HomeMy WebLinkAboutX2018-3404 - PermitsCity of Newport B'eac4-BuNdf nP Qwiripn IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3404
100 Civic Center Drive, Newpobt Beacl:, OA 22160m o° e o 6 X 2 0 1 8 3 4 0 4 Project No : 2649-2018
Permit Counter Ph 949 64 28
t, oun r one ( ) 74 6 m ���1
Inspection Requests Phone (949)644-3255 F "�' SPS QUNKLER v�Yr�� M Issued Date : 0 510 312 01 9
'r�xs,fa Combination Type - SFP ELEC MECH PLYM GI;tAD . _ �p��
r, REQ IRED Inspection Area : 5
o . m °J?AVT$ EXP/R6 081 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours:'Mon&ay - 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:
321 EVENING CANYON RD NB
$6,279.00
$0.00
Description:
NEW SFR W/ATT/GARAGE 5,030 SF/744 SF
Overtime Plan Ck
$0.00
Legal Desc.:
TR 1116 LOT 140 POR OF LOT
$0.00
$286.74
Owner:
AMEN & TRACI.WARDY
Contractor:
PARKER PACIFIC WEST INC
Address:
3334 E COAST HWY #316
Address:
P.O. BOX 12B
CORONA DEL MAR CA 92625
$0.00
BALBOA ISLAND CA 92662
Phone:.
949.413-9934
Phone:
949-306-3757
Applicant:
AMEN & TRACI WARDY
Con State Lic:
609295.
Address:
3334 E COAST HWY #316
Lic Expire:
01/3112021
CORONA DEL MAR CA 92625
Bus Lic:
BT30040970
Phone:
949-413-9934
Lic Exp Date:
10/31/2019
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 5030
Added /New sq. ft. Garage: 744
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Worker's Compensation Insurance -
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES) -
Expire:
Building Setbacks Rear: 6
Front: 20
Lek: 6
Right: 6
Excise Tax:
Building Permit Fee:
$6,279.00
$0.00
Plan Check Fee: $5,058.00
'.
Overtime Plan Ck
$0.00
Grading Permit Fee:
Investigation Fee:
$0.00
$286.74
Record Management:
$124.00
Electrical %:
Energy Compliance:
$268.00
$251.16
CA Seismic Safety:
$130.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$40.00
Worker's Compensation Insurance -
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES) -
Expire:
Building Setbacks Rear: 6
Front: 20
Lek: 6
Right: 6
Excise Tax:
$1,212.54
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$1,306.26
Grading Permit Fee:
$1,964.00
Grading PC Fee:
$286.74
WQ Insp. Fee:
$108.00
Electrical %:
$439.53
Mechanical %:
$251.16
Plumbing %:
$565.11
TOTAL FEE: $27,311.35
Architect:
MANSFIELD ROBERT DOUGLAS
Address:
108 W EL PORTAL
$0.00
SAN CLEMENTE CA 92672
Phone:
949-218-0408 State Lic:CO23689.
Engineer:
LOTHROP SHAWN DUANE
Address:
29970 TECHNOLOGY DR, STE 212
-
MURRIETA CA 92563
Phone:
951-600-0032 x204 State Lic:S-005627
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PM Plan Check : $701.25
San Dist: $1,649.00
NMUSD Fee: $6,511.76
Zone:N
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $6,034.00 Fee Due at Permit Issuance : $21,277.35
PROCESSED BY:
Fire Depa
$417.00
Fire Insp ction:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $6,034.00 Fee Due at Permit Issuance : $21,277.35
PROCESSED BY:
41
ZONING APPROVAL:
_
1n
GRADING APPROVAL:
e
45 '
PUBLIC WORKS APPROVAL: AL
PLAN CHECK BY:.
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION : : . •
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicaj$d 4gJjw by Nie checlongrk(stl have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that req d emolish, or repair any%tructere, prior to its issuance, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to th�p t Malme Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the all tion of Section 7Q31.5 by any applicant for a permit subjects the applicant to a civil penally of
of 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 (_) portions ofthe work, ad*e skueourb ig Adt irtteided or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througlPe!mpleyaes' or4ers6r91 effoR buil;s or improves the property, provided that the
reprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wi111}lave the burden of proving that it was not built or
reproved 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
Jonly 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' State License Law for the following reason:
ly 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)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Divihi�n 3 of the Business and Firgfessi de, and my license is in full force
nd effect. License Class License No Dat �' Contractor Signatp'T� /A /J
VORKERS' COMPENSATION DECLARATION V�
IARNING: 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 ($100,00(1), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 the
erformance of the work for which this permit is issued. Policy No.
71 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' compensatior
Isurance carrier and policy number are:
,abler Policy Number Expiration Date
of Agent
rtify that, in the p,
I should become
Of
Ice 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 agree
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATIONTiEGIAA *G C STRUCT ON LENDING AGENCY
lreby affirm under
an,
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:
1 am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county ,yy,'a e entified property for inspection purposes.
nature of Prooertv Owner or Authorized Aoenl� Z Print Property Owner's or Authorized Agent's Name% �»'"es ?14
DATE BYj / T DECLARATIOWOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
L/
REGULATIONS PART61 OFTITLE 40 ANDAQMD RULE
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PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
„
PERMITCANCELLED
UEPA
PERMIT EXTENDED
QMD
PERMITFINAL/'y/
CERTIFICATE OF
OCCUPANCY ISSUED
/V .r
v / J J
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: