HomeMy WebLinkAboutX2018-3029 - Permits1 City of Newport Beach - Building Division
cry - 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
cF. Inspection Requests Phone (949)644-3255
Combination Type -SF? GRAD MECH ELEC PLUM
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INSPECTOR
COMB Permit: X2018-3029
Project No : 2388-2018
Issued Date: 08/1212019
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 8:0Q]ry�, nk� qi Ry��{or nr���dd++ays or Holidays
Job Address: 706 POINSETTIA AVE NIS
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Descriptiep: NEW SFR W/ATT GARAGE 3,1681408 SF, ROOF DECK 630 SF
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Legal Desc.: CORONA DEL MAR LOT 8 BLK
743 NELY 25 FT(AND SWLY1/2 LOT 10 BLK 743
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Owner: 706 POINSETTIA LLC
Contractor:
VOGEL CHARLES M Architect: SAINT PIERRE YVONNE
Address: 2000 BRUSH ST #440
Address:
1601 MANZANITA LANE Address: 364 2ND ST SUITE 2
Q
DETROIT MI 48226
MANHATTAN
BEACH CA 90266 ENCINITAS CA 92024
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Phone:
Phone:
949-939-4375
Phone: 760-484.0253 State Lic:C-034789
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Applicant: SAINT PIERRE YVONNE
Con State Lie: 388241
Engineer: MANSHADI FARHAD
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M.
Address:. 364 2ND ST SUITE 2
Lie Expire:
03131/2020
Address: 1800E 16TH ST UNIT B
° ..
ENCINITAS CA 92024
Bus Lie:
BT30054953
SANTA ANA CA 92701
Phone: 760-484.0253
Lie Exp Date:
07/31/2020
Phone: 714-835-2800 State Lio:C-036840
Code Edit: 2016
Type of Construction: V -B -SPR
Worker's Compensation
Carrier:
Insurance
STATE FUND
Designer.
Address:
Occupancy Group: R31U
Policy No:
3014479o�o
Added /New sq.ft. Bldg: 3168
Expire:
0210112020
Phone:
®
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Added /New sq. ft. Garage: 0
A�5
° ° ° R
No of Stories: 3
Building Setbacks
Rear: 5'
Special Conditions: ACKNOWLEGEMANT ATTACHED
Cr
No of Units: 1
Front: 20'
°
Bldg Height: 24
Left: 3'
Bldg Sprinklers: Y
Right: 3'
Flood Zone: X
Use Zone: R-2
Parkin S aces:
2 Fire Hazard Zone : N
Construction Valuation: $990.000.00
Building Permit Fee: $4,866.00
Excise Tax:
$750.96
Planning Department - Fire Department
Plan Check Fee: $3,096.00
Additional Fee :
$294.00
Plan check Fee : $737.00 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:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $108.00
Grading Permit Fee:
$918.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $268.00
Grading PC Fee:
$798.66
Public Works Department - General Service
$0.00
CA Seismic Safety: $128.70
WQ Insp. Fee:
$106.00.
Park Dedication: $0.00 Refund Deposit
$0.00.
Disabled Access: $0.00
PAN Plan Check : $1,072.50 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$340.62
San Dist: $2,668.00
Building Green Fee : $40.00
Mechanical %:
$194.64
NMUSD Fee: $1,969.04
$0.00
Plumbing %:
$437.94
$0.00
II TOTAL FEE: $18,816.06 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL: Li'Cyv
GRADING APPROVAL:
$5,824.66 Fee Due at Permit Issuance: $12,991.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: aa
� /�
APPROVAL TO ISSUE:. /` J �/
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 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
Professions 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
Tot 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 U 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 If o . ei r' vement 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). "_ ,.,z 1
❑ I, as owner of the property, am exclusively cont I li C tractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law doa�not
apply to an owner of property who builds or impro .l 'a 'MIC
for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State License aw or 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. 1 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.htmi.
Signature of PropMNPOWner or Authorized Agent Date
LJCEN,%ED CONTRACTOR'S DECLARATION f
releel' aDi ffirm uneerpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f ision of the Business and Profes ons. 's in full force
and effect. License Gass License No Date f Contractor Signature
115F,&RS' 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 HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CAST. OF•C0MPENSA1hBR,11tMAGEs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Aeref39 affirm unjer peValty of perjury one of the following declarations:
'J•I have and w Aaintain 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 the
A&M emce of the Work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Agent ••••
Date
certify that, in the perfoVnnance of the w rk r which this of employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agree
I, if I should become s Bject o he or I. a ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 G
nature of Applicant Dat 7/ /" /
CLARATION REG DI CO STRU DING AGENCY
;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 309 ,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 andcounty/ordinances
county
to n er the ab and state laws relating to building construction. �� A ^ j
I authorize representatives of this city or county to nter the above -identified property for inspection purposes. ✓ //'"_T/
nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name R "A Dat
ACTION DATE BY /DECLARATION OF COMPLIANCE WITH CODE OF I REGULATIONS PPART 1 O TIIT E 40 AND AQMD RULE FEDERAL FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBE5TOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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BESTOS [N� Tlf TION 15 A OT APPLICABLE TO
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SIGNATURB.