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HomeMy WebLinkAboutX2018-0962 - PermitsCity of Newport Beach ;Building Division f Il�lf IIII�Ii��ll�lllll�ll�ll�l�llllllllll IICOMB Permit: X2018-0962 Type of Construction: V - B SPR Occupancy Group: R-31 U 100 Civic Center Drive, New oti CX 2 9 1 8 0 9 6 2 ;92 '0° . Be8 G 6b . °. ° . p h, Project No: 0777-2018 Added /New sq. ft. Garage: Permit Counter Phone (949)644-3288 • • . o 0 0 0 ��^��n$�f�ey r�r•} • ... R S _ - Inspection Requests Phone (964.4.925.5. ... o .. 1 P�}11�fYj�l•{w�,E Combination Type - SFP GRAD ELEC MECH PLUM RE4�V iRGIJf Issued Date :.08/14/2018 Bldg Sprinklers: • . . Inspection Area: 1 $108.00 e e e • 4ERW% FXPI(2E 1R .OAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hour&:,10ot1Cf`ay - F44ay 7:00 a.14.•td OO p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 818 W BAY AVE NB $566.72 Description: NEW SFR W/GAR 6813 & 650 SF, CVRD PORCH/LOGGIAIMSTR DECKIROOF DECK 446 SF, MSTR & OFFICE BLCNY/ROOFIMECH DECK(2) 410 SF Legal Desc.: TRACT NO 884 LOTS 30 AND 31 Plumbing %: Owner: SEGERSTROM SALLY TRUST Contractor: CRAWFORD RICHARD CO Architect: KRANTZ RICHARD JOHN Address: 39 SKYRIDGE Address: 245 FISCHER AVE STE B-1 Address: 1500 QUAIL ST #520 NEWPORT COAST CA 92657 COSTA MESA CA 92626 NEWPORT BEACH, CA 92660 Phone: 714.313-6717 Phone: 714-545-0904 Phone: 949-752-6235 State Lic:C011193 Applicant: EASTON AARON Con State Lie: 418643 Engineer: JAFARI MASOUD Address: 1500 QUAIL ST #520 Lie Expire: 01/31/2020 Address: 23 ORCHARD #250 NEWPORT BEACH CA 92660 Bus Lie: ST00002605 LAKE FOREST CA 92630 Phone: 949-752-6345 Lie Exp Date: 02128/2019 Phone: 949-206-9929 State Lic:S-003812 Code Edit : 2016 Type of Construction: V - B SPR Occupancy Group: R-31 U Added /New sq.ft. Bldg: 6813 Added /New sq. ft. Garage: 650 No of Stories: 3 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Building Permit Fee: $8,096.00 Plan Check Fee: $5,692.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $228.00 Energy Compliance: $268.00 CA Seismic Safety: $169.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $52.00 TOTALFEE: 91.15 Worker's Compensation Insurance Carrier: OAK RIVER INSURANCE Policy No: RIWC808518 Expire: 01/01/2019 Building Setbacks Rear: 4' (Street) Front: 20' (Water) Left: 4' Right: 4' Designer: Address: Phone: Special Conditions: 4 NEW BEDROOMS_ 4 BEDROOMS DEMOLU 6 Excise Tax: $1,567.23 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $1,354.64 SJH Trans Grading Permit Fee: $1,072.00 In -lieu Housing Fee Grading PC Fee: $297.36 Public Works Department - WQ Insp. Fee: $108.00 Park Dedication : $0.00 Grading Bond: PM/ Plan Check : $342.00 Electrical %: $566.72 San Dist: $0.00 Mechanical %: $323.84 NMUSD Fee: . $934.72 Plumbing %: $728.64 PROCESSED BY: 4d6 ZONING APPROVAL:YV GRADING APPROVAL: Plan Check Fee $6,668.00 Fee Due at Permit Issuance : $15,523.15 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $391.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $6,668.00 Fee Due at Permit Issuance : $15,523.15 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION ••••• • ••e •• ••• I hereby affirm under penalty of perjury that I am exempt from the Con t i e f th„ea,Q,n s) indi�atfd below by the oheckmark(s I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that r Ite a demolish, or.repasrany structure, p or to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to - e proves ns c t nt or aYd-LI nse LH (CITApter5 (codlmeneing MR 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 solation 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). $ e e e • e ❑ 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 strMure isnot 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, througk employees` oc persor:al effort, 1wiI& & 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 coftl9ti(vt the Odner-QI41 Jer wilf b2ve'tt1B burden of proving that it was not built or improved 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 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.htmi. 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 0 f ivisi n of the Business and Prof r Cod n my license is in full force and effect. License Class License No Date l Contractor Signature NORKERS' 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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the work for which this permit is issued. Policy No. 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' ter and policy number are: Policy Number 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 agrer I, if I should become -subject to the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �+/ nature of Applicant XA C"©� GG f -i Dato/' Q CLARATION REGARDING CONSTRUCTION LENDING AGENCY d� :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, 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 and county ordinances an ate laws relating to building construction. I authorize representatives of this city or counVJ, a r the bov entified roperty for inspection purposes. / �l nature of Prnnerty nwner nr Aufhnrized Aaenf Rt, [1.K Print Prooertv Owner's or Authorized AGent's Name Di!Fn ..SA(E/ s2' Date o ACTION DATE By 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 PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL 7 r, v,7� tl ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: 1 Permit No : X2018-0962 2016 Plan Check No: 0777-2018 Code Year Edition : Address ; Occupancy Group ; R-3 / 0 818 BA`C AVE,' Suite No: _ ConstructionType: V - B SPR Owner: SEGERSTROM SALLY TRUST Occupant Load : N/A 39 SKYRIDGE NEWPO$T COAST g265� Fire Sprinklered: Y Work Description: -NEW SFR WMAB 6212 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 BUILDING CONSTRUCTION OR USE. Chief Building Official: Samir Ghosn. MBO Signature :_ s�B4�L 07/15/21 Date