HomeMy WebLinkAboutX2018-0093 - Permitswnp City of Newport Beach - Building
4 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
it Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
Division II�IX 2 080 0 9 3II
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GRAD . EWR,
COMB Permit: X2018-0093
Project No : 0074-2018
Issued Date: 0 511 612 01 8
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 1004 S BAY FRONT NB
Description: NEW SFR W/ATT GARAGE 2,4491379 SF, ROOF DECK 793 SF & BALCONIES 301 SF
Legal Desc.: BALBOA ISLAND SEC 2 BLK 5 LOT 3
Owner: WELKER JAY
Contractor:
VITARELLI CONSTRUCTION INC
Architect:
HARRISON IAN J.N.
Address: 123 LAURELWOOD DR
Address:
140 S BAY FRONT
Address:
3535 E COAST HWY #301
DANVILLE CA 94506
NEWPORT BEACH CA 92662
CORONA DEL MAR CA 92625
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Phone: 925-648-0624
Phone:
949.677-1872
Phone:
949-723-1091 State Lic:C006947
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Applicant: HARRISON IAN
Con State Lie: 485418
Engineer:
REZAEI ALI
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Address: 220 NEWPORT CTR DR #11-342
Lie Expire:
02/2812019
Address:
2575 MC CABE WAY STE 240_'"
NEWPORT BEACH CA 92660
Bus Lie:
BT00011199
IRVINE CA 92614
9`
Phone: 949-723-1091
Lie Exp Date: 08/3112018
Phone:
949-872-2040 State Lic:C-041068
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
i
Type of Construction: V -B -SPR
Carrier:
STATE COMP
INS FUND -
Address:
Occupancy Group: R31U
Policy No:
0783123
Added /New sq.ft. Bldg: 2449
Expire:
10/01/2018
Phone:
Added /New sq. ft. Garage: 379
No of Stories: 3
Building Setbacks
Rear: 5
Special Conditions: LIQUEFACTION AREA
No of Units: 1
Front: 7
Bldg Height: 29
Left: 3
Bldg Sprinklers: Y
Right: 3
Flood Zone: AE
Use Zone: R -BI
Parking Spaces:
2
Fire Hazard Zone : N
Construction Valuation: $696.650.00
Building Permit Fee: $3,238.00
Excise Tax:
$5,934.39
Planning Department-
Fire Department
Plan Check Fee: $2,467.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 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 :
$919.22
SJH Trans :
$0.00 Demolition Fee
Record Management: $70.00
Grading Permit Fee:
$1,092.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$201.78
Public Works Department -
General Service
$0.00
CA Seismic Safety: $80.16
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check:
$304.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$226.66
San Dist:
$770.00
Building Green Fee : $25.00
Mechanical %:
$129.52
NMUSD Fee:
$134.32
$0.00
Plumbing %:
$291.42
$0.00
TOTAL FEE: $16,542.47
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $3,834.00 Fee Due at Permit Issuance
$bB�IC YVORK6 APPROVAL:
a cu• �o pPLANCFYECKI3Y:
p p APPROYAL TO ISSUE:
0
1. t'G GG 4p 4 4 ppp CG
$12,708.47
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr o ' to 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 r e demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant tot r Iftse 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 lation 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). p
UM
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all 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
nprovements 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
nproved for the purpose of sale).
7 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legalh
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature 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 700 of Division 3 of the Business and Pro as ' rW-Cede,p n y license is in full force
nd effect. License Class License No Date 16-x$ Contractor Signature «Z.
YORKERS' COMPENSATION DECLARATION
'ARNING: 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 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:
I 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
erflirmance of the work for which this permit is issued. Policy No.
have and wil mal aln 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'
rance carrier pdIcy number al?f,0 NeNuMb €Z
ier r
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 become subject tG4he-workers' comrlensatipn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date S"k G-4
;reby 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
lder'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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a abQv = entified property for inspection purposes. ( �Q -
nature of PrODertv Owner or Authorized ADent V V . Print Prooertv Owner's or Authorized ADent's Name V W"
Civil Code).
S VV;;NLQ. n.mA 16�
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERM/TEXPIRED
ISUBMITTEDASBEST S OTTF'1CATIONMTP
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PERMITC4NCELLED
OEPA • • • •• • •
PERMIT EXTENDED
LJAQMD
PERMITFINALn
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
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PROPOSED DEMOLITION • •
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OCCUPANCYISSUED
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SIGNATURE: .•: ••� •
Permit No : X2018-0093
Plan Check No: 0074-2018
Address : 1004 BAY FRONT S
Suite No:
Owner : WELKER JAY
Code Year Edition :2016
Occupancy Group: R3/TJ
ConstructionType: V -B -SPR
Occupant Load: N/A
123 LAURELWOOD DR
Fire Sprinklered: Y
DANVILLE CA 94506
Work Description: NEW SFR W/ATT GARAGE 2,449/379 SF, ROOF DECK 793 SF & BALCONIES 301 SF
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH
ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH
THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING fBUILDING CONSTRUCTaI�OlN OR USE.
Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature: Z `/ L ' Date :/ ' '