HomeMy WebLinkAboutX2017-2530 - Permitstxt City of Newport Beach - Building DivisionI "11111
100 Civic Center Drive, Newport Beach, CA 926608PR
COMB Permit: X2017-2530
Project No: 1796-2017
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Permit Counter Phone (949)644-3288
v fi Inspection Requests Phone (949)644-3255
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Issued Date: 09/26/2017
Combination Type- SFP ELEC MECH PLUM GRAD
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Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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 Holidays
Job Address: 4545 PERHAM RD NB
Description: NEW SFR & GARAGE 36401740 SF
Legal Desc.: N TR 3357 LOT 118
Owner: O'TOOLE BRIAN Contractor:
TROTTA RENATO Architect:
TROTTA RENATO
Address: 3419 VIA LIDO #483 Address:
6 WINGED FOOT LANE Address:
6 WINGED FOOT LN
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92660
NEWPORT BEACH CA 92660
Phone: 949.719-9010 Phone:.
949-719-0915 Phone:
949-719-0916 State Lic:CO22584 eeee
/V
e e
Applicant: TROTTA RENATO Con State Lie: 532297 Engineer:
WILSON KALEN ° ° ° °
• °
Address: 6 WINGED FOOT LN Lie Expire:
0913012019 Address:
1371 WARNER AVE #A
NEWPORT BEACH CA 92660 Bus Lie:
BT00018673
TUSTIN CA 92780
Phone: 949.719.0915 Lie Exp Date:
01131/2018 Phone:
714.576-6524 State Lic:C-083753 •
° •,°
Code Edit: 2016 Worker's Compensation
Insurance Designer:
e ° ° ° •
° ° e° °
Type of Construction: V -B -SPR Carrier:
WIC EXEMPT Address:
Occupancy Group: R3/U Policy No:
NO EMPLOYEES
° ....
°
• ° • ° °
Added /New sq.ft. Bldg: 3640 Expire:
Phone:
Added /New sq. ft. Garage: 740
_
No of Stories: 1 Building Setbacks
Rear: 6 Special Conditions:
No of Units: 1
Front: 30
°
Bldg Height: 29
Left: 6
ppO°°°
Bldg Sprinklers: Y -
Right: 6
Flood Zone: Use Zone: R-1-6000 Parking Spaces: 2 Fire Hazard Zone : N
Construction Valuation: $900,000.00
Building Permit Fee: $5,152.00 Excise Tax:
$919.80 Planning Department-
Fire Department
Plan Check Fee: $3,795.00 Additional Fee :
$276.00 Plan check Fee :
$0.00 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:
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $72.00 Grading Permit Fee: $1,715.00
In -lieu Housing Fee :
$0.00 Building Dept Adm $0.00
Energy Compliance: $266.00 Grading PC Fee:
$0.00 Public Works Department -
General Service $0.00
CA Seismic Safety : $117.00 WQ Insp. Fee:
$108.00 Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access : $0.00
P/W Plan Check : $304.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$360.64 San Dist: $731.00
Building Green Fee : $36.00 Mechanical %:
$206.08 NMUSD Fee: $1,830.80
$0.00
Plumbing %:
$463.68
- $0.00
TOTAL FEE: $16,746.00
Plan Check Fee: $4,730.00 Fee
Due at Permit Issuance : $12,016.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: �% )✓
PLAN CHECK BY:
S
✓ V/ '
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION y '" @ .,fie
Ai'
I hereby affirm under penalty of perjury that I am exempt from the Co t � St�feYte}3 e � ar 0J(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Iction 7031.5, Business and Professions Code: Any city or county that require X.
ikt ,pc 'a improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the pro�.j TZOS bi Tr[,e'�o,,r� ra 'State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Ifessions Code) or that he or she is exempt from licensure and the basis for the alleged exemp'tllon. n 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 U all of or (_) portions of the work, and the structure 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 property who, through employees' or personal 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, the Owner -Builder will have the burden of proving that if 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legal),
I 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
Ifessions Code isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Properly 6%ner or Authorized Agent Date
LENSED COATMCTOR'S DECLARATION
:reby affirm up8�rperalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 vslo�, the Business and Professions 1 i se','*rce
I effect LicenS@pass License No Date the
Signature
)1;A9RS' COMPENSATION DECLARATION
WING: FAILURE• FO %ECQRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA D DOLLARS ($100,000), IN ADDITION TO THE
IT OF OOMPENSATION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:l:bi affirm urldacpenalty of perjury one of the following declarations:
1 hde and Will Mintain 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
(plglance of the -work for which thispermitis issued. Policy No.
agave and wi: aktir:ain 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' compensatio
raaGe carrier and policy number are:
.les • • • • Policy Number Expiration Date
is of Agent* • Phone #
certify that, 1n the perform nce 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' comp nsation laws of California, and agre
, if I should become subje o the wo pe sati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant Date_
:reby 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 ate law elating to building construction.
I authorize representatives of this city or county V rte va-i ied perty for inspection purposes. U
ARE
nature of Prooertv Owner or Authorized Aoe ,� _ Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF IREGULATIONS PPART0610 TRITE 40 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIEPA
PERMIT EXTENDED
0AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
R PROPOSED DEMOLITION
I (� SIGNATURE:
,