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HomeMy WebLinkAboutX2021-2952 - PermitsNrvc,4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-2952 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 9 5 2 Project No : 1340-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 12114/2021 e: Combination Type - SFP MECH ELEC PLUM GRAD w� Inspection Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211412024 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: 2 TWIN LAKES CIR NB Description: NEW SFR W/ATT GARAGE 4,406 SF1768 SF, MECH ROOM 29 SF & ATT/TRELLIS 573 SF (CHANGE OF ARCHITECT) Legal Desc.: N TR 7510 LOT 8 Owner: CONWAY MARK Contractor: NICHOLSON CONSTRUCTION CO Architect: D'ARCY CHARLES Address: 2 TWIN LAKES CIR Address: 1 CORPORATE PLZ #110 Address: 18 TECHNOLOGY DR #158 CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 IRVINE CA 92618 949-407-7760 State Lic:C032314 Phone: 949-660-8181 Phone: 949-872.6637 Phone: Applicant: PETERSON CHAD Con State Lic: 660295 Engineer: Address: HAKIM FADY 124 PEONY Address: 18 TECHNOLOGY DR #158 Lic Expire: 12/31/2022 IRVINE CA 92618 IRVINE CA 92618 Bus Lic: Lic Exp Date: ST98032850 04/3012022 Phone: 310-422-1536 State Lic:C-075736 Phone: 949-407-7760 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4406 Added /New sq. ft. Garage: 768 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety : Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9074255 Expire: 10/01/2022 Building Setbacks Rear: 2ND FRONT 10 Front: 6 - STREET Left: 5 Right: 5 Zone: Designer: Address: Phone: Special Conditions: "CHANGE OF ARCHITECT` OR Fire Hazard Zone : N _ $0.00 Excise Tax: $0.00 Planning Department - Additional Fee : $38.00 Plan check Fee $0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 Grading PC Consultant: $1,526.84 SJH Trans $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee $0.00 Grading PC Fee: $335.16 Public Works Department- $0.00 WQ Insp. Fee: $0.00 DediPlancation $0.00 Par k : $0.00 $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 ZONING APPROVAL: Plan Check Fee : $0.00 Fire Department $0.00 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 Fee Due at Permit Issuance : $38.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPPOVAL TO ISSUE: W 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 L) 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 legall,, 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.html. 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 7000) of Division 3 of the Business and Professi ns Code, apt my li�se is in full force and effect. License Class License No Dat —) — a. Contractor Sig nature\ . WORKERS' 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and 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 th 'grformance 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 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 , if I should become subject)alhe workers' cjo9pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of hereby 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). Ender's Name Lender's Address y 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 and state laws relating to building construction. I authorize representatives of this city or county t nter the above -identified property for inspection purposes. // ``,,��� � ignature of Property Owner or Authorized Agent .P C% Q� Print Property Owner's or Authorized ADent's Name _ A�-VDU 1 6;�L. ACTION DATE BY — 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I WITTED ASBESTOS NOTIFICATIDIN TO PERMITCANCELLED EPA - PERMIT EXTENDED 0ACMD PERMITFINAL -r� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �%�^ 7L�j{' PROPOSED DEMOLITION OCCUPANCYISSUED W SIGNATURE: e yz City of Newport Beach II IIII IIIIII IIIIIIII I III Permit: X2021-2952 °WPN100 Civic Center Drive Plan Check: 1340-2020 - Newport Beach, CA 92660 < PCertificate of Occupancy 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. Owner: CONWAY MARK TR CONWAY FAMILY TR Code Year Edition: 2019 Address: 2 TWIN LAKES CIR, NEWPORT BEACH, CA 92625 Number of Stories: 2 Tenant: Construction Type: V-B Use Zone: PC - Harbor View Hills Occupancy: U,R-3 Description of Work: NEW SFR W/ATT GARAGE 4,406 SF/768 SF, MECH ROOM 29 Total Occupant Load: SF & ATT/TRELLIS 573 SF (CHANGE OF ARCHITECT) Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: Date: 7/16/2024 �n 00 N � r \ U � rn H U o n W m Z O m 0 c Pi m OC7 S a -s X U Q m w W a o 0 0 a 7 O c w L� o U U O O z W 2 W 'W^ V z_ H W W W q0 LC C) W a R V V OR cn m w cl 0 0 Q Al 1 T L w m C° w e `O' > aT. m N w m .0. 0 tf m in m a m• �... i m 7 w O M •_ .. U Q. 7 Y L •y _ u w L w C w O a oi'c p1 w'c m `om o m 0 o m a s w -0 m C 'C 0 7 T a y 0 'm 0 m F. 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