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Home My WebLink AboutX2017-3658 - Permits. , :• City of Newport Beach - Bu diag QIIAS�!oml e• a m:m IIIIIIIIIIIIIIIIIIII IIIIIIIII IIIIII I �� COMB Permit: X2017-3658 b *� +y 100 Civic Center Drive, Newport Beach, CA X26¢0 m m m m �. Permit Counter Phone (949)644-3288 • ®• . ', ° • • • °° m x 2 0 1 7 3 6 5 6 Project No: 2557-2017 Added /New sq. ft. Garage: 1219 a Inspection Requests Phone (949)644-3255 °! �O# Spp(1�1MMIS ii�i� No of Units : 1 Combination Type - SFP GRAD ELEC•MECH PLUMREQUIRED 24 Issued Date Y ° •°° m InspectionArea:5 $0.00 mmm • mm m °O mmm $0.00 • PERMITS CAP/RE 380 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday -Friday 7:00 a.m.% 6:30 $1rm. ehd Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2001 BAYADERE TER NB Description: NEW SFR & GAR - 756411219 SFS Legal Desc.: N TR 2813 LOT 177 j Owner: HAYWARD GREG & MADELINE Contractor: NICHOLSON CONSTRUCTION CO Architect: ' -1 Address: 1 CORPORATE PLAZA STE 110 Address: 1 CORPORATE PLZ #110 Address: NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Phone: 949-756-8393 Phone: 949.872-6637 Phone: Applicant: GLASS NANCI Address: 1 CORPORATE PLAZA DR STE 110 Occupancy Group: NEWPORT BEACH CA 92660 Phone: 714.865-4465 Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 7564 Added /New sq. ft. Garage: 1219 No of Stories: 2 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Flood Zone:. Valuation: $1.580.760.00 Building Permit Fee: $8,096.00 Plan Check Fee: $5,692.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $166.00 Energy Compliance: $268.00 CA Seismic Safety: $205.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $64.00 TOTAL FEE: $31,010.39 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: J� Con State Lic: 660295 Lic Expire: 1 213 112 01 8 Bus Lic: BT98032850 Lic Exp Date: 04130/2018 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9074255 Expire: 1010112018 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10' Front: 10' Left: 4' Right: 4' Parkina Spaces $1,844.22 $276.00 $0.00 $967.60 $2,094.00 - $212.40 $0.00 $1,059.77 $605.58 $1,362.56 Plan Check Fee Engineer: DEIHIMI DAMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 Fire Inspection: LAGUNA HILLS CA 92653 Phone: 949-954-7244 State Lic:C-078194 Designer: SUMICH GEOFF Address: 31511 CAMINO CAPISTRANO. UNIT A $0.00 SAN JUAN CAPISTRANO CA 92675 Phone: 949-496.8991 Special Conditions: CE02017069 Planning Department- .. Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: .Public Works Department - Park Dedication : $0.00 PAN Plan Check: $608.00 San Dist: $770.00 NMUSD Fee: $6,327.76 $8,531.71 Fee Due at Permit Issuance : $22,478.68 PUBLIC WORKS APPROVAL: /4r'�Q1A PLAN CHECK BY: APPROVAL TO ISSUE: M 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 $8,531.71 Fee Due at Permit Issuance : $22,478.68 PUBLIC WORKS APPROVAL: /4r'�Q1A PLAN CHECK BY: APPROVAL TO ISSUE: M OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the _ s' ate i s f r the raason(s) ind�a=Pd:hebw�by'thgg t.yeckmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county a oval demolish, br 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 ' 'ons o the o r s 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 fo a ny violation of Section 70315 by any applimn t for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). • "• . • ' ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (]Qortiois of the worlq and the•,sftuc;jreis 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 ahQ through erAplbyees 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 df completion, the Owner -Builder will have the burden of proving that it was not built or ffIm 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 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 legally 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 requestwhen this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of Division 3 of the Business and Professi s Code, k�aal�i rr9pyy license is in full force and effect. License Class License No Da Contractor Signature\ / � C. XSC-C�/I/' WORKERS' COMPENSATION DECLARATION 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 DOLLARS ($100,000), IN ADDITION TO THE COST 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: 21. 1 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 the �ce of the work for which this permit is issued. Policy No. h ve 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' compensatior nsur cc- carrier and policy number are: ,arrler Policy Number Expiration Date Name of Agent Phone # :1I 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' compensation laws of California, and agree hat, if I should become subject( oothe workers' compen 1 n rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. < �-/ Signature of Applicar6tX Yom ) .1 � D `i -3 —R X )ECLARATION RE ZAR TING CONSTRUCTION LENDING AGENCY 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, 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 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 state laws relating to building construction. C, I I authorize representatives of this city or county to ter the above -id 'fi property for inspection purposes. Signature of Property Owner or Authorized Agent, ent Print Property Owner's or Authorized Agent's Name Dat k lS ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED OEPA PERMIT EXTENDED 10AQMD PERMITFINALA�` ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIF/CATEOF 1^ `� 'V\ PROPOSED DEMOLITION OCCUPANCYISSUED v SIGNATURE: Permit No : X2017-3658 Code Year Edition :2016 Plan Check No: 2557-2017 Occupancy Group: R3/U Address: 2001 BAYADERE TER Suite No: - ConstructionType: V -B -SPR Owner: HAYWARD GREG & MADELINE Occupant Load : N/A 1 CORPORATE PLAZA STE 110 Fire Sprinklered: Y NEWPORT BEACH CA 92660 Work Description: NEW SFR & GAR - 7564/1219 SF THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION I I I OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Chief Building Official: Samir Ghosn, MS. PE, CBO. Signature: �G'-1%'u� Date : 66/15/21