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Home My WebLink AboutX2021-0201 - Permits"tlpkt City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0201 tiY 100 Civic Center Drive, Newport Beach, CA 92660 x 2 6 2 1 0 2 e 1 Project NO : 0213-202'I Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type- MFP MECH ELEC PLUM GRAD NO CONSTRUCT'ON N01 Issued A9/29/2021 S6nspecLion ion Arrea : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/29/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday,fr t 0 a.m. to 6:00 p.m. No work on Sundays or Holidays Jab Address: 1748 PLAZA DEL NORTE NB IJIV 1!°E WEEKEND Description: NEW SFR W/ATT GARAGE 2,9261547 SF,ROOF DECK 703 SF, MECH RM 153 SF, PATIO 250 SF Legal Cesc.: N TR 518 BLK L LOT 12 Owner: HBR HOLDINGS LLC Contractor: R D M S INC Architect: BAILEY DAVID Address: 7 PROMOMTORY Address: 250 E BAKER ST # 300 Address: 23183 LA CADENA DR #101 TRABUCO CANYON CA 92679 COSTA MESA CA 92626 LAGUNA HILLS CA 92653 Phone: Phone: 714-448-9835 Phone: 949-573-1050 State Lic:CO27404 V J Applicant: BAILEY DAVID Con State Lic: 815872 Engineer: WILSON KALEN Address: 23183 LA CADENA DR #101 Lic Expire: 1213112022 Address: 23152 VERDUGO DR #102 LAGUNA HILLS CA 92653 Bus Lic: BT30008726 LAGUNA HILLS CA 92653 M Phone: 949-573-1050 Lic Exp Date: 01/31/2022 Phone: 714-576-6524 State Lic:C-083753 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: EVERSTREMIER INS CO Address: Occupancy Group: R3/U Policy No: 7600015443211 Added /New sq.ft. Bldg: 2926 Expire: 0910112022 Phone: Added /New sq. ft. Garage: 547 No of Stories: 3 Building Setbacks Rear: 0 Special Conditions: LIQUEFACTION & HIGH No of Units, 1 Front: 9 DENSITY AREA Bldg Height: 0 Left: 3 Bldg Sprinklers: Y Right: 3 Flood Zone: 0.2 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,050,000.00 Building Permit Fee: $5,194.00 Excise Tax: $961.59 Planning Department - Fire Department - Plan Check Fee: $3,365.00 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 : $1,653.12 SJH Trans : $0.00 Demolition Fee Record Management : $74.00 Grading Permit Fee: $4,428.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $362.88 Public Works Department - General Service $0.00 CA Seismic Safety: $136.50 WQ Insp. Fee: $1,220.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $253.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $727.16 San Dist : $2,031.00 Building Green Fee : $42.00 Mechanical %: $571.34 NMUSD Fee: $3,543.84 $0.00 Plumbing %: $467.46 $0.00 TOTAL FEE : $25,854.64 Plan Check Fee : $4,969.00 Fee Due at Permit Issuance : $20,885.64 PROCESSED BY: L yyy Pi IBLIC WOP1•S APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: i !',Pr'ROVAL TC 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 :he 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 -Builder wili 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). ❑ I 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:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiD 70 0)sf Division 3 f the Business and Pr es a license is in full force and effect. License Class License No Date)(_'I i Contractor Sig natu WORKERS' COMPENSATION DECLARATION WARNING: 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 'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I h ve 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 e ance of the work for which this permit is issued. Policy No. have and will intain workers' mpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio Insurance carrier a �pcy numbe• re: Carrier licy er Expiration Date Name of Agent + Phone # 01 certify that, in the performance of th work for w ich 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 that, if I should become su ject to the rs' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 Signature of Applicant / DECLARATION REGA I CON T CTION LE DING AGENCY I hereby affirm under p nalty 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). Lender's Name Lender's Address By 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 coun or nces a d state laws relating to building construction. I authorize representatives of this city or coun t e ab entified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Il M S l.% ACTION DATE BY DECLARATION O COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND A( RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QM D PERMITFINAL b �,l L ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 1 'l. PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: