HomeMy WebLinkAboutX2017-3604 - Permits18#1Y7 City of Newport Beach - Building Division
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�
COMB Permit: X2017-3604
t7
""
100 Civic Center Drive, Newport Beach, CA 92660
r p
Permit Counter Phone (949)644-3288-3255
x 2 1 7 4
Project No :2510-2017
)
c'"3.
n Inspection Requests Phone (949)644-3255
R we sr+
Address:
'�ktrn% xg
'` Combination Type - SFP ELEC MECH PLUM GRAD
REOUIRED
Issued Date: 03/0212018
714-754-4040 X103
12/31/2019
Address:
Inspection Area : 5
BT30039074
PERMITS EXPIRE 780 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Lie Exp Date:
04130/2018
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:
407 IRIS AVE N13
Carrier:
OAK RIVER INS CO
Description:
NEW SFR WIATTACHED GARAGE 4701/728 SF
MIWCB14749
Legal Desc.:
CORONA DEL MAR LOT 7 BLK 335(AND NELY1/2 LOT 5 BLK336
Phone:
:mo
L x e
Owner:
DDCFRJ INVS LP
Address:
4686 ONTARIO MILLS PKWY
4686 ONTARIO MILLS PKWY
ONTARIO CA 91764
Phone:
ONTARIO CA 91764
Applicant:
LINDSAY BRANDON
Address:
151 KALMUS DR #G-1
Con State Lie:
COSTA MESA CA 92626
Phone:
714-754-4040 X103
Code Edit: 2016
Type of Construction: V-BSPR
Occupancy Group: R -31U
Added /New sq.ft. Bldg: 4701
Added /New sq. ft. Garage: 728
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $985.800.00
Building Permit Fee: $5,888.00
Plan Check Fee: $4,744.00
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Record Management: $130.00
Energy Compliance: $268.00
CA Seismic Safety: $128.15
Disabled Access : $0.00
Hazardous Mat $0.00
Building Green Fee : $40.00
TOTAL FEE : $22,819.68
PROCESSED BY:
ZONING APPROVAL:
Contractor:.
MIKEN CONSTRUCTION CO, INC
Architect:
Address:
4686 ONTARIO MILLS PKWY
Address:
92626
ONTARIO CA 91764
714-7544040 State Lic:C031637
Phone:
909.957-0390
Phone:
Con State Lie:
941129
Engineer:
Lie Expire:
12/31/2019
Address:
Bus Lie:
BT30039074
Lie Exp Date:
04130/2018
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
OAK RIVER INS CO
Address:
Policy No:
MIWCB14749
Expire:
09/01/2018
Phone:
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 %:
Rear: 5'
Front: 15'
Left: 3'
Right: 3'
Parking Space
$1,140.09
$276.00
$0.00
$870.84
$921.00
$191.16
$0.00
$412.16
$235.52
$529.92
BRANDON CHRISTOPHER
n m••000
151 KALMUS DR #G-1
Fire Inspection:
COSTA MESA CA
.• ••-. • e
92626
�4 �y'-'atD e • °
714-7544040 State Lic:C031637
qi •• °
General Service
BURKETHOMAS
••A•e •• •oo
151 KALMUS DRE140
e•
e•�^`"`"`"
COSTA MESA CA 92626
eeeo°
0 ° •rfS """"
State Lic:C-005088
Ys
9ydF`eee0o
®oee•� o 0
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: $304.00
San Dist: $0.00
NMUSD Fee: $6,349.84
Plan Check Fee: $6,480.27 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: I �'�`(�') k APPROVAL TO ISSUE:
°••eoo
00 0 0 0
• -.m-• oomo
e• •
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16,339.41
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $6,480.27 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: I �'�`(�') k APPROVAL TO ISSUE:
°••eoo
00 0 0 0
• -.m-• oomo
e• •
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16,339.41
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr t4 tojo rpBe{ M e 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 r a1Fe WON Ar -6 t�f � 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 provis S;a ff (�, tate 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 n TY v lation 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 (_) all of or U portions of the work, and thestructure 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
m roved 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
Tperly to an ownofpr9perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
....
.aM exempt from licensure under the Contractors' State License Law for the following reason:
3y my slgnatur9 beloilij 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 lega%
1911 a $tructuret)fat T 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
3rdf%spons Code, -is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
3�i9 nature of Prop9Ry.Owner or Authorized Agent Date
_VQEW6ED CbNTRACTOR'S DECLARATION
herety affirm ugder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section j�,p ) of Divi ion 3 of the Business and P fe o d license is in full force
fid 4ff�ct. Lidef yse Bass License No Dalt{ Contractor Signa e
1 6?&ERS' CQMPENSATION DECLARATION
VABNIA4: FAILUR%TO SEQURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($700,000), IN ADDITION TO THE
:OST 016COMPENSA 16W.DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Nelelal affirm under penalty of perjury one of the following declarations:
af lfave andyv111•gaintain 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
lerformance of the work for which this permit is issued. Policy No.
have 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'
Tamce carrier and policy number are:
Policy Number
Date
is of Agent Phone a
certify that, in the pe ormance of the w rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
, if I should become ubjegkto th"orZrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican r1are�
CLARATION RE ARDI O ST TION LENDING AGENCY
ereby affirm unde Dena 0f perjury t 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 come t.
I agree to comply with all applicable city and county rdinances ends laws relating to building construction.
I authorize representatives of this city or county IDA��j a, ntified property forinspection purposes. /
DATE I BY L RlGULATIONS PARTCLARXION 061 O TIITLE 40 AND AQMD RULE CE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
PERMIT EXPIRED i I < L- 1.1 SUBMITTED ASBESTOS
CERMITFINEOFAL � 0�f I'S I /(/ IBEITOENOTIIFICATI OT PLICABLE TO
OCCUPANCY ISSUED W X111 hhhh / SIGN
laws of California, and