HomeMy WebLinkAboutX2021-1827 - Permitsa,n�. City of Newport Beach - Building Division *X2021-1827'
COMB Permit: X2021-1827
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°��� 100 Civic Center Drive, Newport Beach, CA 92660
�, a,' Permit Counter Phone (949)644-3288
Project No: 1573-2021
Inspection Requests Phone (949)644-3255
':
"r�r,;tiN`" Combination Type - SFP MECH ELEC PLUM GRAD
Issued Date : 1111912021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/19/2024 OR PERMIT WILL BE INVALID
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: 3001 CAROB ST NB
Description: NEW SFR & GARAGE 4,4531723 SF, PATIO 475 SF, DECK 489 SF
Legal Desc.: N TR 5018 LOT 45
INSPECTOR
Owner: LOURES MARCO Contractor: BURKHART BROTHERS CONSTR
Architect:
EDJOURIAN ARLENE i
Address: 3001 CAROB ST Address: 12 BALBOA COVES
Address:
1401 DOVE ST STE 230
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663
NB CA 92660
Phone: Phone: 949-375-6725
Phone:
949-863-3000 State Lie: C033619
Applicant: EDJOURIAN ARLENE Con State Lic: 905510
Engineer:
MORRIS KYLE
Address: 1401 DOVE ST STE 230 Lie Expire: 1013112023
Address:
1401 DOVE ST #520
NB CA 92660 Bus Lie, BT30026859
NEWPORT BEACH CA 92660
Phone: 949-863-3000 Lie Exp Date: 0313112022
Phone:
949-502-5323 State Lic:C-072911
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4453
Added /New sq. ft. Garage: 723
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $6,431.00
Plan Check Fee: $4,416.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$100.00
Energy Compliance:
$303.00
CA Seismic Safety:
$115.04
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$36.00
TOTAL FEE: $22,200.37
PROCESSED BY:
Workers Compensation Insurance
Carrier: SECURITY NATIONAL INS
Policy No: SWC1325229
Expire: 0210112022
Building Setbacks
Rear:
6'
Front:
15'
Left:
6'
Right:
6'
Use Zone: R1-fi000 Parking
SF
Excise Tax:
$1,086.96
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$1,102.08
Grading Permit Fee:
$13281.00
Grading PC Fee:
$241.92
WQ Insp. Fee:
$1,220.00
Electrical %: $450.17
Mechanical %: $267.24
Plumbing %: $578.79
ZONING APPROVAL: L1
GRADING APPROVAL:
Designer:
Address:
Phone:
Special Conditions: Landslide area
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $761.25
San Dist: $1,068.00
NMUSD Fee: $2,231.92
-
Fire Department
$520.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Acre
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $6,253.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.30
$0.0n
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$15,947.37
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
the 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
not 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 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
improved for the purpose of sale).
❑ 1, 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.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 S on 70 0) of Division 3 of the Busines nd Professtons Code, an license is in full force
and effect. License Class License No Da Contract or,�ignature.
WORKERS' COMPENSATION DECLARATION `
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and AT ;na:ntam 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,
?ekfgrmance of the work for which this permit is issued. Policy No.
and wil; ,na.n.ain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers'
Canier and policy number are:
Policy Number
if Agent
Date
JI certify that, in ttie gg rformance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the worke0 ' compensation laws of California, and
let, �7 , shocorbpnsub ct toAth�e work�1e /SS'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l
ignature o�Ap"', (cant �4D t � ��ZECLAPAT..EG r1DI CONSTRUCTION LENDING AGENCY
hereby affirm un'1gr 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).
eoJcl s Name Lender's Address
y m; aignaturE LEIcv., 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 laws relating to building construction.
I authorize representatives of this city or county, toe er the above -identified property for inspection purposes. i1
ignature of Property Owner or Authorizi Print Prooertv Owner's or Authorized Auent'S Name �#�e11 �r ! S IR
ACTION I DATE
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY