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HomeMy WebLinkAboutX2019-3023 - PermitsCity of Newport Beach - Building Division II�IIIIIIII�IIIIIII�IIIIIIII�IIIIIIIIIIIII� II COMB Permit: X2019-3023 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2108-2019 [�. '^ Permit Counter Phone (949)644-3288- Inspection Requests Phone (949)644-3255 �m �'d rsx.�a�`' Combination Type - SFP ELEC MECH PLUM GRAD . Issued Date, 1210412019 0 Inspection Area : 1 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: 407 39TH ST NB Description: NEW SFR & GARAGE 3254/500 SF Legal Desc.: CANAL SECTION BILK 439 LOT 10 Owner: MARKOS MARK S & MELISSA Contractor: CLAYTON BUILDERS INC Architect: Address: 407 39TH ST Address: 250 LUGONIA ST Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 Phone: Phone: 949-2795910 Phone: State Lic: Applicant:. GUIDERO BILL Con State Lic: 846631 Engineer: GABRIEL MICHAEL R Address: 425 30TH ST #23 Lic Expire: 09/30/2020 Address: 483 E 20TH STREET NB CA 92663 Bus Lic: BT30043010i COSTA MESA CA 92627 Phone: 949-675-2626 Lic Exp Date: 04/30/2020 Phone: 949-646-6596 State Lic:S-002939 Code Edit, 2016 Worker's Ccmpensation Insurance Designer: GUIDERO BILL Type of Construction: V-B-SPR Carrier: NO EMPLOYEES Address: 425 30TH ST #23 Occupancy Group: R3/U Policy No: NB CA 92663 Added /New sq.ft. Bldg: 3254 Expire: Phone: 949-675-2626 Added /New sq. ft. Garage: 500 No of Stories: 3 Building Setbacks Rear: 5' Special Conditions: LIQUEFACTION AREA No of Units, 1 Front: 10' Noise agrmtrec'd Bldg Height: 0 Left: 3' on cover sheet Bldg Sprinklers: Y Right: 3' Flood Zone: X Use Zone: R-2 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $650,000.00 Building Permit Fee: $4,866.00 Excise Tax: $788.34 Planning Department - Fire Department Plan Check Fee: $3,035.00 Additional Fee : $0.00 Plan check Fee : $417.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $580.56 SJH Trans: $0.00 Demolition Fee Record Management: $64.00 Grading Permit Fee: $876.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $127.44 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $ Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $340.62 PAN Plan Check : $0.00 San Dist: $1,748.00 Grading Boris1 Building Green Fee : $26.00 Mechanical %: $194.64 NMUSD Fee: $4,298.24 $0.00 Plumbing %: $437.94 $0.00 TOTAL FEE : $18,174.78 Plan Check Fee: $4,481.25 Fee ova Due at Permit Issuance ; $13,693.53 PROCESSED BY: PUBLIC WORKS APPROVAL: TION NOISE ZONING APPROVAL: �L^ PLAN CHECK BY: `1'y GRADING APPROVAL: APPROVAL TO ISSUE: ON THE t e irr—. �,-... 0 o °o 0 c D OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractorta le� f s 'n ' ated 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 require lish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions o e Con ractors t e w (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 allege 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 L) 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). 11, 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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. - ;ignature 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 00 Z ivision Ithe Business and Pr io I u 'rce nd effect. License Class License No Dat ` 6) '' Contractor Signatu 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 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: 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. 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: Policy Number Date e of Agent Phone # �I ertify that, in the performance of th rk for whit i 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 tat, if I should become subject to/y�� o omp s Io prroov(yai/Dp R ction 3700 of the Labor Code, I shall forthwith comply with those provisions. ,ignature of Applic� //L M�"'v`^ e I(������ )ECLARATION REGARDING CONSTRUCTION LENDING ACUNCY If 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 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 col ty or ances and laws r Ung to building construction. I authorize representatives of this city or county�o�nljeje,�eve a ti grd pr y for inspection purposes. Signature of Property Owner or Authorized Age0L v Lo "vil `J Print Property Owner's or Authorized Agent's Nam Date ACTION DATE 4111 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •.. ••. • • ••• •• PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ' • • • • • •• ' • • • • •• • • • • •• • • • • •• PERMIT CANCELLED LJEPA • • • • s PERMIT EMENDED QMD PERMITFINAL —' ItQ I..L` Jr/ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO rf ••• • • • ees •• CERTIFICATE OF PROPOSED DEMOLITION • • • e • • • OCCUPANCYISSUED SIGNATURE: ese se ee o e eee ee