The URL can be used to link to this page

Home My WebLink AboutX2021-0596 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 aw` Combination Type - SFP GRAD ELEC MECH PLUM *X2021-0596* ISPECTOrcl COMB Permit: X2021-0596 Project No : 0551-2021 Issued Date : 08/09/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810912024 OR PERMIT WILL BE INVALID 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: 4607 DORCHESTER RD NB Description: NEW SFR W/GAR 3415 & 751 SF Legal Desc.: N TR 3519 LOT 89 Owner: LIEFER MICHAEL & DIANE Contractor: MILO CONSTRUCTION Architect: TEALE MARK Address: 4607 DORCHESTER RD Address: 101 VIA MONTE PICAYO Address: 2900 BRISTOL ST BLDG A203 CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92673 COSTA MESA CA 92626 .... Phone: 949-975-0123 Phone: 949-290-6429 Phone: 949-975-0123 State Lic:CO22162 eee• Applicant: BOND JEANNETTE - Con State Lic: 871429 Engineer: ISRAEL MICHAEL RYAN • • • : e e o 0 0 Address: 2900 BRISTOL ST BLDG A203 Lic Expire: 03/31/2022 Address: 2336 PASEO SAUCEDAL •e. • e ` ° ` COSTA MESA CA 92626 Bus Lic: BT30038762 CARLSBAD CA 92009 o e o Phone: 949-975-0123 Lic Exp Date: 03/31/2022 Phone: State Lio:C-077167 ,e•e •• ° • e c Code Edit: 2019 Worker's Compensation Insurance Designer: •O°°® Type of Construction: V-B-SPR Carrier: NO EMPLOYEES Address: •ocoo Occupancy Group: R3/U Policy No: ®_ ° • ° e Added/New sq.ft. Bldg: 3415 Expire: Phone: Added /New sq. ft. Garage: 751 ° ° • ° ° • ° o No of Stories: 0 Building Setbacks Rear: 6 Special Conditions: ° ° • ` ° No of Units: 1 Front: 6 •eeoce ° o Bldg Height: 0 Left: 6 Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $750,000.00 Building Permit Fee: $5,194.00 Excise Tax: $874.86 Planning Department - Fire Department Plan Check Fee: $3,297.00 Additional Fee : $0.00 Plan check Fee : $520.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $688.80 SJH Trans : $0.00 Demolition Fee Record Management : $66.00 Grading Permit Fee: $1,518.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $1,224.78 Public Works Department - General Service $0.00 CA Seismic Safety: $97.50 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $304.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $363.58 San Dist: $1,016.00 _ Building Green Fee : $30.00 Mechanical %: $207.76 NMUSD Fee: $2,528.16 $0.00 Plumbing %: $467.46 $0.00 TOTAL FEE : $18,853.40 Plan Check Fee : $5,088.09 Fee Due at Permit Issuance f�: $13,765.31 ( PUBLIC WORKS APPROVAL: C PLAN CHECK BY: �C"�l J 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) action 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 e 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 Ofessions 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 A more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Jsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or (proved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Iicensure under the Contractors' State License Law for the following reason: I my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legail, III a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'ofessions Code�-is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. gnature of F%partyOwner or Authorized Agent Date �(;F$SED CORTRACTOR'S DECLARATION lere0y affirrrt WildA benalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Profq�,5++ Code, and my licensg Is full force id affect. License Class License No Dat '� Z� Contractor Signature 'ORKERS' QQVPENSATION DECLARATION \RNING: FAILUlk $ENURE 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 %JCP COMPEN A' iiT, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1lptPpy affirm,IfnBor penalty of perjury one of the following declarations: •►Nave and w;l 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 Icfo"Emce of the work for which this permit is issued. Policy No. • • . •• I ha0e and 1:46rfiaijltain 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' compensatioi �Pame carrieLand Rolicy number are: 01" •••": Policy Number Expiration Date 6me of Agent Phone # 4artify 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 agre at, if I should become subject to the workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gnature of Applicant l/�� ^�"'G a Cat¢ g•d%- CLARATION REG RDING CONSTRUCTION LENDING ENCY I� \ Iereby 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). Inder's Name Lender's Address t 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 authorize representatives of this city or counk to enter the above -identified property for inspection purposes. ,( ❑nature of Prooertv Owner or Authorized Aoent //i�.%rQ & L&"7 Print Property Owner's or Authorized Agent's Name 1C-.4-}Pl—C�. LO1iX Dat{� 7_ ACTION DATE BY •DECLARATION I REGULATIONS OF COMPLIAT 61 O TNT E ITH AND AQMD RULE CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED _ AQMD/ ITFINAL OCCUPANCYISF ' // ( 5 GNATUROS OTLIITI NOT AT LICABLE TO OCCUPANCYISSUED ��1��_ 111 !� n r`yI�!*f'_ _-