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Home My WebLink AboutX2017-1939 - Permits�a1u City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-1939 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �,�r Project No :1323-2017 Inspection Requests Phone (949)644-3255 rw� rw4,p uv*� Combination Type- SFP GRAD ELEC MECH PLUM MUM Issued Date : 06/16/2017 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, ConstructionHours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 211 VIA RAVENNA NB Description: NEW SFR W/ATT GARAGE 2,9401605 SF, DECKS 343 SF Legal Desc.: TR 907 LOT 167(AND SWLYI/2 LOT 166 Owner: BROWN GREG Address: 211 VIA RAVENNA Contractor: KRS DEVELOPMENT Architect: OLSEN ERIC NEWPORT BEACH, CA 92663 Address: P O BOX 18822 Address: 2728 E COAST HWY, STE A f Phone: 949.293-3672 Phone: IRVINE, CA 92623 CORONA DEL MAR CA b- a 949-290-6500 Phone: 949-887-8856 State Lio:C034489 a Lic: Applicant: OLSEN ERIC Con State Lic: 912477+ Address: 2728 E COAST HWY, STE A Lic Ex Expire: 05/31/2019 Engineer: FORBES DALE L CORONA DEL MAR CA 92625 Bus Lic: BT30044186 Address: 1800 E 16TH ST #B Phone: 949-887-8856 Lic Exp Date: 07/31/2018 Phone: SANTA ANA CA 92701 714-835-2800 State Lic:C-030407 Code Edit: 2016 Type of Construction: V-BSPR Worker's Compensation Insurance Desi Designer: Occupancy Group: R3IU Carrier: STATE COMP FUND Address: Added /New sq.ft. Bldg: 2940 Policy No: 9129520 Added /New sq. ft. Garage: 0 Expire: 04/03/2018 Phone: No o` Stories: 2 No o, Units : 1 Building Setbacks Rear: 10 Special Conditions: LIQUEFACTION AREA Bldg Height:29 Front: 10 Bldg Sprinklers: Y Left: 4 Flood Zone: X Use Zone: Right: 4 Parkin Spaces: 0 Construction Valuation: $800.000.00 Fire Hazard Zone : N Building Permit Fee: $4,563.00 Check Fee: $2,846.00 Excise Tax: $744.45 PlanningDepartment p Fire Department Overtime Plan Ck: $0.00 Additional Fee: Grading Bonds Fee: $0.00 $0.00 Plan check Fee : $0.00 Fire Inspection: $0. 0 Investigation Fee: $0.00 Grading PC Consultant : $725.70 Fair Share SJH Trans $0.00 Fire Plan Rev $0 00 Record Management : $58.00 Energy Compliance: $268.00 Grading Permit Fee: Gradin $726.70 : In -lieu Housing Fee: g $0.00 Demolition Fee $0.00 Building Dept Adm / 10.00 CA Seismic Safety9 : $1$0.00 PC Fee: WQ Insp. Fee : $159.30 $0.00 Public Works Department - General Service ;$0.00 Disabled Access: $0.00 Park Dedication : $0.00 Refund Deposit 1$0.00 Hazardous Mat $0.00 Electrical %: $319.41 PM Plan Check: $304.00 Gradin Bond: 9 $0.00 Building Green Fee : $32.00 Mechanical %: $410.6 San Dist: 0 Plumbing %: $a10.67 NMUSD Fee: $1,806.88 ,806.8 $0.00 $0.00 TOTAL FEE : $14,485.93 Plan Check Fee : $3,338.20 Fee Due at Permit Issuance : $11,147.73 i PROCESSED BY: 6 ... PUBLIC APPROVAL: ZONING APPROVAL: ` ®WORKS FLAN CHLCK°QY: GRADING APPROVAL: APPROVAL TO ISSUE: oeo � c o c < c oco oc ooc c �oco oco OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the C ove indicated below repair the checcture. prior I have placed next to the applicable item(s) ;action 7031.5, Business and Professions Code: Any city or county t l++@I ova, demolish, or repair any structure, prior to its issuance, also requires the applicant for e permit file a signed statement that he or she is licensed pursuant to the p rs' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and - y violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of rofessions Code) or that he or she is exempt from licensure and the basis for it 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, usiness 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 iprovements 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 nproved for the purpose of sale). 7 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 no 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: y 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) 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.ieginfo.ca.gov/calaw.htmi. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION �y� hereby affirm Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate700 ) ofT v�� n 1f tConttractorr Signatures /sions de nd/'license is i_n full force nd effect. License Class License No VORKERS' 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 (E700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 :etformance of the work for which this permit is issued. Policy No. I h' h this emit is issued My workers' compensatiol have and will rance carrier I workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work or w hi p ,number are: r_ A n.Je Policy ne of Agent Ali' -v orkers' compensation laws of California, and agre 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 we t, if I should becom su ject to th orkers' co tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 a nature of Applicant CLARATION REGAI CONSTRUCTI LENDI AGENCY ereby affirm under pe ally of It 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 count ordinance and st a laws relating to building construction. I authorize representatives of this city or county`tr�ter tov =den' d pro or -inspection purposes. 'RpjS%vc1�. Dail O �/- ..w., n...—'a „r Aufhnri7od Anent's Nam of Property Owner or Authonzeo Agenr -- DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA • ••• • ••• PERMIT EXTENDED OMD • • • • • • ' PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APP4C(+$LL• •TZ) q ••• CERTIFICATE OF —ci3-/ / p/�-I` PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: • • •••