3/U ConstructionType: V -B -SPR Occupant Load: N/A Fire Sprinklered: Y NEW SFR W/BASEMENT & GAR 4496 & 724 SF. MECH RM 200 SF & DECKS 362 SF 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 : - KqN\i Date :I/ / � �'�/