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HomeMy WebLinkAboutX2018-0220 - Permits'Ua City of Newport Beach - Building Division . s 100 Civic Center Drive, Newport Beach, CP:926000 n Permit Counter Phone(949)644-3288 s"YS 4� Inspection Requests Phone (949)644-3255 N. • • • ^ • • ° ° ° Combination Type - SFP GRAD MECH ELEC PLUM CX ° Ily�lllllilllllllllll�llllllllllllllllllllhllllll 00 °llll m o • o ° IRE S" #RINK MERS REQUIRED COMB Permit: X2018-0220 Project No: 0187-2018 Issued Date : Inspection Area: 1 • °PERMIT6 EXRIRE•180,VA145 AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: iflonday.'- IiridajF 7.00.a.m.:to:6:30 p.m. &red Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 429 BELVUE LN NEI ° ° ° m • m - Descrption: NEW SFR W/ATT GARAGE 4,077/841 SF - Legal Desc.: N TR 1090 LOT 1 Owner: ABEL FAMILY TRUST Contractor: Address: 4100 NEWPORT PLACE DR #480 Address: Added /New sq.ft. Bldg: NEWPORT BEACH CA 92660 Added /New sq. ft. Garage: 0 391 Phone: 3 Phone: Applicant: GUIDERO WILLIAM Con State Lie: Address: 425 30TH STREET #23 Lie Expire: 0.2 NEWPORT BEACH CA 92663 Bus Lie: Phone: 949-676-2626 Lie Exp Date: Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4077 Added /New sq. ft. Garage: 0 391 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: 0.2 Building Permit Fee: $5,152.00 Plan Check Fee: $3,795.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $82.00 Energy Compliance: $268.00 CA Seismic Safety: $109.20 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $34.00 TOTAL FEE: $20,413.02 PROCESSED BY: ZONING APPROVAL: CG LONGMAN CONSTRUCTION CO INC 2782 CIRCLE DR NEWPORT BEACH CA 92663 949-722-7711 393881 08/31/2019 BT00001921 03/3112018 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9062475 Expire: 07101/2018 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: / Parking Spa $1,032.78 $0.00 $0.00 $580.56 $861.00 $127.44 $0.00 $360.64 $206.08 $463.68 Architect: k Address: Phone: State Lie Engineer: GABRIEL MICHAEL R' Address: 483 E 20TH STREET COSTA MESA CA 92627 Phone: 949-646-6596 State Lic:S-002939 Designer: Address: Phone: Special Conditions: LIQUEFACTION AREA Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $304.00 San Dist: $1,501.00 NMUSD Fee: $5,144.64 Plan Check Fee : $4,771.00 Fee Due at Permit Issuance : $15,642.02 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Vr n 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 Plan Check Fee : $4,771.00 Fee Due at Permit Issuance : $15,642.02 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Vr n GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION .. ... .. .. ... 1 hereby affirm under penalty of perjury that I am exempt from twF�{og t 'fit 'egs,e � son(s)•isdicatad 6915w bythe 4�heckmark(s) I have placed next to the applicable'item(s) r ction 7031.5, Business and Professions Code: Any city or counWail 'Ij6�`d ygs move, 0erbo$h;or reaair an*tructure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant tot v o f e°�C�,o��,n ,actors' tate•Lidense Law (Chapter -9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis tiff -10 a i x ::5 . Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 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 (.)portions of the�work Viand the sluclurs is not intended or offered for sale (Section 7044, �iness and Professions Code: The Contractors' State License Law does not apply to an owner of propertyyft, thtough egUoyQes' of plAonl effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year.of completion, s gOwner-Build er-,vill have the burden of proving that it was not built or roved 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 ly 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). J I 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 tl Zell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 3ignalure of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) .pi he Business and Pr IS siort/Cede�rfd jny Jjrp_n i rce Ind effect. License Class License No Dat C Contractor Signal ^f /JRY YORKERS' COMPENSATION DECLARATION 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 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 ftrDghce of the work for which this permit is issued. Policy No. law, Section 7044 of the Business and Date 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: Frier Policy Number Expiration Date me of Agent Phone # certify that, in the performance f therk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aw)of alifornia, and agre t, if I should become subje t e wo ,srwscompensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions.� nature of Applicaya/p • w Date CLARATION REG NG CONSTRUCTION ENDING AGENCY Ireby 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 corre t. .110 I agree to comply with all applicable city and county ordi and ws relating to building construction. I authorize representatives of this city or cou y to ab tified property for inspection purposes. / nature of Property Owner or Authorized A e Print Property ' V Owner's or Authorized Agent's Name a'J Date D 7 ACTIONDATE BY V REGULATIONS OF COMPLIANCE 4TH CODE OF E RULE FOR OFFICE USE ONLY I PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITC,4NCELLED DEPA PERMITEXTENDED [3AQMD PERMITFINAL -7 s ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: