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Home My WebLink AboutX2018-3412 - Permitsr wwc4 City of Newport Beach - Building Division Ilf IIIIIIIIIIIIIIIIIII III IIIIIIIIIIIIIIIIIIII I II COMB Permit: X2018-3412 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 x? m ?. � Project No: 1748-2018 Address: Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD iiCiiPii9 IREO „ Issued Date: 2016 NEWPORT BEACH CA 92661 t u'I:ED Inspection Arearea : 5 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: 311 ORCHID AVE NB Description: NEW SFR W/ATT GARAGE. 4,3791770 SF Legal Desc.: CORONA DEL MAR LOT 11 BILK 241(AND SWLY112 LOT 13 BLK 241 Owner: RABINOVICH Contractor: SHORELINE DEVELOPERS Architect: ROCHELEAU MITCHELL SCOTT Address: 5 SEA VIEWLN Address: P O BOX 551 Address: 23291 DOWNLAND RD NEWPORT COAST CA 92657 NEWPORT BEACH CA 92661 LAKE FOREST CA 92630`%:, _? Phone: - Phone: 949.697-3993 Phone: 210-771.1615 State Lic:C036977 Applicant: ROCHELEAU MITCHELL SCOTT Con State Lie: 890871 Engineer: WAVERING DEREK EVAN Address: 23291 DOWNLAND RD Lie Expire: Bus Lie: 01/31/2019 BT30041079 Address: 1371 COLE LANE UPLAND CA 91784 LAKE FOREST CA 92630 Phone: 210-771.1615 Lie Exp Date: 10/31/2019 Phone: 818.874-1445 State Lic:C-006239 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9038773 o+: Added /New sq.ft. Bldg: 4379 Expire: 0110112019 Phone: `2 Added /New sq. ft. Garage: 770 No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: CE02018060 No of Units : 1 Front: 20' Bldg Height: 24 Left: 4' Bldg Sprinklers: Y Right: 4' Flood Zone: X Use Zone: R-1 Parking Spaces: 3 Fire Hazard Zone : N Construction Valuation: $857,000.00 Building Permit Fee: $5,494.00 Excise Tax: $1,081.29 Planning Department - Fire Department Plan Check Fee: $0.00 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: $290.28 SJH Trans : $0.00 Demolition Fee Record Management: $200.00 Grading Permit Fee: $1,560.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $1,420.92 Public Works Department - General Service $0.00 CA Seismic Safety: $111.41 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $330.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $384.58 San Dist: $2,452.00 - - $0.00 Building Green Fee : $35.00 Mechanical %: $219.76 NMUSD Fee: $5,253.20 Plumbing %: $494.46 $0.00 TOTAL FEE : $21,022.90 06 0 Plan Check Fee: ..a O $0.00 Fee Due at Permit Issuance : $21,022.90 �4 PROCESSED BY: . _` ` :- c G o PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: "�" ��=.- 0 e m e e c 4G0 £6 4G 4 E cc c e e GGG 4.E APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Co _ ��r,,r+�g 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 the st , aM61M1 e, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the pr' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for th fid` violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ 1, 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 apply 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: By 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 lega11, sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of DDi<iysIAn 3 of the Business and Pr I rys Code, an �Iicensein full force and effect. License Class License No Data / ( Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE No DOLLARS (5700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROwDEO FOR IN SECTION S]a6 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 re*rmance of the work for which this permit is issued. Policy No. have and wl IPtain 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' once carrier nd olie) numbeyf+�lre: t i� �) ler„ I /n 1 folic(Nyr9oer _. Exoiration Date of JI certify that, in the perform ce of the wo for w Is rnifls issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 'let, if I should become sub' t tc the wor ospe sa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da signature of Applicant )ECLARATION REGfRDINQ=NSTRUCTION LENDING AGENCY hereby 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 3 97, Civil Code). ender's Name Lender's Address ly 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 or ' ces and state ws relating to building construction. I authorize representatives of this city or county, t,�fN�a er the�Fiove-ide 'led property for inspection purposes. , P ignature of Property Owner or Authorized Agent �(J._ Print Prooertv Owner's or Authorized Aaent's NamE '. .'i=- mQ t ifC�, �i c ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• •• • ••• ••• PERMITEXPIRED / I SUamiTTED A513ESTOS NOTIFICATION TO • • • •• • • PERMIT CANCELLED 0EPA PERMIT EXTENDED MQMD PERMITFINAL]] ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF //O PROPOSED DEMOLITION • ' • • • • ' "' OCCUPANCYISSUED SIGNATURE: (r