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HomeMy WebLinkAboutX2019-1233 - Permitsw City of Newport Beach - Building Division # 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type- SFP ELEC MECH PLUM GRAD IIIIIIXII�II0II�II�IIIIIII3III�3II� II COMB Permit: X2019-1233 Project No: 1605-2018 Issued Date: 0 411 812 01 9 Inspection Area : 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.rtt. No work on Sundays or Holidays Joh Address: 410 IRIS AVE NI3 Description: NEW SFR W/ATT GARAGE 3,020/379 SF, ATRUIM 311 SF 8 873 SF Legal Desc.: CORONA DEL MAR BLK 336 LOT 12 Owner:. TRIMAR PROPERTIES LLC Address: 2015 SHIPWAY LN NEWPORT BEACH CA 92660 Phone: Applicant: SACHSE ANA Address: 470 WALD IRVINE CA 92618 Phone: 949.292-2339 Code Edit: 2016 Type of Construction: VBSPR Occupancy Group: R31U Added /New sq.ft. Bldg: 3020 Added /New sq. ft. Garage: 379 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $4,866.00 Plan Check Fee: "$0.00 CRAWFORD JAY Overtime Plan Ck $425.00 Investigation Fee: $0.00 Record Management: $76.00 Energy Compliance: $0.00 CA Seismic Safety: $79.09 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $25.00 TOTAL FEE: $14,364.08 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: BURKHART. BROTHERS CONSTR Architect: CRAWFORD JAY Address: 130 MCCORMICK AVE #107. Address: 470 WALD $0.00 COSTA MESA, CA 92626 3 IRVINE CA 92618 Phone: 949-375-6735 Phone: 949-453-9693 State Lic:0009001 Con State Lic: 905510 Engineer: KHAEF ESMAIL Lic Expire: 10/31/2019 Address: 2825 LAGUNA CANYON RD BLDG A Bus Lic: BT30026859 LAGUNA BEACH CA 92651 Lic Exp Date: 03/31/2020 Phone: 949-497.6810 State Lic:C-045870 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1218229 Expire: 02/0112020 Building Setbacks Rear: 5 $0.00 Front: 15 Fire Plan Rev Left: 3 $0.00 Right: 3 Use Zone: Parking Space Refund Deposit Excise Tax: $962.43 Additional Fee : $553.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $725.42 Grading Permit Fee: $1,024.00 Grading PC Fee: $159.24 WQ Insp. Fee: $108.00 Electrical %: $340.62 Mechanical %: $194.64 Plumbing %: $437.94 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PIW Plan Check.: $742.50 San Dist: $0.00 NMUSD. Fee: $3,045.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $14,364.08 PUKId WORKS APPROVAL: 171:AN ftiECK BY: _ ° c APPROVAL TO ISSUE: c o c cv occ co c <. c o mow`, r 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $14,364.08 PUKId WORKS APPROVAL: 171:AN ftiECK BY: _ ° c APPROVAL TO ISSUE: c o c cv occ co c <. c o mow`, r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 requires a permit to construct, alter, improve, 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 provisions of the Contractors' State 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot more than five hundred dollars ($500). :11, 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 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 'mproved 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). ❑ I 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 legally 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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) i ' i 3 of the Business and Profess' de, an Ice Is in f�ITOru ee_ and effect. License Class License No Dat Contractor Signalur ` WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAN ODLLAR5IS ,OD01, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 provide for Section 3700 of the Labor Code, for IN pe¢ormance of the work for which this permit is issued. Policy No. �I 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' compensatior insurance cap. r and policy n er are: Carrier - olicy Number Expiration Date Name of Agent Phone # 31 certify that, in the performance of the work which this permit is ' us I shal not empl any erson in any manner so as to become subject to the workers' compen tion laws of California, and agree that, if I should become subject to the worker mpensa ' Provis' ctio 000 e or Code, I shat orthwith comply with those provisions. ��/ Signature of Applicant DECLARATION REG DING CONSTRUCTI L NDING AGE I hereby affirm under penalty of perjury that ere' a construction ending 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 th Glowing: I am the properly owner or authoriz o act on the property owners behalf. I have read this application and the information I have provided is correct. I� I agree to comply with all applicable city and county or ' nd state laws elating to b ' ing construction. Vbi I authorize representatives of this city Or county er t ab e-identifie r party for i p ion purposes.I Signature of Pro art Owner or Authorized Agent Print ro arty Owner's or Authorized A ant's Norm t/V A[rloN DATE BY D ION OF COMPLIAN ITH CODE O FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIREDSUBMITTED ASBESTOS NOTIFC TIDjV.TO • •• • • ••• PERMIT CANCELLED EPA PERMITEXTENDED QMD : : •• • • �� PERMITFINAL KnnK ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF L�lvy ✓i PROPOSED DEMOLITION .•• OCCUPANCYISSUED SIGNATURE: • •••