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HomeMy WebLinkAboutX2018-2913 - Permitsn� City of Newport Beach - Building Address: 550 S. BREA BLVD 44 100 Civic Center Drive, Newport Beach, CA 92660 E 3m Permit Counter Phone (949)644.3288 - Inspection Requests Phone (949)644-3255 No of Stories: Combination Type - SFP GRAD ELEC MECH Division PLUM IIIIXI�.2 101I�� IIII�IIII'I �I COMB Permit: X2018-2913 Project No: 0896-2018 Issued Date: 091271: Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. `inc of Construction Hours: 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�QtpC((��dd' Job Address: 2045 OCEAN BLVD NB HEI Description: NEW SFR W/GAR 2838 & 417 SF, ROOF DECK 679 SF & COVERED PATIO 75 SF Legal Desc.: N TR 518 BLK D LOT 20 Owner: MIRHADI AMIN Contractor: BLUE RIBBON DESIGN BUILD Architect: OLDHAM RYAN Address: 1199 ROBERTO LN Address: 26741 PORTOLA PKWY STE 1E #515 Address: 550 S. BREA BLVD LOS ANGELES CA 90077 FOOTHILL RANCH, CA 92610 BREA CA 92821 Phone: 310-925-4573 Phone: 949-586-6673 Phone: 714.482-8296 State Lic:CO29715 Applicant: OLDHAM RYAN Address: 550 S. BREA BLVD Occupancy Group: BREA CA 92821 Phone: 714-482-8296 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2838 Added /New sq. ft. Garage: 417 No of Stories: 3 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Construction Building Permit Fee: $4,866-.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $72.00 Energy Compliance: $0.00 CA Seismic Safety: $110.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $34.00 TOTAL FEE: $11,450.34 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 281147 Lie Expire: 11130/2018 Bus Lie: BT30064604 Lie Exp Date: 0913 012 01 9 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 %: Rear: 0' Front: 10' Left: 3' Right: 3' Parkina Spaces $683.55 $0.00 $0.00 $774.08 $875.00 $169.92 $108.00 $340.62 $194.64 $437.94 Plan Check Fee / Engineer: LOTHROP SHAWN DUANE Address: 29970 TECHNOLOGY DR, STE 212 MURRIETA CA 92563 Phone: 951-600-0032 x204 State Lic:S-005627 Designer: Address: Phone: Special Conditions: Coastal 5-16-0794-W Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 PAN Plan Check: $206.25 San Dist: $0.00 NMUSD Fee: $2,577.84 eoe•�. o•4i emeoe° e ems^ e o S o c o• �' c� i mm c 0 o e o ® o c coc mm c m eoonc �`ooac e �:� 0000c 0 o c m co 0 0000cc 00 0 00000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Isssjuuaance : $11,450.34 PUBLIC WORKS APPROVAL: \ / Ic- PLAN CHECK BY: APPROVAL TO ISSUE: sz�-l�_- 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: eoe•�. o•4i emeoe° e ems^ e o S o c o• �' c� i mm c 0 o e o ® o c coc mm c m eoonc �`ooac e �:� 0000c 0 o c m co 0 0000cc 00 0 00000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Isssjuuaance : $11,450.34 PUBLIC WORKS APPROVAL: \ / Ic- PLAN CHECK BY: APPROVAL TO ISSUE: sz�-l�_- 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) 1 have placed next to the applicable item(s) ction 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 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 fessions 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 more than five hundred dollars ($500). (riy1 oyees with wages as their sole compensation, will do (_) all of or.0 portions of the work, and the structure is not intended or offered for sale (Section 7044, 'h°efton actors' 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 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 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 oly 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 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 Aessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. (nature of PTWy Owner or Authorized Agent Date 'ENSED CONTRACTOR'S DECLARATION DAy affirm•unde Ppenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section70 of Di ision 3 of the Business and ode, and..mu ' se is in full force J affect. Cisarle Class License No Date 1 PJ Contractor Sig e JiaKERS' COMPENSATION DECLARATION VING: FAILURE TORECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($10 ,000), IN ADDITION TO THE 61rOF COMP9!gPkk1IOIt DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rreby affimj unrjefpenalty of perjury one of the following declarations: 9•have andavill 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 thi f durance of tqe work for which this permit is issued. Policy No. heave and vrill Votain 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 ural4ce carrier and policy number are: Cavi€r: • • • Policy Number Expiration Date �a• •a of Agent • • • Phone # C that, in the pert rmance 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 worke compensation laws of California, and agre Khat, I should becomes bject to the workers' compens Ion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. t2 Signature of Applicant ate R' 27'�S DECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under nalty of perjury that there is a c struction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). Lender's Name Lender's Address By 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 Pave provided is correct. I agree to comply with all applicable city and co ty ordinances and tate laws relating to building construction. I authorize representatives of this city or county to enter the above -i entified property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na/eSVU. !� 'i/1.� ate ACTION DATE BY DECLARATION O COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA T 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL/1(O�0ivw y/�/� ASBESTOS OTIFICATION IS NOT APPLICAB TO CERTIFICATEOF ¢ PROPOSED DMOLITION OCCUPANCY 155UED SIGNATU