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HomeMy WebLinkAboutX2017-3693 - Permits�wt0 City of Newport Beach - Building Division a * 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD Illllllllllfilllllllllllllllllllllllllllllllllllllll �� ee• mm ° Q11111 Permit X2017-3693 X 2 0 1 7 3 6 9 3 0, e ° o ° Pr©jeyt Ifo : 2858-2017 ° e o m e o o e o 0 0 •Issued Date: 01/26/2018 Insp9ction 4rea :•2 o ° •m e e Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 644 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPOC7JON.• - o - • - ° • " Building Permit Fee: Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:OOmR:m. jFQ woA;Gn aandayVeOr Holidays Job Address: 2229 CLIFF DR N13 Investigation Fee: $0.00 Description: SFR ADDITION (THEATER, POWDER ROOM, Energy Compliance: $81.20 Legal Desc.: TR 919 LOT A NWLY 110 FT SELY 475 FT NELY 160 FT Disabled Access : $0.00 Owner. COOK RUSSELL Contractor: TONY VALENTINE CONST INC Architect: JEANNETTE BRION S Address: 2229 CLIFF DR Address: 2435 E COAST HWY #2 Address: 470 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 Phone: - Phone: 949.723-6449 Phone: 949-645-5854 State Lic:0008012 Applicant: BARD MARTIN Con State Lic: 467553 Engineer: DEIHIMI DAMIR HOSSEIN Address: 470 OLD NEWPORT BLVD Lic Expire: 04/30/2018 Address: 23172 PLAZA POINTE DR STE 145 NEWPORT BEACH, CA 92663 Bus Lic: -BT00021099 LAGUNA HILLS CA 92653 Phone: 949-645-5854 Lic Exp Date: 0212812018 Phone: 949.954.7244 State Lic:C-078194 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 644 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $116.000.00 Building Permit Fee: $1,766.00 Plan Check Fee: $1,233.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $30.00 Energy Compliance: $81.20 CA Seismic Safety: $15.08 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: �l ' Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 0 7101/2 01 8 Building Setbacks Rear: / Front: / Left: / Right: I Use Zone: Parkino Spa Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $580.56 Grading Permit Fee: $0.00 Grading PC Fee: $127.44 WQ Insp. Fee: $0.00 Electrical %: $123.62 Mechanical %: $70.64 Plumbing %: $158.94 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $1,184.96 Plan Check Fee : $1,314.20 Fee Due at Permit Issuance : $4,212,24 PUBLIC WORKS APPROVAL: PLAN CHECK BY: td APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $1,314.20 Fee Due at Permit Issuance : $4,212,24 PUBLIC WORKS APPROVAL: PLAN CHECK BY: td APPROVAL TO ISSUE: OWNER -BUILDER DECPfAT [Ofa .."' I hereby affirm under penalty ocperjurythat) am exefrlpt froj the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) Section 7031.5, Business and Pyafes64;s%o8de%iTy ( ybr county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 'rofessions 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 of more than five hundred dgI%s ($600). .. I, as owner of the propertV,'yf myemploYsDs ath wages iS t*lr$ole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Cdder The Contrastch' Slate Liceose Lavadoes not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intendeSor oVe?ed for Sale! If,•howeasrf t4euilding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 legally 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:http://www.leginfo.ca.gov/calaw.htmi. signature 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 700f ivision 3 of the Business and Prof ssions , and my license is in full force nd effect. License Class License No Date —0201Q Contractor Signatuf 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 ($100,000), 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: 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 thi boormance of 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' carrier and policy number are: Policy Number Date ne of Agent Phone # 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 agre, I, if I should become subject to th m' compens/atio/t provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e7� nature of Applicagf l �— D� CLARATION I _4XR ING CONSTRUCTION LENDING AGENCY Heby 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 authorize representatives of this city or count� to en above -identified property for inspection purposes. 1 I_ nature of Prooertv Owner or Authorized Acent7. �� Print Prooertv Owner's or Authorized Anent's Nada[ _64s r i✓f rii Date /4,; ACTION DATE BY DECLARATION OF 1403 LAT ONS PARTOMPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY REGUPERMITEXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINALV ASBI ESTOS NOTFICATION IS NOT APPLICABLE TO CERTIFICATE OF / / PROPOSED S N O FI OCCUPANCY/SSUED �1 �D'l�J i SIGNATURE:/�