HomeMy WebLinkAboutX2017-3420 - Permits7 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H a Permit Counter Phone (949)644-3288
-. s Inspection Requests Phone (949)644-3255
rwrmY7v�> "' Combination Type - SFP ELEC MECH PLUM GRAD
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Applicant:
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PERMITS EXPIRE 180 DAYS AFTER 1$SCANCJ� OF
1041 W 18TH ST Al 06
Construction Hours: Monday -
Friday 7:00 a.m, to 6:30 p.m. and Saturday fror
Job Address:
420 CATALINA DR NB
CA Seismic Safety:
Description:
NEW SFR ON EXISTING FOUNDATION WIATT GARAGE 2784 SF/440 SF
Legal Desc.:
TR 27 LOT 7 BLK 12 ALL -EX SELY 72 FT -
$0.00
Owner:
SALVUCCI JOHN
Contractor: HOLLAND MIKE CONSTR INC
Address:
420 CATALINA DR
Address: 28081 MORRO COURT
$0.00
NEWPORT BEACH, CA 92663
LAGUNA NIGUEL CA 92677
Phone:
Phone: 949-235-9477
Applicant:
RICHARTJASON
Address:
1041 W 18TH ST Al 06
Record Management:
COSTA MESA CA 92627
Phone:
949-422-9191
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 2845
Added /New sq. ft. Garage: 440
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $542.330.00
Building Permit Fee: $4,563.00
Plan Check Fee: $2,903.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$60.00
Energy Compliance:
$268.00
CA Seismic Safety:
$70.50
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$22.00
TOTAL FEE: $14,708.82
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
898714
Lic Expire:
0613012019
Bus Lic:
BT30058852
Lic Exp Date:
04/3012018
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9140185
Expire: 0 712 912 01 8
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
L3Itm2
Rear: 110
Front: 1 Ip
Left: /
Right: /
'arking Spaces:
$677.04
$0.00
$0.00
$0.00
$293.00
$0.00
$0.00
$319.41
$182.52
$410.67
COMB Permit: X2017-3420
Project No: 2382-2017
Issued Date: 0 412 612 01 8
Inspection Area : 2
Vim. to 6680pA. No work on Sundays or Holidays
Architect:
Address:
Phone: State Lic:
Engineer: GHAZLINAANDY
Address: 4202 ATLANTIC AVE #204
LONG BEACH CA 90807
Phone: 562-253-2385 State Lic:C-060867
Designer:>� K
Address: 'n rib,
4c \>l
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication: $0.00
PAN Plan Check: $228.00
San Dist: $1,465.00
NMUSDFee: $2,855.68
Plan Check Fee : $3,270.90 Fee Due at Permit Issuance : $11,437.92
PUBLIC WORKS APPROVAL: V
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
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 : $3,270.90 Fee Due at Permit Issuance : $11,437.92
PUBLIC WORKS APPROVAL: V
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frorrZthe Conta0to14' $tate I; censg tgw 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 coMVthal raqulres a dermitlo 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 exempVon.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 Vir sok caripghfyatiom, will citt!) ay 01or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License••_4v does not apply 10A 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 buittiflit3 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:hftp://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 7 ) oLpjvisi of the Business and Prgfessior��Cpde >, licens is in full force
and effect. License Class License No Dat ((��kk�� Contractor Signature Uel `
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 THOUjSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST 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:
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
e of the 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 Expiration Date
of Agent
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
if I should hecnme suhiect trithw wnrkP.n; Icmmnensatinn nmx4sions of Section 3700 of the Labor Code. I shall forthwith COR IY with those Drovlslons.
of
DatV_ — 'I
CLARATION R=G MG CONSTRUCTION LENDING AGENCY
areby 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).
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 ordinanc s and state laws relating to building construction. I
I authorize representatives of this city or counjy to Aqr th vJ-jgentifie f)property for inspection purposes. _ CA
ACTION DATEI BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
PERMITEXPIRED i��V LJISUBMITTED ASBESTOS
PERMITCANCELLED EPA
PERMIT
FI NAL 'I•//'At 1
SIGNATUR
OCCUPANCYISSUED
-2,I,--V9
Date��
PERMITFINAL 1 ^ \� /V PROPOSED DEMOLITIOU ASBESTOS N IS NOT APPLICABLE TO
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