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HomeMy WebLinkAboutX2017-1673 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 L Inspection Requests Phone (949)644-3255 a e rwa Combination Type - SFP GRAD ELEC MECH PLUM COMB Permit: X2017-1673 Project No: 1136-2017 Issued Date : 1 110 312 01 7 Inspection Area : 4 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 3715 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: Construction Building Permit Fee: $5,152.00 Plan Check Fee: $3,795.00 Overtime Plan Ck: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Record Management: $90.00 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 $268.00 Job Address: 2821 HARBOR VIEW DR NB';.�;- Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : Description: NEW SFR W/ATT GAR 3715 & 736 SF Legal Desc.: N TR 3660 LOT 8 eeeeme "y.mmmmoo Owner: VARNER RICHARD A &LINDA Contractor: FISHER CONSTRUCTION COMPANY Architect: LIGHT CHRISTIAN R Address: 2821 HARBOR VIEW DR Address: 2676 AMHERST STREET Address: 1401 QUAIL ST #120 ® - "•-^="7n ° CORONA DEL MAR CA 92625 LA VERNE CA NEWPORT BEACH CA 92660 Phone: Phone: Phone: 949-851-8345 State Lic:CO22334 oB°O'e•-» eeea ytd a: Applicant: SANSAMI ALI Con State Lie: 863165 Engineer: SKUDLARSKI JASON e m - Address: 1401 QUAIL ST #120 Lie Expire: P 06/301201 B Address: 9751 OLYMPIC DR em es NEWPORT BEACH CA 92660 Bus Lie: BT30061087 HUNTINGTON BEACH CA 92646 Phone: 949-851-8345 Lie Exp Date: 1113012018 Phone: 949-752-1612 State Lic:C-067712 °o • Se ° m m amomom o ° Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 3715 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: Construction Building Permit Fee: $5,152.00 Plan Check Fee: $3,795.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $90.00 Energy Compliance: $268.00 CA Seismic Safety: $91.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $28.00 TOTAL FEE: $15,445.35 PROCESSED BY: Worker's Compensation Insurance Carrier: EXEMPT Policy No: 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 %: ZONING APPROVAL: N GRADING APPROVAL: Rear: 6 Front: 20 Left: 6 Right: 6 $934.71 $0.00 $0.00 $1,267.56 $1,072.00 $278.24 $0.00 $360.64 $206.08 $463.68 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 P/W Plan Check: $190.00 San Dist : $0.00 NMUSD Fee: $857.44 0 ommano 00o m m o o c omoo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $4,494.36 Fee Due at Permit Issuance : $10,950.99 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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: 0 ommano 00o m m o o c omoo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $4,494.36 Fee Due at Permit Issuance : $10,950.99 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the?A r on(s) indicated below by the checkmark(s) I have placed next to the applicable items) )ction 7031.5, Business and Professions Code: Any city or county d1 rove, 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 'A tie ors' State License 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 fo ny 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 it was not built or )roved for the purpose of sale). I, as ownerJAh--Froperty,-am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors'. State. License Law does not )Iy tQ an owner of pfoperty 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 ficrn $censure under the Contractors' State License Law for the following reason: my signature beloOl 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 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 lfessions Code, is. available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PlgppaY Owner or Authorized Agent Date ,tNSED GONTJZACTOR'S DECLARATION sTd* affiraNn'tigr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 yi§gn 3 of the Business and Pr ions CG ry ;cense is in full force 1 / Contractor Si v i•etfect. License Class License No Dat gnatu ]RISERS' gOMIFENSATION DECLARATION ININT�: FAILURB}OaLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI D/at AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLA S ($100,000), IN ADDITION TO THE WCC COMPENSATIOMDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ratty affirrr:uri,*? 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 formance of the work for which this permit is issued. Policy No. :1I 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 nsurance carrier and policy number are: carrier Policy Number Expiration Date V e of Agent Phone # ify that, in the pert ante of the or for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com sation laws of California, and agre hat, if I should become s j ct to the wo , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,I Signature of Applican Date 'L )ECLARATION REG DING CON TION LENDING AGENCY hereby affirm under Shelly of perjury tha there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civil Code). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ownEde alf. I have read this application and the information I h ve provided it. I agree to comply withal[ applicable city and cou y ordinances e laws relating to building construction. I authorize representatives of this city or county nter th bofied property for inspection purposes. 2 3i nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam D ° ✓' ACTION DATE BY DECLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION PART BI OFTITLE40ANDAQMD RULE 03 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED;414QMD PERMITFINALASBESTOS TI (CATION IS APPLICABLE TO CERTIFICATEOF U.1 nPROPOSEDD IT1 OCCUPANCYISSUED ( SIGNATU