HomeMy WebLinkAboutX2018-0977 - Permitsav:ro City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�, s} Permit Counter Phone (949)644-3286
v fit , Inspection Requests Phone (949)644-3255
`ctxriv`g Combination Type - MFP ELEC MECH PLUM GRAD
II I IIIII IIII IIII IIA lli IIIIII IIIIIIII III II IIII�IilIVI
FIRE SPRINKLERS
REQUIRED
COMB Permit: X2018-0,9'77
Project No: 0790-2018
Issued Date: 07124/2018
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: 422 ORCHID AVE NB
Description: NEW DUPLEX WI ATT GARAGE 2,934 SF & 412 SF, BALCONYIDECK 1,023 SF
Legal Desc.: CORONA DEL MAR BLK 442 LOT
16
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Owner: REKLAW LLC
Contractor:
WALKER CONSTRUCTION Architect: TEALE MARK
Address: 418 112 ORCHID
Address:
418 112 ORCHID
AVE Address: 2900 BRISTOL ST BLDG A203
NEWPORT BEACH, CA 92625
CORONA DEL
MAR CA 92625 COSTA MESA CA 92626
Phone: 949-975-0123
Phone:
949-280-2633
Phone: 949-975-0123 State Lic:CO22162
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Applicant: TEALE MARK
Con State Lie: 681217
Engineer: BURKE THOMAS JOHN JRA"''
Address: 2900 BRISTOL ST BLDG A203
Lie Expire:
02128/2019
Address: 312 OCEAN AVE
COSTA MESA CA 92626
Bus Lie:
BT30058987
LAGUNA BEACH CA 92651
Phone: 949.975-0123
Lie Exp Date:
05131/2019
Phone: 949-494-0776 State Lic:S-05088
_
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-BSPR
Carrier:
WC EXEMPT
Address:
Occupancy Group: R31U
Policy No:
(NO EMPLOYEES)
Added /New sq.ft. Bldg: 2934
Expire:
..
Phone:
Added /New sq. ft. Garage: 412
No of Stories: 3
Building Setbacks
Rear: 5
Special Conditions:
No of Units : 2
Front: 20
Bldg Height: 0
Left: 3
Bldg Sprinklers: Y
Right: 3
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N _
Construction Valuation: $650.000.00
Building Permit Fee: $4,563.00
Excise Tax:
$917.49
Planning Department - Fire Department
Plan Check Fee: $2,846.00
Additional Fee:
$0.00
Plan check Fee : $391.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $1,792.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $100.00
Grading Permit Fee:
$882.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$767.34
Public Works Department - General Service
$0.00
CA Seismic Safety: $84.50
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $228.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$636.82
San Dist: $3,298.00
Building Green Fee : $26.00
Mechanical %:
$501.93
NMUSD Fee: $3,812.48
$0.00
Plumbing %:
$410.67
$0.00
TOTAL FEE : $21,527.23
Plan Check Fee:
$4,218.40 Fee Due at Permit Issuance : $17,308.83
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ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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I hereby affirm under penalty of perjury that I am exempt from the Contr r ' t . � rr a eason 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 re t e e 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 provislo s o tie n ra e c as 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 a .dation 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). WORM..
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
im roved 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 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 Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.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 7000) of vi io 3 of the Business and Prgfess J'ons Co d m1� cei nse is in full force
and effect: License Class License No Dat Contractor Signaguralr
NORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
'.BST OF 610MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have 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 th
)erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number Expiration Date
Agent
certify that, in the performance 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' compensation laws of California, and
, if I should become suubject to the workers' compe on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1�
iature of Applicant %Y �l _-_ D& % / // 2-411
:reby affirm under 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).
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 county ordinances and state laws relating to building construction. I'
I authorize representatives of this city or county }b enter the a ve-i -property for inspection purposes./ /i Q 1 _ a ))/ _
nature of ProDertv Owner or Authorized AOent X Print Pmnerfv Owner's or Aufhnri7wd Anwnt'.c Nam f`� 1 CNtLJ ���(lll kggSSS
ACTION DATE BYF DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • ••• • •••
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTKICATIOPI TO • • • . o
PERMIT CANCELLED A
PERMIT EXTENDED QMD
PERMITFINALp� �'�, ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF �{ '(ll/ PROPOSED DEMOLITION • • 09: • • • • •
OCCUPANCYISSUED tl SIGNATURE: • 0 • • . . 1.