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HomeMy WebLinkAboutX2021-0117 - PermitsCity of Newport Beach - Building Division �11111111111p11111p111111lllliillll1111111111llgIli! COMB Permit: X2021-0117 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 1 1 7 Project NO : 0128-2021 Permit Counter Phone (949)644-3288 \.... Inspection Requests Phone (949)644-3255 Issued Date: Combination Type- SFP GRAD ELEC MECH PLUM Inspection Area :4 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: 26 ROYAL SAINT GEORGE RD NB Description: NEW SFR W/GAR 4656 8 683 SF, COVERED PORCH 90 SF, TRELLIS, Legal Desc.: N TR 7323 LOT 23 Owner: Address: REKLAW LLC Contractor: WALKER CONSTRUCTION Architect: SCHULTZ CRAIG 418 ORCHID AVE Address: 418 1/2 ORCHID AVE Address: 3111 SECOND AVE STE 1 - - Phone: CORONA DEL MAR CA 92625 CORONA DEL MAR CA 92625 CORONA DEL MAR CA 92625 949-280-7633 Phone: 949-280R61M Phone: 949-645-9982 State Lic:CO22287 Applicant: SCHULTZ CRAIG Address: 3111 SECOND AVE STE 1 CORONA DEL MAR CA 92625 Phone:. 949-645-9992 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4656 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $885 Building Permit Fee: $7,371.00 Plan Check Fee: $5,528.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $106.00 Energy Compliance: $303.00 CA Seismic Safety : $115.05 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $36.00 TOTAL FEE: $19,098.63 PROCESSED BY: ZONING APPROVAL: 76;P Con State Lic: 681217 Engineer: Lic Expire: 09/30/2021 Address: Bus Lic: BT30058987 Lic Exp Date: 05/31/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9263241 Expire: 10/2912021 Phone: 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: 15 Front: 10 Left: 5 Right: 5 $1,121.19 $0.00 $0.00 $0.00 $1,187.00 $1,032.69 $0.00 $515.97 $294.84 $663.39 GABRIEL MICHAEL R 483 E 20TH STREET COSTA MESA CA 92627 949-646-6596 State Lic:S-002939 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $304.50 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $19,098.63 Fire Department $520.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ,l_4 I['_ APPROVAL TO ISSUE: �� 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 applicable 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 ie 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). El 1, 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 or 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: ly n,y 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 Iegallt 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 'rrfessions Code is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.html. ;ignawre of Property Owner or Authorized Agent Date XEASED CONSRACTOR'S DECLARATION hero0y affirm under penalty of AA..S�rjury that I am licensed under provisions o,�� C ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code m license is In full force ne ffect. Lice�oe C'ass i License No Cl ��� Date Contractor Signature CORKERS' COMPENSATION DECLARATION ',iF.NWC: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm uuoer penalty of perjury one of the following declarations: I I have and vA! 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 erfonnance 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 workers' compensatiol Isurance carrier and policy number are: arrier Policy Number Expiration Date lame of Agent Phone # A certify that, in the performance of the work far which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre lat, if I should become subject to the work c pens isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date_ iECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of work forwhich ender's Name 1 JGwI 1:.1V I �C,�✓l ( -a '3 Lender's Address t`� y my signature below, I certify It, each of the f Ilowing: 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 ordinad state elatingto building construction. I authorize representatives of this city or county to enter thnc -ipe tified property for inspection purposes. of PrODertv Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED I DATE I Print Property Owner's or Authorized Ag DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: is issued (Section 3097, Civil Code). Name