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HomeMy WebLinkAboutX2019-1628 - Permitst City of Newport Beach - Building Division *X20191628* a : 100 Civic Center Drive, Newport Beach, CA 92660 w1 Permit Counter Phone (949)644-3288 'rs Inspection Requests Phone (949)644.3255 #vnx Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2019-1628 Project No : 1158-2019 Issued Date: 09117/2019 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: 4818 CORTLAND DR NB Description: SFR ADD 993 SF & REMODEL590 SF, REBUILD GARAGE 657 SF Legal Desc.:. N TR 3519 LOT 1fi Owner: STELLAR JOHN Contractor: ENGLISH SCOTT GC Architect: WALZ JOHN ROBERT Address:265 BEVERLY ST Address: 1561 ORCHARD DRIVE Address: 510 LARKSPUR AVE LAGUNA BEACH CA 92651 SANTA ANA HEIGHTS CA 92707 CORONA DEL MAR CA 92625 Phone Applicant: WALZ JOHN ROBERT Address: 510 LARKSPUR AVE CORONA DEL MAR CA 92625 Phone: 949.836-5977 Code Edit: 2016 Type of Construction: V -S -SPR Occupancy Group:. R -3/U .Added /New sq.ft. Bldg: 993 Added /New sq. ft. Garage: 197 No of Stories: 2 No of Units : 1 Bldg Height:. 29 Bldg Sprinklers: Y Flood Zone:. X Building Permit Fee: $5,466.00 Plan Check Fee: $3,891.94 PROCESSED BY: Phone: 949-355-6228 Con State Lie: Overtime Plan Ck $0.00 Lie Expire: Investigation Fee: $0.00 Bus Lie: .Record Management : $122.00 Lie Exp Date: Energy Compliance: $268.00 Worker's Compensation Insurance CA Seismic Safety: $75.40 WIC EXEMPT Disabled Access: $0.00 (NO EMPLOYEES) Hazardous Mat $0.00 $24.00 Building Green Fee : $24.00 PROCESSED BY: Phone: 949-355-6228 Con State Lie: 784484 Lie Expire: 09130/2020 Bus Lie: BT30056763 Lie Exp Date: 10/31/2019 Worker's Compensation Insurance Carrier,. WIC EXEMPT -. Policy No: (NO EMPLOYEES) Expire: $24.00 Building Setbacks Rear: 6 TOTAL FEE $17,764.91 ZONING APPROVAL: GRADING APPROVAL: Front: 15 Left: 6 Right: 6 Use Zone: R-1.6000 Parklna Space: Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $1,064.36 Grading Permit Fee: $1,109.00 Grading PC Fee: $233.64 WQ Insp. Fee: $0.00 Electrical %: $382.62 Mechanical %: $218.64 Plumbing %: $491.94 Phone: 949-836-5977 State Lic:C031388 Engineer: BURKE THOMAS _Address: 312 OCEAN AVE $0.00 LAGUNA BEACH CA 92651 Phone: 949-494-0776 State Lic:S-005088 Designer: Address: Building Dept Adm Phone: Special Conditions Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.06 PMN Plan Check: $371,25 San Dist: $874.00 NMUSD Fee: $1,827.12 Plan Check Fee : $17,764.91 Fee Due at Permit Issuance: $0.00 E W PUBLIGt$/Oiilr,,S APPROVAL: c cc c° ••PLAN'CHECKt3Y: . APPROVAL TO ISSUE: Fire Department $560.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $17,764.91 Fee Due at Permit Issuance: $0.00 E W PUBLIGt$/Oiilr,,S APPROVAL: c cc c° ••PLAN'CHECKt3Y: . APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, 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 provisions of the Contractors' 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 the alleged exemption. Any violation 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 (_) 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-Builderwill 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 Iegalh sell 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 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f )visio 3 of the Business and Professions Code, and my licgqse is in full force and effect.. License Class License No Date Contractor SignatuLk., NORKERS' COMPENSATION DECLARATION v �� 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 DOLL 100,0001, 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: :11 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 )erformanceof the work for which this permit is issued. Policy No. 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' carrieraR\d-'eoky number are: q fi / . t � r P Iic pFfiriy ber Expiration Date of Agent JI 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' compensate n laws of California, and agre iat, if I should become subject to�the ers' mp2W vi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j signature ofApplicaDaTe�j_ J G l IECLARATION REGARDING CONSTRUCTION LCNDJbWAGENCY hereby 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, ender's Name Lender's Address ly 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 ordi s and state laws relating to building construction. I authorize representatives of this city or county jo r the a�rl for inspection purposes. ,e Civil Code). ACTION DATE BY DECLARATION CLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY U REGULATIONS PART 61 OF TITLE 40 AND AQMD. RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • s PERMITCANCELLED EPA • • ` • • i s PERMITEXTENDED OMD �•• • ' 3•• •• ••• ••• PERMITFINAL ASBESTOS NOTIFICATI OP CERTIFICATE OF PR POSEDLI OCCUPANCYISSUED SIGNATURE: * 1 •••