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HomeMy WebLinkAboutX2018-3529 - Permits (2)City of Newport Beach - Building DivisionIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3529 100 Civic Center Drive, Newport Beach, CA 92660 ( +,Permit Counter Phone (949)644-3288 Project No : 2735-2018 q. 4f Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM GRAD Issued Date : 10/04/2019 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: 358 DAHLIA PL NB Description: NEW DUPLEX/GARAGES 5075 SF/800 SF, COVERED PATIO/DAYLIGHT BASEMENT 1100 SF Legal Desc.: CORONA DEL MAR LOT 13 BLK 231 NELY 10. FT NWLY 39 FT -INC ALLEY ADJ Owner: 358 DAHLIA LLC Address: 2855 E COAST HWY STE 234 Contractor: OWNERIBLDR Architect: GOETZ ANDREW CDM CA 92625 Address: GOETZ ANDREW Address: 2855 E COAST HWY 4234 Phone: Phone: CORONA DEL MAR CA 92625 Phone: 949-673.3152 State Lic:C018499 Applicant: GOETZ ANDREW Con State Lic: O/B Engineer: - Address: 2855 E COAST HWY #234 CORONA DEL MAR CA 92625 Phone: 949-673-3152 Lic Expire: Bus Lic: Address: e p, ym� 6 t a Lic Exp Date: Phone: i"' State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: Address: A ew Group: R315 Added ded /N/New sq.fBldg:- 5075 Policy No: Expire: NO CONSTRUCTION NOISE-_ Phone: Added /New sq. ft. Garage: 800 ft - =- No of Stories: 0 No of Units : 2 Building Setbacks Rear: 12' Special Conditions: LANDSLIDE AREA Bldg Height: 26 Front: 8' Left. 6.5'PA2018-138 - - - - Bldg Sprinklers: Y Flood Zone: Right: 6.5' p' L� WEEKEND, ON THE WEEKEND X Use Zone: RM Parking Spaces: 4 Fire Hazard Zone : N ruction Valuation: $1.500.000 00 g Permit Fee: $6,279.00 heck Fee: $5,119.00 Excise Tax: $1,233.75 - >} Planning Department - Fire Department me Plan Ck: $0.00 Additional Fee: Grading Bonds Fee: $588.00 $0.00 Plan check Fee : $1,217.00 Fire Inspection: $0.00 igation Fee: $0,00 Grading PC Consultant : $2,031.96 Fair Share : $1,923.00 Fire Plan Rev $0.00 - SJH Trans $0.00 Management : $74.00 Grading Permit Fee: $1,109.00 Demolition Fee In -lieu Housing Fee: $0.00 - EEI62$70 y Compliance: $268.00 ismic Safety: $195.00 Grading PC Fee: $446.04 Building Dept Adm $0.00 Public Works Department - General Service $0.00 ed Access : $0.00 WQ Insp. Fee: $108.00 Park Dedication: $0.00 Refund Deposit $0.00 ous Mat $0.00 Electrical %: $439.53 PM Plan Check: $990.00 Grading Bond: $0.00 San Dist: $3,589.00 g Green Fee : $60.00 Mechanical %: $251.16 NMUSD Fee: $7,308.48 Plumbing %: $565.11 $0.00 $0.00 TOTAL FEE ; $33,795.03 Plan Check Fee: $7,039.00 Fee Due at Permit Issuance: $26,756.03 PROCESSED BY: PUBLIC WORKS APPROVAL: - y+ g ° ZONING APPROVAL: _ PLAN CHECK BY: ° GRADING APPROVAL: APPROVAL TO ISSUE: E . OCa ©EE f100 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) lection 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 1e 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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). 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 P o 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 exempt from licensure under the Contractors' State License Law for the following reason: ly ignature 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) ructure that I have built as an owner -builder if it has not been constructe In It nti by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the usi ss and 'rofessions Code, is available upon request when hit applicatio ubmitted r at t wing Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent X Date .ICENSED CONTRACTOR'S DECLARATIC iN—� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force ,nd effect. License Class License No Date Contractor Signature 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 ($100,000), IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally 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 erformance of the work for which this permit is issued. Policy No. ]I 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 workerscompensatio isurance carrier and policy number are: Agent y that, in the performance hould become subject to I of Applicant Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ',ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j Date o O DECLARATION REGAEj01WG CONSTRUC1TtON LENDIN AGENCY hereby affirm under penalty of perjury that ( ere is a cons\ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civl Code). ender's Name Lender's Address y 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. n /� I have read this application and the information I have prov' d41C ct. (�a2� I agree to comply with all applicable city and county ordin es t e laws relating to building construction. ` 1I authorize representatives of this city or county t r t ab led property for inspection purposes. ��/'� innature of ProDertv Owner or Authorized Ag in Print Property Owner's or Authorized Agent's Name � Date DATEBY/ REGULATIONS PARTN OF d61 O PLIATIITLE 40 AN AQI CE WITH CODE OF RULE�L FOR OFFICE USE ONLY PERMITEXPIRED • ►LM13 ED ASBESTOS NOTIFICATION TO PERMIT CANCELLED It • • •• + • ••• ESA: PERMITEXTENDED • • • • • t2WID PERMITFINAL 0 a5W5f0S NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OFPK6POSED DEMOLITION OCCUPANCYISSUED 11 116RA?•l1'11�: