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HomeMy WebLinkAboutX2021-0229 - PermitsCity of Newport Beach - Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB permit: X2021-0229 a T r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 2 2 9 Project No : 0247-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date Combination Type - SFP ELEC GRAD MECH PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2247 DONNIE RD NB Description: NEW SFR 8 GARAGE - 5000/681 SF Legal Desc.: N TR 2819 LOT 8 Owner: CAPOLINO TONY Address: 2247 DONNIE RD NEWPORT BEACH, CA 92660 Phone: Applicant: ADAMS JASON Address: 1555 MESA VERDE DR E STE A13 COSTA MESA CA 92626 Phone: 949-228-2242 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 5000 Added /New sq. ft. Garage: 681 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $7,371.00 Plan Check Fee: $5,596.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $98.00 Energy Compliance: $303.00 CA Seismic Safety: $273.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $84.00 TOTAL FEE: $25,551.10 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: STREAMLINE CONSTRUCTION INC Address: 31878 DEL OBISPO ST #113-510 SAN JUAN CAPISTRANO CA 92675 Phone: 800-965-9728 Con State Lic: 991086 Lic Expire: 0313112022 Bus Lic: BT30071284 Lic Exp Date: 0313012022 Worker's Compensation Insurance Carrier: EVEREST NTL INS CO Policy No: 7600017436211 Expire: 03/23/2022 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: 20 Front: 20 Left: 5 Right: 5 Parkina Spaces $1,193.22 $783.00 $0.00 $1,480.92 $973.00 $1,171.59 $152.00 $515.97 $294.84 $663.39 Plan Check Fee Architect: LA ROCHE DENIS A Address: PO BOX 3708 TUSTIN CA 92781 Phone: 949-939-3047 State Lic:C013756 Engineer: MANI DEV Address: 3130 E WILLOW ST LONG BEACH CA 90803 Phone: 562-597-8883 State Lic:C-062778 Designer: Address: Phone: Special Conditions: rn Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $558.25 San Dist : $0.00 NMUSD Fee: $3,519.92 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 $7,020.00 Fee Due at Permit Issuance : $18,531.10 PUBLi0'WORKS AP-ROVAL: Tr PLAN CHECK BY: 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 the 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 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 not more than five hundred dollars ($500). ❑ 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, 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). 0 1 am exempt from licensure 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of Division 3 of the Business and Pro fs;ions ode, and my lictgses in full for e and effect. License Class License No Date 7'2172oLt Contractor SignatureT:l L.��-� WORKERS' 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1,06ve 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 e rmance of the work for which this permit is issued. Policy No. Ul ova 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' compensation insur nce carrier and policy number are: Policy Number Date I certify that, in the performance 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 agree should become su`bj/gct to the workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l� t ignature of Applicant /L.12 iECLARATION REGARDING CONSMICTION 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to entar the above-idenQied property for inspection purposes. /�� ,J `r� 'r� ' Z -za-� l' U N y V 1 ignature of Property Owner or Authorized AgentpG _ _ _ A l� C/�.—PTIn Property Owner's or Authorized Agent's Name Date ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED El I SUBMIT �i ED ASBESTOSAOTI PCATION TO PERMITCANCELLED EPA - - PERMIT EXTENDED UAQMD PERMITFINAL 2^-2� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMMITIONN OCCUPANCY ISSUED SIGNATURE: