HomeMy WebLinkAboutX2019-1628 - Permitst City of Newport Beach - Building Division *X20191628*
a : 100 Civic Center Drive, Newport Beach, CA 92660
w1 Permit Counter Phone (949)644-3288
'rs Inspection Requests Phone (949)644.3255
#vnx Combination Type - SFP ELEC MECH PLUM GRAD
COMB Permit: X2019-1628
Project No : 1158-2019
Issued Date: 09117/2019
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: 4818 CORTLAND DR NB
Description: SFR ADD 993 SF & REMODEL590 SF, REBUILD GARAGE 657 SF
Legal Desc.:. N TR 3519 LOT 1fi
Owner: STELLAR JOHN Contractor: ENGLISH SCOTT GC Architect: WALZ JOHN ROBERT
Address:265 BEVERLY ST Address: 1561 ORCHARD DRIVE Address: 510 LARKSPUR AVE
LAGUNA BEACH CA 92651 SANTA ANA HEIGHTS CA 92707 CORONA DEL MAR CA 92625
Phone
Applicant: WALZ JOHN ROBERT
Address: 510 LARKSPUR AVE
CORONA DEL MAR CA 92625
Phone: 949.836-5977
Code Edit:
2016
Type of Construction:
V -S -SPR
Occupancy Group:.
R -3/U
.Added /New sq.ft. Bldg:
993
Added /New sq. ft. Garage: 197
No of Stories:
2
No of Units :
1
Bldg Height:.
29
Bldg Sprinklers:
Y
Flood Zone:.
X
Building Permit Fee: $5,466.00
Plan Check Fee: $3,891.94
PROCESSED BY:
Phone: 949-355-6228
Con State Lie:
Overtime Plan Ck $0.00
Lie Expire:
Investigation Fee: $0.00
Bus Lie:
.Record Management : $122.00
Lie Exp Date:
Energy Compliance: $268.00
Worker's Compensation Insurance
CA Seismic Safety: $75.40
WIC EXEMPT
Disabled Access: $0.00
(NO EMPLOYEES)
Hazardous Mat $0.00
$24.00
Building Green Fee : $24.00
PROCESSED BY:
Phone: 949-355-6228
Con State Lie:
784484
Lie Expire:
09130/2020
Bus Lie:
BT30056763
Lie Exp Date:
10/31/2019
Worker's Compensation Insurance
Carrier,.
WIC EXEMPT
-. Policy No:
(NO EMPLOYEES)
Expire:
$24.00
Building Setbacks
Rear: 6
TOTAL FEE $17,764.91
ZONING APPROVAL:
GRADING APPROVAL:
Front: 15
Left: 6
Right: 6
Use Zone: R-1.6000 Parklna Space:
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$1,064.36
Grading Permit Fee:
$1,109.00
Grading PC Fee:
$233.64
WQ Insp. Fee:
$0.00
Electrical %: $382.62
Mechanical %: $218.64
Plumbing %: $491.94
Phone:
949-836-5977 State Lic:C031388
Engineer:
BURKE THOMAS
_Address:
312 OCEAN AVE
$0.00
LAGUNA BEACH CA 92651
Phone:
949-494-0776 State Lic:S-005088
Designer:
Address:
Building Dept Adm
Phone:
Special Conditions
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.06
PMN Plan Check: $371,25
San Dist: $874.00
NMUSD Fee: $1,827.12
Plan Check Fee : $17,764.91 Fee Due at Permit Issuance: $0.00
E W PUBLIGt$/Oiilr,,S APPROVAL:
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c° ••PLAN'CHECKt3Y:
. APPROVAL TO ISSUE:
Fire Department
$560.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $17,764.91 Fee Due at Permit Issuance: $0.00
E W PUBLIGt$/Oiilr,,S APPROVAL:
c cc
c° ••PLAN'CHECKt3Y:
. 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) 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).
❑ 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,
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-Builderwill have the burden. of proving that it was not built or
improved 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
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 Iegalh
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:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f )visio 3 of the Business and Professions Code, and my licgqse is in full force
and effect.. License Class License No Date Contractor SignatuLk.,
NORKERS' COMPENSATION DECLARATION v ��
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 DOLL 100,0001, IN ADDITION TO THE
:OST OF COMPENSATION, 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:
:11 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
)erformanceof the work for which this permit is issued. Policy No.
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'
carrieraR\d-'eoky number are: q
fi / . t � r P Iic pFfiriy ber Expiration Date
of Agent
JI 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' compensate n laws of California, and agre
iat, if I should become subject to�the ers' mp2W vi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j
signature ofApplicaDaTe�j_ J G l
IECLARATION REGARDING CONSTRUCTION LCNDJbWAGENCY
hereby 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,
ender's Name Lender's Address
ly 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 ordi s and state laws relating to building construction.
I authorize representatives of this city or county jo r the a�rl for inspection purposes. ,e
Civil Code).
ACTION DATE BY DECLARATION CLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY U
REGULATIONS PART 61 OF TITLE 40 AND AQMD. RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • s
PERMITCANCELLED EPA • • ` • • i
s
PERMITEXTENDED OMD �•• • ' 3•• •• ••• •••
PERMITFINAL ASBESTOS NOTIFICATI OP
CERTIFICATE OF PR POSEDLI
OCCUPANCYISSUED SIGNATURE: * 1 •••