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Home My WebLink AboutX2019-0732 - PermitsCity of Newport Beach - Building Division *X20190732* COMB Permit: X2019-0732 tw't 100 C' `C t D' N rt B h CA 92660 x me en er nve, ewpo eac , `x, TEALE MARK Project No: 0491-2019 2900 BRISTOL ST BLDG A203 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 1111mrMn �i i VIOM � I 949-975.0123 Added /New sq. ft. Garage: 689 nazi " Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : 2019 1 Bldg Height: 24 REOUFM Area : Inspection Area 2 Flood Zone: X PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Plan check Fee : $417.00 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 Overtime Plan Ck:. Job Address: Description 2404 CLIFF DR NB NEW SFR W/ ATTACHED GARAGE 5013 SF & 689 SF $0.00 N j Q Le al Desc.: N TR 919 BLK 3 LOT 5 Investigation Fee: ".�"1 S Grading PC Consultant: $0.00 SJH Trans.: $0.00 Demolition Fee Owner. TRIMAR PROPERTIES LLC Contractor: BURKHART BROTHERS CONSTR Architect ?FACE MARK In -lieu Housing Fee: Address: 2015 SHIPWAY LN Address: 130 MCCORMICK AVE #107 Address: 2900 BRISTOL ST BLDG A203 $268.00 Grading PC Fee: NEWPORT BEACH, CA 92660 COSTA MESA, CA 92626 COSTA MESA CA 92626 General Service Phone: - Phone: 949-375-6735 Phone: 949-975-0123 State Lic:CO22162 $0.00 Applicant: TEALE MARK Address: 2900 BRISTOL ST BLDG A203 - COSTA MESA CA 92626 Phone: 949-975.0123 Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R311.1 Added /New sq.ft. Bldg: 5013 Added /New sq. ft. Garage: 689 No of Stories: 2 No of Units : 1 Bldg Height: 24 Bldg Sprinklers:. Y Flood Zone: X Con State Lic: 905510 Lic Expire:. 1 0/3112 01 9. Bus Lic: BT30026859 Lic Exp Date: 0313112020 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1218229 Expire: 0210112020 Building Setbacks Rear: 5' Front: 20' Left: 4' Right: 4' Engineer: HAKIM FADY Address: 124 PEONY IRVINE CA 92618 Phone: 310-422-1536 Designer: Address: Phone Special Conditions: Fire Hazard Zone : N 04RR q O EE&O 0000 State Lic:C-075736 m m R E m RmRm 0 mgrP'.R 00o s m ssR 0 seao:m PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC 1 PLAN CHECK APPROVALTO C J� �mR.O $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18,293.32 R DOERCC O R S O R o Rmo E o E m o om o mm>>> uoRr°a c oEao�3 a v Jm8Rm7 c Building Permit Fee: $6,279.00 Excise Tax: $1,197.42 Planning Department - Fire. Department Plan Check Fee: $5,058.00 Additional Fee: $0.00 Plan check Fee : $417.00 Fire Inspection: Overtime Plan Ck:. $4,106.25. Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans.: $0.00 Demolition Fee Record Management: $60.00 Grading Permit Fee: $875.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $268.00 Grading PC Fee: $761.25 Public Works Department- General Service CA Seismic Safety: $130.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check: $247.50 Grading Bond: Hazardous Mat $0.00 Electrical %: $439.53 San Dist: $1,649.00 Building Green Fee : $40.00 Mechanical °/m: $251.16 NMUSD Fee: $6,569.60 Plumbing %: .11 TOTAL PE $28,903.2 Pan Check Fee : $10,610.50 Fee Due at Permit Issuance PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC 1 PLAN CHECK APPROVALTO C J� �mR.O $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18,293.32 R DOERCC O R S O R o Rmo E o E m o om o mm>>> uoRr°a c oEao�3 a v Jm8Rm7 c 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 require ?q" I 1, p lish, 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 pro s' w (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 the alleged y�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). ❑ j, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 Im 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 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 Iegall 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm updefbepalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section00 f Div'si n 3 of the Business and Prof as i ode, �td y lic a isis in full force apd effegj. LicenSEEI'ass License No Date Contractor Signature BRMs, CQWEWSATION DECLARATION AIININC* FAILURE*rO 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 CDSAOF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under.panalty of perjury one of the following declarations: •I%wt and wIT'M3intain 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 Irr4enca of t� eworMfor which this permit is issued. Policy No. sand w110 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' compensatio r p carrier acid policy number are: Policy Number Expiration Date Narae of.Agent • Phone # b2Rify that, Ih..t.hl performance of work for is is 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 ogre that, if I should become`ss-ubject to the workers' c pe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant �.+ . - �/ Dat (9 DECLARATION REG RDING CONSTRUCTION LENDING AGENCY I 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 3097, Civil Code). Lender's Name Lender's Address By 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 I relating to building construction. I authorize representatives of this city or county to ante he above/-ije�n'tifi roperty for inspection purposes. 3innature of Pronertv Owner or Authorized ADent �� 7F l/"10 IMK Print Prooertv Owner's or Authorized Agent's Name Da ACTION DATE BY I, DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DERA PERMITEXTENDED QMD PERMITFINAL A4ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIC4TEOF OPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: