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Home My WebLink AboutX2017-0490 - PermitsCity of Newport Beach - Building Division *X2017-0490" COMB Permit: X2017-0490 o� 100 Civic Center Drive, Newport Beach, CA 92660 Project NO :0092-2016 F r Permit Counter Phone (949)644-3288 4y Inspection Requests Phone (949)644-3255 res , Combination Type - SFP ELEC MECH PLUM Issued Date : 02/2712017 Inspection Arq$,A2r, PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.+' Ga fS6'L d js� Job Address: 23 EBB TIDE CIR NB "EBB fi Description: NEW DETACHED SFR PLAN 2A 1809 & 427 SF.DECKS 491 SF TIDE" i Legal Desc.: Owner: EBB TIDE LLC Contractor: M B K BUILDERS INC Architect: TEXTER CHRISTOPHER S Address: 4 PARK PLAZA, STE 1000 Address: 175 TECHNOLOGY DRIVE Address: 17911 VON KARMAN AVE, STE 200 IRVINE CA 92614 IRVINE CA 92618 IRVINE CA 92614 Phone: 949-789-8441 Phone: 949.789-6441 Phone: 949-851-2133 State Lic:CO25901 Applicant: EBBTIDE LLC Con State Lic: 844533 Engineer: SADLER KENNETH WEST Address: 4 PARK PLAZA, STE 1000 Lic Expire: 08/31/2018 Address: 1800 E 16TH ST IRVINE CA 92614 Bus Lia BT30067158 SANTA ANA CA 92701 Phone: 949-789.8441 Lic Exp Date: 11/30/2017 Phone: 714.835-2800 State Lic:C-045316,°O°°° Code Edit: 2013 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: MITSUI SUMITOMO Address: Occupancy Group: R3/U Policy No: WCP9110109 Added /Newfrl sq.ft. Bldg: 1809 Expire: 07/01/2017 Phone: Added /New sq. ft. Garage: 427 No of Stories: 3 Building Setbacks Rear: NA Special Conditions: No of Units : 1 Front: 25 0 0 ommoo Bldg Height: 0 Left: NA Bldg Sprinklers: Y Right: NA o Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N omomc° Construction Valuation: $420.000.00 Building Permit Fee: $3,238.00 Excise Tax: $469.56 Planning Department - Fire Department omm o m o Plan Check Fee: $0.00 Additional Fee : $714.50 Plan check Fee : $0.00 Fire Inspection: $0 0b 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 : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $54.60 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $226.66 San Dist: $0.00 Building Green Fee : $17.00 Mechanical W $129.52 NMUSD Fee: $0.00 $0.00 Plumbing % $291.42 $0.00 TOTAL FEE : $5,249.26 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $5,249.26 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 L) 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). ❑ 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 ,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 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 Professions e, y license is in full force and effect. License Gjass License No Dat Contractor Signature WORKERS' c6mrsASATION DECLARATION WIR MH(k FAILURE TO SEGIIRE 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 OOMPENSATIOW,, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I erre by affirm under penalty of perjury one of the following declarations: 0 1 have and will mairatain 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 thl W(armUce of the ptrlsfor which this permit is issued. Policy No. Z-ave and wBl 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' compensatior ianca ucarrietian'd policy number are: Policy Number Expiration Date 6"fy that, in the pdrforman a wor hich 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 agre tN.1; I,ehould becQlne S/ub ect ker ' com ns ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ —7 Signature of Applicagt� �� Date O' I - r% DECLARATION REGARDING CONSTRUCTION-t:ENDWC jL.AtENCY I 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). Lender's Name Lender's Address By 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 pro d is correct. I agree to comply with all applicable city and county o Inan state laws relating to building construction. I authorize representatives of this city or county a ter h tied erty for inspection purposes. _ ,/j ISlanature of ProDerty Owner or Authorized Aqent 7 Print Prooertv Owner's or Authorized Aqent's N.,K. �-1 X:I / t., Dat€41 ACTION DATE BY' DECLARATION OF II REGULATIONS PART0610 TWIT E 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY ' PERMIT EXPIRED PERMITCANCELLED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.