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HomeMy WebLinkAboutX2021-0112 - Permitstto City of Newport Beach - Building Division 3 ! - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD IIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIII�I II COMB Permit: X2021-0112 x 2 0 2 1 0 1 1 2 Project No : 0126-2021 Issued Date : 08/17/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811712024 OR PERMIT WILL BE INVALID 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: 1115 ESSEX LN NB Description: NEW SFR ON PARTIAL (E) FOUNDATION W/ ATT GARAGE 2,991/516 SF Legal Desc.: N TR 3000 LOT 43 Owner: LAUER MATT & ANDREA Contractor: GPE BUILDER'S Architect: Address: 1115 ESSEX LANE Address: 404 E 16TH STREET Address: NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 Phone: 614-893-3511 Phone: 949-691-8020 Phone: State Lic: Applicant: RICHART JASON Con State Lic: 1061982 Engineer: GHAZLANI ANDY Address: 1041 W. 18TH ST(A106) Lic Expire: 01/31/2022 Address: 4202 ATLANTIC AVE #204 COSTA MESA, CA 92627 Bus Lic: BT30072992 LONG BEACH CA 90807 Phone: 949-422-9191 Lic Exp Date: 09/3W 21 Phone: 562-253-2385 State Lic:C-060867 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3JU Added /New sq.ft. Bldg: 2991 Added /New sq. ft. Garage: 516 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Valuation: $579,660.00 Building Permit Fee: $5,194.00 Plan Check Fee: $3,365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $303.00 CA Seismic Safety: $75.36 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $24.00 TOTAL FEE : $17,821.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 larking Space $736.47 $291.00 $0.00 $0.00 $973.00 $846.51 $152.00 $363.58 $207.76 $467.46 Designer: RICHARTJASON Address: 1041 W. 18TH ST(A106) COSTA MESA, CA 92627 Phone: 949-422-9191 Special Conditions Fire Hazard Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/VV Plan Check : $50.75 San Dist: $2,084.00 NMUSD Fee: $2,121.52 Plan Check Fee : $3,705.32 Fire Department $520.00 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 Fee Due at Permit Issuance : $14,116.09 0 o mPUBL'IC°�IORF(�APP@O�AL.a PLAN CHECK BY: °-APBROVALTC>IS8U&'° O° ° o 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 applica' 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 to 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 Busyess 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). 1 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, 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 pply 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: Iy 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Pr as Cod nd my license is in full force nd effect. License Class License No Date — — z1 Contractor Signatur ��. IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 DST 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: 7 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 thI erformance of the work forwhich this permit is issued. Policy No. 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' rance carrier and policy number are: (e of Agent certify that, in the pi if I should become of Policy Number Date 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 ge/worke/rss'' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p IECLARATION REGARUINGCONSTRUCTION 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 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin nces and state laws relating to building construction. I authorize representatives of this city or county toe r t_"bove-identified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY o REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• ••• • ••• PERMIT EXPIRED U I SUBN iTED 1SBESTOS NOTACATIOffTa PERMITCANCELLED EPA-. • • • •• PERMIT EXTENDED LJAQmD PERMITFINAL G� n ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /�'�2 /�/; PROPOSED•OV&TC04 OCCUPANCY ISSUED SIGNATIJR5- o e e o • ee