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HomeMy WebLinkAboutX2017-1807 - Permits�,.$ City of Newport Beach - Building Division ll��lil�Illllllllllllllllll��lllllllllllllll COMB Permit: X2017-1807 d �, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 II X 2 0 1 7 1 8 0 71 FIRE %P{ UNK EM Project No: 1221-2017 ) CA Seismic Safety: Inspection Requests Phone 0,49)644-3255 w sw • sr ■�crrs a�a $0.00 Hazardous Mat Combination Type- SFP GRAD MECH ELEC PLUM` Building Green Fee : Issued Date : 02/20/2018 - Policy No: IR Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7t00 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: 88 LINDA ISLE NB ' Description: NEW BFR WIATT GARAGE 7,445/774 SF Legal Desc.: N TR 4003 LOT 88 _ Owner: DAVIS RANDOLPH S/DAVIS SANDRA Address: 6400 ALMOND ST Record Management: ALTA LOMA CA 91737 Phone: 909.944-0899x110 Applicant: BARBARAISAITO AL Address: 20803 VALLEY BLVD #105 WALNUT CA. 91789 Phone: 909-595-4600 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group:. R3/U Added /New sq.ft. Bldg: 7445 Added /New sq. ft. Garage: 774 No of Stories: 2 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Construction Valuation: $1.500,000.00 Building Permit Fee: $8,096.00 Plan Check Fee: $5,749.00 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management: $152.00 Energy Compliance: $268.00 CA Seismic Safety: $195.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $60.00 Contractor: OW NER/BLDR Address: DAVIS RANDOLPH Phone: Con State Lia O/B $0.00 Lic Expire: $0.00 Fire Plan Rev Bus Lia Demolition Fee $0.00 Lic Exp Date: General Service Worker's Compensation Insurance Refund Deposit Carrier: -Grading Bond: - Policy No: Expire: Building Setbacks Rear: 10 (WATER) Front: 25 (STREET) Left: 4 Right: 4 11 TOTAL FEE: $23,001.25 PROCESSED BY: - ZONING APPROVAL: GRADING APPROVAL: Use Zone: R-1 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: $1,725.99 $0.00 $0.00 $1,422.37 $960.00 $312.23 $0.00 $566.72 $605.58 $728.64 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: SAITO AL .20803 VALLEY BLVD #105 WALNUT CA 91789 909595-4600 State Lic:CO22991 VAN GAALE MARK 2200 W ORANGEWOOD STE 155 ORANGE CA 92868 714-978-9780 State Lic:C.058680 Special Conditions: LIQUEFACTION AREA CD2017-035 (PA2017-085) Planning Department - Plan check Fee :. Fair Share SJH Trans In -lieu Housing Fee Public Works Department- . Park Dedication: $0.00 PAN Plan Check : $190.00 San Dist: $0.00- NMUSD Fee: $1,578.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6,408.40 Fee Due at Permit Issuance: $16,592.85 PUBLIC WORKS APPROVAL: PLAN OHEGK BY: e© oAPPEOVA1,_`1O ISSUE: E G zIC m o c ecc cc Fite. 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6,408.40 Fee Due at Permit Issuance: $16,592.85 PUBLIC WORKS APPROVAL: PLAN OHEGK BY: e© oAPPEOVA1,_`1O ISSUE: E G zIC m o c ecc cc OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors';St'$te)Licbnse'Laq�forpeT@a3'd"( mdicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that re�uir�swaeper�3if�t 0 t�ucp`alCelq<iF p demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provis' o t. 't4 ate License Law (Chapter 9 (commencing wkTYSdction 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the a t _. i ation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) aJl of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 Wpmmems 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 eve for the purpose of sale). I, 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 net 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: ly my signature below I acknowledge that, except for my personal residence in which I must have Pz�iued 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 hnot be strutted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of th , Business and 'rofessions Code, is available upon request when th js a p I�catio is sub fitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Dat Z .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof= -cions Code, and my license is in full force nd effect. License Class License No Date Contractor Signatu.r 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 ($100,00D(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 have 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 th, erformance 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' compensation trance carrier and policy number are: Tier Policy Number Expiration Date ne of Agent Phone # certify that, in the pertormgllce 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 agree [; if I should become subieAdlUtjto th work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �L' p nature of Applicant ra ,I - Date �&d�l 0' CLARATION REG F ING CONSTRU TION LENDING AGENCY Ireby affirm under penally 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 countyflat ant state laws relating to building construction. I authorize representatives of this city or count t ehe bove-I ntified property for inspection purposes.LO nature of Pmnerty Owner or Authorized ADent - , � _ _ _ Print Provertv Owner's or Authorized Agent's Namet - DatQ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED /1I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED El D••e • ••• ••• JS NOTIFICATIOMIS OOTAPPLICAiLE•TO• • DEMOLITION ••• �• • • • • • • •