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Home My WebLink AboutX2015-2624 - Permits"nuc City of Newport Beach - Building Division e 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 .. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2015-2624 X 2 0 1 5 2 6 2 4 Project No: 1983-2015 Issued Date : 05/06/2016 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 4606 ROXBURY RD NB Description: NEW SFR W/ATT GARAGE 6,3921862 SF Legal Desc.: N TR 3357 LOT 18 Owner: NELLIGAN JOHN & LAUREL J Contractor: CARL AKINS COMPANY INC Architect: " Po E= C T Address: 4606 ROXBURY RD Address: 332 FOREST AVE #12 Address: CORONA DEL MAR, CA 92625 LAGUNA BEACH CA 92651 Phone: 703-307-5527 Phone: 949-715.5445 Phone: State Lic: Applicant: MADDEN JAMES Address: 31742 S COAST HWY Bus Lic: LAGUNA BEACH CA 92651 Phone: 949-661-5068 Code Edit: 2013 Type of Construction: V-BSPR Occupancy Group: R31U Added /New sq.ft. Bldg: 6392 Added /New sq. ft. Garage: 862 No of Stories: 1 No of Units: 1 Bldg Height: 24 Bldg Sprinklers: Y Con State Lic: 801814 Lic Expire: 12/31/2017 Bus Lic: BT30008749 Lic Exp Date: 01/31/2017 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9042529 Expire: 02101/2017 Building Setbacks Rear: 6' Front: 15 Left: 6' Right: 6' Engineer: KHAEF ESMAIL Address: 2825 LAGUNA CANYON RD BLDG A 3 Fire Hi LAGUNA BEACH CA 92651 Phone: 949-497-6810 State Lic:C-045870 Designer: Building Dept Adm Address: $9,274.00 Phone: Special Conditions: ood Zone: X Use Zone: Parking Spaces: 3 Fire Hi Construction Valuation: $2,100.000.00 Demolition Fee $0.00 Building Dept Adm Building Permit Fee: $9,274.00 Excise Tax: $1,523.34 Planning Department - Plan Check Fee: $6,732.28 Additional Fee : $1,134.00 Plan check Fee Overtime Plan Ck: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $1,352.80 SJH Trans Record Management: $118.00 Grading Permit Fee: $1,662.80 In -lieu Housing Fee: Energy Compliance: $264.00 Grading PC Fee: $338.20 - Public Works Department - CA Seismic Safety: $273.00 WQ Insp. Fee: $23.20 Park Dedication : $0.00 Disabled Access: $0.00 P/W Plan Check : $339.75 Hazardous Mat $0.00 Electrical %: $1,116.59 San Dist: $681.00 Building Green Fee : $84.00 Mechanical %: $797.56 NMUSD Fee: $5,575.20 Plumbing %: $1,595.13 TOTAL FEE : $33,204.85 PROCESSED BY: ZONING APPROVAL: y GRADING APPROVAL: 0000 0 0000c 0 000 o c e 00 ° 0 0000 0 ococ co c 0 ° $0.00 0000 ° 0$0 011i $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $16,551.16 Fee Due at Permit Issuance : $16,653.69 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c o 000000 0 n 0 000co coaoo0 G � 00000c 0 0°°0� Fire Department $320.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit 0000 0 0000c 0 000 o c e 00 ° 0 0000 0 ococ co c 0 ° $0.00 0000 ° 0$0 011i $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $16,551.16 Fee Due at Permit Issuance : $16,653.69 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c o 000000 0 n 0 000co coaoo0 G � 00000c 0 0°°0� 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 >rofessions 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 lot 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, 3usiness 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 mprovements 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 mproved 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 Ipply 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: 3y 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 ;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 Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3ignature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Profes ion Code, and my license is in full force Ind effect. License Class License No D Contractor Sig tire. YORKERS' COMPENSATION DECLARATION 5_1 L IARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENWIQ$I,,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ufider pgfialty of perjury one of the following declarations: •.'I'f19 + andprMl-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 thl erfgrmance of tthhe work for which this permit is issued. Policy No. and will rhaintain 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 p olicy number are: .... Policy Number Expiration Date gepf Agent ••••_ Phone# "I't y 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 c hould ecome slibject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / C[AeATAON �U96RDING CONSTRUCTION LENDING AGENCY1 a rrett'y affirm Snider eenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 097, 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 cou ty ordinances and state laws relating to building construction. 1 " AA / I authorize representatives of this clty,or county t an e a entified property for inspection purposes. CSL' ,$ (GL,� (,em (7�tw 7 .4 l (o nature of Property Owner or Au ho d Agen Print Property Owner's or Authorized Agent';4 A(7HH7 I nA7F By DECLARAT/OM OFCOMPLGWCEWTH CODE OF WR UMLL Usk 4AKY FEDERAL R€GULATfONSPART&f OFTDLEAPANU AOMORULE 1401 PFRWITF1(PLRF(A L Sf NiLNTrr/).ASW.ST!]S M'i7/rM_ATKIN TO_ ❑ EPA ❑ AQMD PCRMtTCAPlCELLED PER10"I"E1'TEMBED 13 ASBESTOS AX1MC417ONISNOT APPLICABLE TO PROPOSEDDEM UT/ON_ PERMIT rRL4t �j / CERTIFICATE OF OCCUPANCY fSSLPfB SIGNAL wit"