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HomeMy WebLinkAboutX2017-2210 - Permitst ..mono #: City of Newport Beach - Builtling'Division I�Ill�lll l lllllll�lllllll�ll�ulllll`IIIIIII /III • e eO© o•® COMB Permit: X2017-2210 100 Civic Center Drive, Newport Beach, CA 92660 • li•11 o e . o Project No: 1565-2017 F Permit Counter Phone (949)644-3288 �y(���rj[� �"'Q • • • . n e ton Inspection Requests Phone (949)644-3255 M SPPJIYI(L l • • ••e • e . • • - �'i«rnr��'4' Combination Type - SFP ELEC MECH PLUM GRAD �•� • • e•• •• Issued Date: 11/06/2017 1GitQV�(lGV Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR CAST 21ALTD 1N$P4CTJON. °o Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday frogl;4;09%m. t0 r900 p:m. Np tyoek on Sundays or Holidays Job Address: 14 BEACON BAY NB Description: NEW SFR WIATTACHED GARAGE 3966 SFI662 SF - - Legal Desc.: R SK 9 PG 42 PAR 14 Owner: HELFRICH JIM Address: 14 BEACON BAY Bus Lie: NEWPORT BEACH CA 92660 Phone: 05131/2018 Applicant: SMITHS CAITLIN Address: 151 KALMUS DR #G-1 Excise Tax: COSTA MESA CA 92626 Phone: 714-754.4040 -- Code Edit : 2016 Type of Construction: V -B -SPR` Occupancy Group: R3/U Added /New sq.ft. Bldg: 3966 Added /New sq. ft. Garage: 662 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $5,152.00 Plan Check Fee: $3,795.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $98.00 Energy Compliance: $268.00 CA Seismic Safety: $120.33 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $38.00 TOTAL FEE: $15,526.91 PROCESSED BY: ZONING APPROVAL: Contractor: WINKLE CUSTOM HOMES Address: 4161/2 ORCHID AVE CORONA DEL MAR CA 92625 Phone: 949-873-3125 Con State Lie: 992007 Lie Expire: 03131/2018 Bus Lie: BT30055137 Lie Exp Date: 05131/2018 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9122282 Expire: 01/10/2018 Building Setbacks Rear: I Architect: Front: / Address: Left: / $0.00 Right: / Use Zone: Parking Spa Engineer: HAKIM FADY Excise Tax: $978.18 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $870.84 Grading Permit Fee: $1,072.00 Grading PC Fee: $191.16 WQ Insp. Fee : $108.00 Electrical %: $360.64 Mechanical %: $206.08 Plumbing %: $463.68 Plan Check Fee: Designer: _ Address: Phone: Special Conditions: LIQUEFACTION Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $770.00 NMUSD Fee: $644.00 Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR #G-1 $0.00 COSTA MESA CA 92626 Phone: 714-754-4040 State Lic:C031637 Engineer: HAKIM FADY Address: 124 PEONY $0.00 IRVINE CA 92618 Phone: 310.422.1536 State Lic:C-076736 Designer: _ Address: Phone: Special Conditions: LIQUEFACTION Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $770.00 NMUSD Fee: $644.00 $5,875.40 Fee Due at Permit Issuance : $9,651.51 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ 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 $5,875.40 Fee Due at Permit Issuance : $9,651.51 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION •• •• ••• I hereby affirm under penalty of perjury that I am gx�Tlpt-Frbn?the Contracters' State Li ense Law for the reasons indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: AR city oreounty that regilires a perm G r - 51 . repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursruant lb the broviSlbfis t ' t L ter 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 exemp' on 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). om I, as owner of the property, or my employees with wagie as theiVgolp compensation -rill do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' Stale License Lew.does 4 apply to ail owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, ilowher, A JAIldlr or impa)yerppgt 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 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 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). 1 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 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:hltp://www.leginfo.ca.gov/ca[aw.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 7000) of Di ision of the Business and Professions C and my license is in full force nd effect. License Class License No Date Contractor Signatu YORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 th is gmance 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 TIE of Agent rnone s 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 the work rs' compensation ' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dax'aL� nature of Applicant (/Ifv CLARATION REG NG CONSTR TI N ING AG Ireby affirm under penal of perjury the a construction len gency for the performance of the work for which this permit is issued (Section 3097, C it 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 1 have provided is correct. I agree to comply with all applicable city and cou ty ordinances a state laws relating to building construction. I authorize representatives of this city or coun( anterptl�e ve-identified rope inspection purposes. / MA nature of Prooertv Owner or Authorized AGent / Print Property Owner's or Authorized Agent's Name K&I � 1� Gf 4A.A& t Dae ob/ ACTION DATE BY ` DECLARATIONCA.GBMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 2'(� PROPOSED DEMOLITION OCCUPANCY ISSUED 4-) I SIGNATURE: