HomeMy WebLinkAboutX2018-3525 - PermitsA61,I)
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
I f R t Ph -4-6443255
Fl�
COMB Permit: X2018-3525'
Project No: 2730-2018
1t on aquas s one( ) - REQUIRED Issued Date : 03/0512019
Combination
Iination Type - SFP ELEC MECH PLUM GRAD v
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: 402 HELIOTROPE AVE NB
Description: NEW SFR W1ATT GARAGE 3,1671361 SF -
Legal Desc.`.. CORONA DEL MAR BLK 335 LOT 4 -
Owner: 402 HELIOTROPE NB LLC Contractor: OWNERIBLDR Architect: GOETZ ANDREW
Address: 2630 WALNUT AVE #A Address:.:: JACK HERRON Address: 2855 E COAST HWY #234
TUSTIN CA 92780 CORONA DEL MAR CA 92625
Phone: Phone: Phone: 949.673-3152 State Lic:C018499
Applicant: JOSHIGOETZ ANDREW.
Con State Lia
O/B
Engineer: GOETZANDREW
Address: 2855 E COAST HWY #234
Lic Expire:
$4,866.00
Address: 2855 E COAST HWY, STE 234
$740.88
Planning Department-
CORONA DEL MAR CA 92625
Bus Lic
Plan Check Fee: $3,035.00
CORONA DEL MAR CA 92625
$496.00
Plan check Fee: $417.00.
.Phone: 949-673-3152
Lic Exp Date:
Overtime Plan Ck
Phone: State Lic-
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
Code Edit: 2016
Worker's Compensation Insurance
Designer.
Record Management:
Type of Construction: V-BSPR
Carrier:
$896.00
Address:
Building Dept Adm
$0.00
Occupancy Group: R-31 U
Policy No:
Grading PC Fee:
$779.52
Public Works Department -
General Service
Added /New sq.ft. Bldg: 3167
Expire:
$104.00
Phone:
$108.00
Park Dedication : $0.00
Added /New sq. ft. Garage: 361
$0.00
Disabled Access :
$0.00.
No of Stories: 3
Building Setbacks
Rear: 5
Special Conditions: OWNER/BLDR ATTACHED
.... °
...
No of Units : 1
-
Front: 15
Building Green Fee :
$32.00
Bldg Height: 29
$194.64
Left: 3
$0.00
Bldg Sprinklers: Y
Plumbing %:
Right: 3
$0.00
Flood Zone: X
Use Zone: R-2
Parking Spaces: 2
Fire Hazard Zone : N
$13,577.26
PROCESSED BY:
Construction Valuation:
$8o0.000.00
Building Permit Fee:
$4,866.00
Excise Tax:
$740.88
Planning Department-
Fire Department
'...
Plan Check Fee: $3,035.00
Additional Fee:
$496.00
Plan check Fee: $417.00.
Fire Inspection:
$0.00 '..
Overtime Plan Ck
$2,589.00
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:
$48.00
Grading Permit Fee:
$896.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance:
$268.00
Grading PC Fee:
$779.52
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$104.00
WQ Insp. Fee:
$108.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access :
$0.00.
PAN Plan Check : $412.50
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$340.62
San Dist: $803.00
Building Green Fee :
$32.00
Mechanical %:
$194.64
NMUSD Fee: $4,097.68
$0.00
Plumbing %:
$437.94
$0.00
TOTAL FEE : $20,665.78
Plan Check Fee
: $7,088.52 Fee Due at Permit Issuance :
$13,577.26
PROCESSED BY:
n ^
PUBLIC WORKS APPROVAL:
/
ZONING APPROVAL:
✓/�
PLAN CHECK BY:
-
GRADING APPROVAL:
APPROVAL TO ISSUE:
?N
OWNER -BUILDER DECLARATION re
1 hereby affirm under penalty of perjury that I am exempt from thet on(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
-coon 7031.5, Business and Professions Code: Any city or county that requir s a perm't t n t, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
1 permit to file a signed statement that he or she is licensed pursuant to the vI ippi s f o tors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
lfessions Code) or that he or she is exempt from licensure and the basis fo Iy�lrej� ny violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
t more than five hundred dollars ($500).
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,
siness 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 ttAe
provements are not intended or offered for sale. If, however, the building or improvement is sold within one year ofcompletion, the Owner -Builder will have the burden of proving that it was not build;
roved 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
N'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).
I am exempt,from licensure under the Contractors' ate License Law for the following reason: '
my signature below I acknowledge that, except for y personal residence in which I must have resided for at least one year prior to completion of the improvements covered b this permit, I cannot Iega11,
II a structure tnatl have built as an owner -builder if' as not been c nstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and
of=,sions Code, (isavailableupon request when th' p f all 1 bmitted or at the following Web gite:hftp://www.l info.ca.gov/calaw.html.
(nature of Proporty Owner or Authorized Agent 6 Date 5
:;LENSED CONTRACTOR'S DECLARATI �t L
ereby affirm cinder penalty of perjury that I am ensed under provisions of'CfiaTj OAmr 9 cil4g wai tion 7000Jfs�bf Di sion", of the Business and Professions C de, and my license is in full force
d effect LSgeppe Class License No Date Contractor Signature
,rKERS' COMPENSATION DECLARATION
FINING: FAILUJE %SECURE 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
Si QP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
-rgjiy affirm under penalty of perjury one of the following declarations:
rl have and'vbifl 4r5alntain 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
fgrrnance of tlggwork for which this permit is issued. Policy No. -
I•If2ve and wlll ai 01ain 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
urance carrier and policy number are:
Policy Number
ne of Agent
Date
JI certify that, in the pert rmance 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 ensation laws of California, and
Iat, if I should become bject to the workers' compensation provisions of Section of th Lab Code, I shall forthwith comply with those pro,Jviylons.
ignature of Applicant®'1 - (9..i A� GL '�^-�-u�— YV(^'I�^- Date
DECLARATION RE DING CONSTRUCTION LENDIN AGENCY
hereby affirm under alty per" ry that there is a construction lending agency f e performance of the work for which is permit is issued (Section 3097, Civil Code). -
order's Name Lender's Address
y.my signature belo , I e ify to each of the following:
I am the prof ner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
1 agree to comply with all applicable city and cou ordinances and state laws relating to building construction. Al
Iff thorize representatives of this city or county t er ea
,Pove-identifieedd pr� y.for i s action purposes. -
ature of Pronerty Owner or Authorized ADent ��.raz.. MPS
Prooertv Owner's or Authorized
EXPIRED
DATE BY / 11- T DECLARTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE TIONS PART 61 OFTITLE 40ANDAQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
A5 CGS
APPLICABLE
3- 5--
PERMIT CANCELLED
I�/
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
-
OCCUPANCYISSUED
DATE BY / 11- T DECLARTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE TIONS PART 61 OFTITLE 40ANDAQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
A5 CGS
APPLICABLE
3- 5--
�2D1�' 3 25 LW. Wompt "P.
Permit No: X2018-3525
Plan Check No: 2730-2018
Address : 402 HELIOTROPE AVE
Suite No:
Owner: 402 HELIOTROPE NB LLC
2630 WALNUT AVE f1A
TUSTIN CA 92780
Work Description: NEW SFR W/ATT GARAGE 3,167/361 SF
Code Year Edition :2016
Occupancy Group: R-3 / 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 REGULA IN1G BUILDING CONSTRUCTION OR USE.
Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature: V �- �'j Date: I ® !1— 2,910