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Home My WebLink AboutX2021-2342 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-2342 +r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 3 4 2 w' ( Project NO : 2021-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD Issued LionDatAV28/2022 r <rrr,u Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/28/2025 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: 621 MICHAEL PL NB Description: NEW SFR & GARAGE 4,7261698 SF 11C Legal Desc.: N TR 4106 LOT 4 Owner: 11 MARBELLA LLC Address: 31 NEEDLE GRASS IRVINE CA 92603 Phone: 714-851-0771 Applicant: HERNANDEZ MARCUS Address: 16530 BAKE PKWY STE 101 IRVINE CA 92618 Phone: 949-522-5717 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4726 Added /New sq. ft. Garage: 698 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Building Permit Fee: $7,371.00 Plan Check Fee: $5,528.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $108.00 Energy Compliance: $303.00 CA Seismic Safety : $117.85 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $37.00 TOTAL FEE: $25,517.03 PROCESSED BY: ZONING APPROVAL: Contractor: PRIME TIME COASTAL DEV INC Address: 5366 RURAL RIDGE CIR ANAHEIM CA 92807 Phone: 714-313-6309 Con State Lic: 1077067 Lic Expire: 06/3012023 Bus Lic: BT30077730 Lic Exp Date: 01/3112023 Worker's Compensation Insurance Carrier: NO EMPLOYEES 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: 10' Front: 8' Left: 4' Right: 4' $1,139.04 $0.00 $0.00 $0.00 $1,138.00 $990.06 $152.00 $515.97 $294.84 $663.39 Architect: ROCHELEAU MITCHELL SCOTT Address: 23291 DOWNLAND RD 6' LAKE FOREST CA 92630 Phone: 210-771-1615 State Lic:C036977 11 l.�J Engineer: VAHDAT SIAMAK Address: 4000 BARRANCA PKWY #250.$,. IRVINE CA 92504� Phone: 949-654-0858 State Lic:C-065255 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $406.00 San Dist: $1,068.00 NMUSD Fee: $5,164.88 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 Plan Check Fee: $7,197.51 Fee Due at Permit Issuance : $18,319.52 �PUBI IC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: Ivno- - 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 ;he 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 Professions Code) or that he or she is exempt from Iicensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of erjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) of Division 3 of the Business and Professions l e is in full force and effect. License Class License No % T'J 76Ca % Date 2$'-Z2� Contractor Signatu� rL�• NORKERS' COMPENSATION DECLARATION NARNING: 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 IE700,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T08 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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, performance 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: 1e of Agent certify that, in the if I should becon Policy Number Date 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 - 7I, is co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica iJ Z-Z CLARATION RE SING CONSTRUCTION LENDING AGENCY -reby affirm u ndf 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). Ider's Name Lender's Address 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 ordina es and state laws relating to building construction. I authorize representatives of this city or county o enter bo den Ified property for inspection purposes. "� % i� / r nature of Propertv Owner or Authorized Agent ,��,..- �- Print Propertv Owner's or Authorized Aqent's NameY S�Y' Llt.UlQ if to ACTION DATE BY L DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED-ASBES-05 NOT:FICATICN TO EPA EYQMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL 6-I ?J..zej CERTIFICATE OF PROPOSED DEMOLT(OK OCCUPANCYISSUED SIGNATURE: