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City of Newport Beach -Building Division COMB Permit: X2018-3679
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 6 7 9 Project No : 0844-2018
(9)
Permit Counter Phone (949)644-3288
)644F S*���Inspection Requests Phone (949)644-3255�Issued Date: 1210612018
Combination Type - SFP MECH ELEC PLUM GRAD
Inspection Area : 4
PERMITS EXPIRE 130 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: 2 RUE BIARRITZ NB
Description: NEW SFR W/ATT GAR 3949 8 453 SF
Legal Desc.: N TR 7809 LOT 14
Owner: MANCILLAS ERIC Contractor: W A M CONSTRUCTION Architect: INKPECTC:71
Address: 2 RUE DU PARC Address: 11240 MOUNTAIN AVE Address:
NEWPORT BEACH CA 92660 RIVERSIDE CA 92505
Phone: Phone: 949-290-1842 Phone: State Lic:
Applicant:
ASHKON/RICHART DESIGN
Address:
1041 W 18TH STREET
COSTA MESA CA 92627
Phone:
949-422-91491
Code Edit :
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
3949
Added /New sq. ft. Garage: 453
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Valuation: $800,000.00
Building Permit Fee: $5,494.00
Plan Check Fee: $61.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$268.00
CA Seismic Safety:
$104.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$32.00
TOTAL FEE: $14,445.91
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
781538
Lic Expire:
07131/2020
Bus Lic:
ST30024689
Lic Exp Date:
08131/2019
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9134943
Expire: 05119/2020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
zme,w
LAW61111MA04
Rear: I I sc
Front: / I O
Left: / S
Right: 1 S
$0.00
$443.20
$0.00
$0.00
$875.00
$0.00
$0.00
$384.58
$219.76
$494.46
Engineer: JAMIL BASHAR S
Address: 751 SHASTA DR
CORONA CA 92881
Phone:
714-883-4124 State Lic: C-083129
Designer:
RICHARTJASON
Address:
1041 W 18TH ST A106
COSTA MESA CA 92627
Phone:
Special Conditions: LANDSLIDE AREA
Fire Hazard Zone :
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $123.75
San Dist: $2,452.00
NMUSD Fee: $3,494.16
Plan Check Fee : $0.00
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:
arr.0g
$0.0u
$0.30
$0.0u
x0.no
$u.Ov
$0.00
$0.00
Fee Due at Permit Issuance : $14,445.91
PUBLIC WORKS APPROVAL: q= �
PLAN CHECK BY: i4%
APPROVAL TO ISSUE: SML
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the - t--sAl f n(s) indica d 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 t ora ove, carnal sh, 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 t rs' State License La (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 fo y violation of Sectioi 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 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 an ployees' 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 comple ion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose Of Sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, B isiness 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 p irsuant 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 yei r prior to completion of the improvements covered by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undf rstand 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 D 1
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 f I vLog tof the Business gLld Profe ions god , and m li ense is in full force
and effect. License Class License No to LCl Contractor 7d�,�nature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTII SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I idustrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
Ithave and wi!' -re'rt^in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the part rmance of the work for which this permit is issued. My workers' compensatio
insurance carrier and policy number are:
Cwrrier . Policy Number Expiration Date
Name & Agent t Phone #
I ceiiify, that, in the performanc o the ork f which this permit is issued, I shall not employ any person in any manners as to become subject to the workers' compensation laws of California, and agre
that, if I Should become c j ct to th (work rs' ormpensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions.
Signature of AI v° 1(atet-+lfl /
DcO�Ari,4Tl0 EG.ARDING CONSTRUCTION LENDING AGENCY
I I,eroby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which I iis permit is issued (Section 3097, Civil Cade).
Lcr.Ca:'_ Name Lender's Address
Bi_' my signature b^hw I certify to each of the fallowing:
1 < rr. `he property owner or authorized to act on the property owner's behalf.
I hove read this.. application and the information I have pro d is nc S c sr t.
I agree to comply with all applicable city and county ordin an tat laws relating to building construction.
I authorize representatives of this ity or county t e ter t ve- a fled property for inspection purposes.
Signature of Property Owner or Aut ed A ent Print Property Owner's or Authorized Ag is Name
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 El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED UEPA
PERMIT EXTENDED LJACLMD
PERMITFINAL ry BESTOS N TIFI TI 1111 NOT AP L ABLE TO
CERTIFICATE OF [(r/1 P OPOSED DE O IT10 (_
OCCUPANCY ISSUED it (_ SIGNATURE: �+�