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HomeMy WebLinkAboutX2019-0209 - PermitsCity of Newport Beach - Division Building Permit Fee: Plan Check Fee: $0.00 $5,494.00 CA 9266,8 fl 100 Civic Center Drive, Newport Beach CA 92660 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIII $853.02 PlanningDepartment - P Fire Department Overtime Plan Ck; $0.00 Additional Fee : Grading Bonds Feer .$2$0.00 . COMB Permit: X2019-0209 , Permit Counter Phone (949)644-3288 Project NO: 2097-2018 0'�} Q� -Inspection Requests Phone (949)644-3255 P>i7MU S e'�4rnn'�y* Combination Type- SFP W $0.00 :. ELEC MECH PLUM GRA Issued Date: $0.00 REQUIRED Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $106.00 $0.00 Grading Permit Fee: Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 Job Address: 704 POPPY AVE NB p.m. No work on Sundays or Holidays $0.00 $0.00 Description:- NEW SFR W/GARAGE& BASEMENT3574 & 488 SF; DECK(S) 1491 SF Legal Desc.: N TR 673 BLK B LOT 8 $104.00 Gradin PC Fee: 9 WO Insp. Fee: Owner: DUGGAN Public Works Department- KEITH .Contractor: CORNERSTONE CONSTUCTION Architect Address: 23725 VIA ROBLE ' TEALE MARK °A Address: 15540 ROCKFIELD BLVD STE A 110 Address: COTO DE CAZA CA 92679 y'4 I'L 2900 BRISTOL ST BLDG A203 "' F: A IRVINE, CA 92618 Phone: - 949.875-0123 Ph - Phone: 949-369.1979 COSTA MESA CA 92626 ° mm•emm :eerc` Phone: 949-975-0123 State Lic:CO22162 ° Applicant. TEALE MARK Address: 2900 BRISTOL ST BLDG A203 Con State Lia . _ 1033864 Engineer.. BURKE THOMAS • e;e ` ; Lic Expire: 12/31/2019 Address: COSTA MESA CA 92626 Bus Lie: ° • • 312 OCEAN AVE ° BT30061583 Phone 948-975-0123 Lic Exp Date: 12/31/2019 LAGUNA BEACH CA 92651 ° Phone: 949-494-0776 State Lias -005088 e•o. °• Mechanical "/°: Code Edit: 2016 .Worker's Compensation Insurance° m a, •a•nr Type of Construction: V-BSPR Designer. Carrier. ACCREDITED SURETY & CASUALTY Address: Occupancy Group: R3/U • •.�,,; Policy No: 1ATCA16000621 Added /New sq.ft. Bldg: 3574°' • _ • ° Expire: 11/22/2019 Phone: Added /New sq. ft. Garage: 488 ° o No of Stories: 2 Building Setbacks Rear: 10'" ° G ° ° No of Units : 1 Special Conditions: FUEL MOD, VHFHSZ, a ©c • . ° • o �. Front: 20' Bldg Height: 24 LANDSLIDE AREA Bldg Sprinklers:. y Left: 3' Flood Zone: x Right: 3' Use Zone: R-1 Parking Spaces: 2 Fire Hazard Zone : N -$800.000.00 11 Construction Valuation: Plan Check Fee: $0.00 Fee Due at Permit Issuance : Building Permit Fee: Plan Check Fee: $0.00 $5,494.00 Excise Tax: $853.02 PlanningDepartment - P Fire Department Overtime Plan Ck; $0.00 Additional Fee : Grading Bonds Feer .$2$0.00 . $0.00 Fire Inspection: $0.00 .Investigation Fee: $0.00 Grading PC Consultant : $387.04 Fear Shachere :Fee SJH Trans $0.00 Fire Plan Rev $129.00 Record Management : Energy Compliance: $106.00 $0.00 Grading Permit Fee: $1;165.00 : In -lieu Housin Fee : g $0.00 $0.00 Demolition Fee Building Dept Adm CA Seismic Safety : $104.00 Gradin PC Fee: 9 WO Insp. Fee: $84.96 $108.00 Public Works Department- General Service $0.00 $0.00 Disabled Access: $0.00 Park Dedication ; $0.00 Refund Deposit $0.00 Hazardous Mat $0.00 Electrical %: $384.56 P/W Plan Check: $247.50 San Dist: Gradin g Bond: $0.00 Building Green Fee : $32.00 Mechanical "/°: $219.76 $803.00 NMUSD Fee: $4,360.80 bing%: $494.46$0.00 $0.00 TOTALq;'um Plan Check Fee: $0.00 Fee Due at Permit Issuance : $15,263.02 PROCESSED BY: ' PUBLIC WORKS AP OVAL: .! ; ZONING APPROVAL: PLAN CHECK- GRADING APPROVAL: APPROVAL TO ISSUE: - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason�(s)Adicat'sh orrepairtany structure, prior to its pissuance, lsolrequ res the applicant for action 7031.5, Business and Professions Code: Any city or county that requires - u��gr (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and s permit to file a signed statement that he or she is licensed pursuant to the prov�i '°" f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ofessions Code) or that he or she is exempt from licensure and the basis for the alleged "Qn t more than five hundred dollars ($500). owrammvw Araion 7044, I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended r offered fo r spale�Saretvided that the Isiness 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 ro ert, p iprovements 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 iproved 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 1 ly 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). J I am exeli l"Roin licensure under the Contractors' State License Law for the following reason: y my signatu" 68low 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 legal) a6astructure that khave 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 rofe%sions Wells available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.govlcalaw.htmi. Date ig%ture of Prgperty Owner or Authorized Agent IOENSED C40N{,Tj2ACTOR'S DECLARATIONicense is in full force tionof the Business and ProfProfess) d Y hereby affirm urldeF penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate 00 Contractor Signature !Z License Class License No /QRKERSE COMjENSATION DECLARATION AREIING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION T O THE DST OF COMPENEFATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirriplipIl�;penalty of perjury one of the following declarations: 3.64ave 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 t g ance Q?h work for which this permit is issued. Policy No. •••• hav 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' compensa lol Isuraa a figrrie( end =bar are: h LA- OC' 7 &0 ( ' � C7 Expiration Date z l9 ,T/VI-pQJ Policy Number Phan. it ie of Agent certify that, in the performance of th o for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I ws of Cal'Pornia, and agree if I should becomes o he er pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .2 /. D)at of Applican :LARATION RE ARDI CON TRUCTION LENDING AGENCY reby affirm under penalty of perjury that there is a construction lending agency fo Lthe erformance ender's Address of the work for which this permit is issued (Section 3097, Civil Code). der's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property own 's beh f. II[ I have read this application and the information I have pr laws relatin to buildin construction. / ` .22/ 1 agree to comply with all applicable city and cou ordin 9 9 I authorize representatives of this city or county t t ov ti perty for inspection purposes. {� fCN, s-Wi D nature of Property Owner or Authorized A ent Print Pro erty Owner's or Authorized A ent's Name ICE USE ONLY TION DATE BY DECIAR TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFF REGULATIONS PART 61 OF TITLE 40 AND AC(MD RULE 1403 PERMIT EXPIRED � ILJISUBMITTED ASBESTOS NOTIFICAnurvw I I PERMIT FINAL TOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY 15 5,,11) SIGNATURE: