HomeMy WebLinkAboutX2021-0118 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
111�1 11111111111111111111111111111111111111111111111111 �11COMB Permit: X2021-0118
X 2 0 2 1 0 1 1 8 Project No : 0128-2021
Issued Date:
Inspection Area : 4
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: 26 ROYAL SAINT GEORGE RD NB
Description: NEW DETACHED POOL HOUSE
607 SF
Legal Desc.: N TR 7323 LOT 23
+�
Owner: REKLAW LLC
Contractor:
WALKER CONSTRUCTION Architect: SCHULTZ CRAIG
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Address: 418 ORCHID AVE
Address:
418 112 ORCHID
AVE Address: 3111 SECOND AVE STE 1
^
^
CORONA DEL MAR CA 92625
CORONA DEL
MAR CA 92625 CORONA DEL MAR CA 92625
Phone: 949.280-7633
Phone:
949-280-2633
Phone: 949-645-9982 State Lic:CO22287
Applicant: SCHULTZ CRAIG
Con State Lic: 681217
Engineer: GABRIEL MICHAEL R
0
Address: 3111 SECOND AVE STE 1
Lic Expire:
09/30/2021
Address: 483 E 20TH STREET
°
CORONA DEL MAR CA 92625
Bus Lic:
BT30058987
COSTA MESA CA 92627
Phone: 949-645-9982
Lic Exp Date:
05/31/2022
Phone: 949-646-6596 State Lic:S-002939
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
STATE COMP.
INS Address:
„ ...
Occupancy Group: R3
Policy No:
9263241
Added /New sq.ft. Bldg: 607
Expire:
10/2912021
Phone:
-
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers: Y
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $108,000.00
Building Permit Fee: $2,045.00
Excise Tax:
$127.47
Planning Department - Fire Department
Plan Check Fee: $1,429.00
Additional Fee :
$0.00
Plan check Fee : $208.00 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: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department- General Service
$0.00
CA Seismic Safety : $14.04
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PNV Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$143.15
San Dist: $0.00
Building Green Fee : $5.00
Mechanical %:
$81.80
NMUSD Fee: $0.00
$0.00
Plumbing %:
$184.05
$0.00
TOTAL FEE : $4,237.51
Plan Check Fee
: $4,237.51 Fee Due at Permit Issuance
$0.00
PROCESSED BY:
^
PUBLIC WORKS APPROVAL: S\J`�
ZONING APPROVAL:
``1.5�
,,
PLAN CHECK BY: V' L
GRADING APPROVAL:
APPROVAL TO ISSUE: zow_
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
'rofessions Code) or that he or she is exempt from Iicensure 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
nprovements 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
reproved 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
Ipply to an owner or 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 Iicensure under the Contractors' State License Law for the following reason:
3y 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
ell a structure :hat 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
'rcfess'ons Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
.ICEhIRED CONI RACTOR'S DECLARATION
hereby affirm under penalty of pedury4hat I am licensed under provisions of Chapt r (com�➢7ncln with Section 7000) Di sion 3 of the Business and Professions n my Icense is in full force
Icd Lf'ect. LicalcE Class 15 License No , oC.�_ Date —7 f Contractor Signature e
4GRKERS' COMPENSATION DECLARATION
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
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
herPby affirm under penalty of perjury one of the following declarations:
have and nil; r.a;ntain 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
ormance of the work for which this permit is issued. Policy No.
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' compensa
rance carrier and policy number are:
Policy Number
of Agent
Date
R91 certify that, in the performance of the work forwhich 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 agre
that, if I should become subject to the workers' compere provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date_ G2
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm unrj penalty of p rjury tt at there is a construction lending agency for the performance of th ork for which this p 't is issuer (Sec ion 3097, Civil Code).
Lender's Name l " `CLI V I (L+^a pku t 2 o- Lender's Address leP A
By my signature below, I certify o each of the ollowing:
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.
agree to comply with all applicable city and county ordinances fate laws sting to building construction.
I authorize representatives of this city or county to enter the a nti d property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name iGC40Date
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 U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED MOMID
PERMITFINAL /� �3 SU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: