HomeMy WebLinkAboutX2017-0373 - Permits�� ,��
City of Newport Beach - Building Division
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COMB Permit: X2017-0373
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100 Civic Center Drive, Newport Beach, CA 92660
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Project No : 0255-2017
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Permit Counter Phone (949)644-3288
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Inspection Requests Phony„(949)644-3255
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Combination Type - SFP GRAD ELEC MECH PLUM
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Issued Date : 08109/2017
GOUIRE
Inspection Area : 3
TOTAL FEE: $13,905.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
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$4,218.40 Fee Due at Permit Issuance : $9,687.30
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•PLBI%IC tV1ORKS APPROVAL:
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PLAN CHECK BY:
••• ••• APPROVALpO ISSUE:
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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: 2209 PRIVATE RD NB
Description: NEW SFR W/ATT GAR 3284 & 515.SF
Legal Desc.: N TR 2513 LOT 2
Owner: LAFRANCE CRAIG
Contractor:
REUTERS GEN CONTRACTING Architect:
MC INTOSH CRAIG ALLEN
Address: 2209 PRIVATE RD
Address:
887 PRODUCTION PL Address:
1048 IRVINE AVE #191
NEWPORT BEACH CA 92660
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92660
Phone:
Phone:
949.645-5824
Phone:
714-396-2379 State Lic:CO24591
Applicant: MC INTOSH CRAIG ALLEN
Con State Lic:
760411
Engineer:
MONTOYA HERNAN
Address: 1048 IRVINE AVE #191
Lic Expire:
03/31/2019
Address:
22421 GILBERTO, STE E
NEWPORT BEACH CA 92660
Bus Lic:
BT30043520
RANCHO SANTA MARG CA 92688
Phone: 714-396-2379
Lic Exp Date: 05/31/2018
Phone:
949/713-7824 State Lic:S-002819
Code Edit: 0
Worker's Compensation Insurance
Designer:
Type of Construction: V - B SPR
Carrier:
STATE FUND
Address:
Occupancy Group: R3- U
Policy No:
1535045
Added /New sq.ft. Bldg: 3284
Expire:
07101/2018
Phone:
Added /New sq. ft. Garage: 515
No of Stories: 1
Building Setbacks
Rear: 6'
Special Conditions:
No of Units : 1
Front: 10'
Bldg Height: 0
Left: 6'
Bldg Sprinklers: Y
Right: 6'
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone: N
Construction Valuation: $700.000.00
Building Permit Fee: $4,563.00
Excise Tax:
$797.79
Planning Department -
Fire Department
Plan Check Fee: $2,903.00
Additional Fee :
$0.00
Plan check Fee: $391.00 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:
$0.00
SJH Trans:
$0.00 Demolition Fee
Record Management: $84.00
Grading Permit Fee:
$1,001.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$870.87
Public Works Department-
General Service
$0.00
CA Seismic Safety: $91.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
- Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $494.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$319.41
San Dist: $0.00
Building Green Fee : $28.00
Mechanical %:
$182.52
NMUSD Fee: $1,501.44 -
$0.00
Plumbing %:
$410.67
$0.00
TOTAL FEE: $13,905.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
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$4,218.40 Fee Due at Permit Issuance : $9,687.30
• •
•PLBI%IC tV1ORKS APPROVAL:
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PLAN CHECK BY:
••• ••• APPROVALpO ISSUE:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr 1 gng indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that rem - e�.$�r- °"� demolish, or repair any structure, prior to its issuance, also requires the applicant for
re permit to file a signed statement that he or she is licensed pursuant to the prowslons o The ontrac ors ate is nse Law (Chapter 9 (commencing with &`action 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the lation 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 `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
1 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 legal1
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 usiness Emil
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent DQVII
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 's of the Business and 7-
COMPENSATION
7force
nd effect. License Class License No Date Contractor Big nat
DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIOL PENALTIES AND CIVIL FINES UP TO ONE RUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST 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 ve 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
er Iance_Qkhe work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
lame of Agent Phone #
JI certify that, in the perf o the for which t s miti! iss shall no person in any manner so as to become subject to the /De
mpen tion la s of California, and agre
iat, if I should become t rk ' compen t' provisio o ection 0 of he Labor Code, I shall forthwith comply with those provisions. `
lignature of Applican IECLARATION RE ARD G ONST UCTION LEN G AGE Y
hereby affirm and r penalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section.1v(.ode).
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 correc�
I agree to comply with all applicable city and county rdi nces d st laws ting wilding construction. ,I _ n
I authorize representatives of this city or county to ve-Id tifie/d pert action purposes. '((J,(�
linnafure of Prooertv Owner or Authorized ADent / Print Property Owner's or Authorized Aaent's Name
DATE BY I DECLARATION OF COKfUANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS JOTIOCATIOIJO
• • • • • • • • • •
PERMIT CANCELLED UEP • ••
PERMIT EXTENDED rJAQMD
PERMIT FINALASBESTOS NO N TAP I ELVA
CERTIFICATE OF—a,Co-'19 LDS- PROPOSED DE • • • •••
OCCUPANCYISSUED SIGNATURE:
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