HomeMy WebLinkAboutX2016-4242 - PermitsCity of Newport Beach - Building -Division *X2016-4242* COMB Permit: X2016-4242
100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2912-2016
} Permit Counter Phone (949)644-3288
' Inspection Requests 11hone (949)644-3255
Issued Date :03116/2017
Combination Type - SFP GRAD MECH ELEC PLUM ee
Inspection Area:5
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ®e e a e e o
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Job Address: 208 EVENING CANYON RD NB ° ooeoo
Description: NEW SFR W/BASEMENT 8 ATT GARAGE 7,252/961 SF, PORCH 80 SF, PATIO 581 SF, LOGGIA 264 SF & 796 SF `;n,•O e e 00000
Legal Desc.: N TR 1116 LOT 49
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Owner: S L TRUST Contractor: LEGACY CUSTOM HOMES INC Architect:W eo °
Address: 1851 ALEXANDER BELL DR #410 Address: 1000 QUAIL ST, STE 250 Address:
RESTON CA 90191 NEWPORT BEACH CA 92660 e °
Phone: 703-476-1717 Phone: 949-887-4760 Phone: State Lic: o° e ,
Applicant: ELIZABETHIERIC TRABERT ASSOC. Con State Lic: 986194 Engineer: MOSER BRADLEY CHARLES •eeoe ° `6 -q
Address: 9521 IRVINE CENTER DR Lic Expire: 08/31/2017 Address: 116 OAKSIDE LN.
IRVINE CA 92618 Bus Lic: BT30045036 TORRANCE CA 90505
Phone: 949-861-2244 Lic Exp Date: 10131/2017 Phone: 714-389-9729 State Lic:C-068803
Code Edit: 2013 Worker's Compensation Insurance Designer: TRABERT ERIC
Type of Construction: V -B -SPR Carrier: STATE COMP Address: 9521 IRVINE CENTER DR
Occupancy Group: R3/U Policy No: 9118909 IRVINE CA 92618
Added /New TI sq.ft. Bldg: 7252 Expire: 12/02/2017 Phone: 949-861-2244
Added /New sq. ft. Garage: 981
No of Stories: 2 Building Setbacks Rear: 6 Special Conditions:
No of Units: 1 Front: 20
Bldg Height: 24 Left: 6
Bldg Sprinklers: Y Right: 20
Flood Zone: X Use Zone: Parking Spaces: 3 Fire Hazard Zone : N
Construction Valuation: $1.405.408.40
Building Permit Fee: $8,096.00 Excise Tax: $1,728.93 Planning Department - Fire Department
Plan Check Fee: $5,692.00 Additional Fee: $0.00 Plan check Fee : $616.00 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: $166.00 Grading Permit Fee: $1,463.00 In -feu Housing Fee : $0.00 Building Dept Adm $0.00
Energy Compliance: $266.00 Grading PC Fee: $1,272.81 Public Works Department - General Service $0.00
CA Seismic Safety: $182.70 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 P/W Plan Check : $456.00 Grading Band: $0.00
Hazardous Mat $0.00 Electrical %: $566.72 San Dist: $704.00
Building Green Fee : $57.00 Mechanical %: $605.58 NMUSD Fee: $7,291.92 $0.00
Plumbing %: $728.64 $0.00
TOTAL FEE : $29,895.30 Plan Check Fee : $7,623.81 Fee Due at Permit Issuance : $22,271.49
PROCESSED BY: +1 PUBLIC WORKS APPROVAL: �y L
ZONING APPROVAL: Lam✓ PLAN CHECK BY:✓7T�,r��'r' ��pppppff.��.n
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
he permit to fit%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
toT4s•sjons Code) o rthat 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
1t3t•Iflele than five hundred dollars ($500).
Z I, a$ ow nel9(f4lroproperty, 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,
3LSfiBes 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
rprovements are'not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
wilowy9d for to Vftse of sale).
I,ws owner BPthd property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
IpfJlyet8 an owpgr,Qf jooperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Jam exempt fromlicensure under the Contractors' State License Law for the following reason:
I)'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 legalll
ell a structure that,bhave 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
IwfseLons Codes, ig2vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Iignattre of Prgpefy Owner or Authorized Agent Date
.ICENSED C°9!J TRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 );Division 3 of the Business and Profs si ns de, and license' n full force
nd effect. License Class License No Date _,5
r7 Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: 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 (5100,000), 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:
A 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
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
of Agent
Date
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 become subject to the work�,W compensates provisic_Wf Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REG RD 059&W LEND AGENCY
hereby affirm under penalty of perjury that there is econstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 ordinan es and state laws relating to building construction.
I authorize representatives of this city or count to nter a above -i a led pr p y for inspection purposes. 6_6_6(a
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Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 6(a
ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
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All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITLANCE ED
EpA
PERMIT EXTEN ED
QMD
PERMITFINAL
CERTIFICATEOF
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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PROPOSED DEMOLITION
OCCUPANCY ISSUED
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SIGNATURE:
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All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.