The URL can be used to link to this page

Home My WebLink AboutX2017-1986 - Permits"sumu� City of Newport Beach - Building Division *X2017-19.86* Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 MMUMM Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2017-1986 Project No: 1366-2017 Issued Date : 10/16/2017 Inspection Area : 5 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 3151 Added /New sq. ft. Garage: 460 No of Stories: 2 No of Units: 1 Bldg Height: - 29 Bldg Sprinklers: Y Construction Valuation: $700.000.00 Building Permit Fee: $4,563.00 Plan Check Fee: $2,846.00 Overtime Plan Ck: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Record Management: 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 116f ays $268.00 Job Address: 413 ACACIA AVE NB Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : Description: NEW SFR W/ATT GARAGE 3151 & 460 SF Legal Desc.: CORONA DEL MAR BILK 328 LOT 9 Owner: REKLAW LLC Contractor: WALKER CONSTRUCTION Architect: TEALE MARK Address: 413 ACACIA AVE Address: 4181/2 ORCHID AVE Address: 2900 BRISTOL ST BLDG A203 - CORONA DEL MAR, CA 92625 CORONA DEL MAR CA 92625 COSTA MESA CA 92626`7? Phone: Phone: 949-280-2633 Phone: 949-975.0123 State Lic:CO22162 Applicant: TEALE MARK Con State Lic: 681217 Engineer: HAKIM FADY ' �a Address: 2900 BRISTOL ST #A203 Lic Expire: 02/2612019 Address: 124 PEONY COSTA MESA CA 92626 Bus Lic: BT30059897 IRVINE CA 92618 Phone: 949.975-0123 Lic Exp Date: 0 513112 01 8 Phone: 310-422.1536 State Lic:C-075736 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 3151 Added /New sq. ft. Garage: 460 No of Stories: 2 No of Units: 1 Bldg Height: - 29 Bldg Sprinklers: Y Construction Valuation: $700.000.00 Building Permit Fee: $4,563.00 Plan Check Fee: $2,846.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $60.00 Energy Compliance: $268.00 CA Seismic Safety: $91.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $28.00 TOTAL FEE: $14,493.82 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 12 Left: 3 Right: 3 $758.31 $0.00 $0.00 $0.00 $1,113.00 $749.07 $0.00 $319.41 $182.52 $410.67 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 : $228.00 San Dist: $0.00 NMUSD Fee: $2,485.84 Plan Check Fee : $3,827.40 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,666.42 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $3,827.40 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,666.42 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Cont ) indicated below by the checkmark(s) I have placed next to the applicable item(s) t (Section 7031.5, Business and Professions Code: Any city or county that tr , demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the pro ' ' 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 th4&MXMiolation 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 U 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 will 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). ❑ 1 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 legalh sell a structure that 1 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7g(30) Ofivision 3 of the Business and Profes ' ns Codenee is in full force and effect. License Class License No Date l I P Contractor Signature r WORKERS' COMPENSATION DECLARATION NARNING: 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 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: L,. 1 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 oerformance of the work for which this permit is issued. Policy No. 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' compensatiol rance carrier and policy number are: ier Policy Number Expiration Date 1e 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 if I should become sub' to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // ature of Applicant Dat / t"% :I ARATIr3N RF(: r1INr: CONSTRIICTInN I FNDINr: AGFNCY' rreby 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 Cade) 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 county }/tenter thhe/e''-a-bove-i fled -property for inspection purposes. nature of Property Owner or Authorized Aqent/ Ste[. Print Property Owner's or Authorized Agent's Name Z. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUWITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED r EPA CERTIFICATE OF I/�I/(�I � PROPOSED NOTIFICATION IS NOT APPLICABLE TO I JJ ` l `111 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: