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HomeMy WebLinkAboutX2021-2894 - PermitsCity of Newport Beach - Building Division IIIIII IIIII Im11111111111111111111111111111111 COMB Permit: X2021-2894 100 Civic Center Drive, Newrod Bez-h, CA 92660 x 2 0 2 1 2 8 9 4 Project No : 2525-2021 g Permit Courier Phope,r949)644r3288 u. y, Inspection s<aaues:s Phone (949)6"-32L5 Combination Type - SFP GRAD MECH ELEC PLUM Issued Date : Inspection Arearea :2022 2 Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone PERMIT•EX-IRE' 180 QAYS AAkTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY0411212025 OR PERMIT WILL BE INVALID Conetructian Hears: Monday, I-rhdo r7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on S HoI'da s 520 VIA LIDO NORD NB g�VY7�00IN ION CERTIFICATE NEW SFR W/ATT GARAGE 5,325r772 SF, BALCONY 76 SF PATIO 759 SF INTER -PRO CORPORATION Contractor: GALLO BUILDERS INC 3699 MILLWOODS RR NW #325 Address: 1278 GLENNEYRE ST #412 EDMONTON AB 92626 LAGUNA BEACH CA 92651 Phone: 949-683-3500 OAKES BRITTANY Con State Lic: 852210 151 KALMUS DR#G-1 Lic Expire: 0113112023 COSTA MESA CA 92626 Bus Lic: BT30028998 714-454-4040 Lic Exp Date: 0813112022 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3IU Added /New sq.ft. Bldg: 5325 Added /New sq. ft. Garage: 772 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: AE8 Valuation: $1042,387.60 Building Permit Fee: $7,371.00 Plan Check Fee: $5,528.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $170.00 Energy Compliance: $303.00 CA Seismic Safety: $135.51 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $42.00 REQUIRED FOR FINAL. Architect: BRANDON CHRISTOPHER Address: 151 KALMUS DR#G-1 COSTA MESA CA 92626 Phone: 714-754-4040 State Lic:C031637 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92577 Phone: 714-717-7542 State Lic:C-066947 Workers Compensation Designer: q,i(� �+ @Insurance @r�'�•�9r�p{ EXN',+r.1ttFTF�O`/2r02`t'IIJEI �e EN6.JIi7 Phones: Building Setbacks Rear: 4' Special Conditions: LIQUEFACTION & HIGH Front: 10' DENSITY AREA f 't4 )•y;v p WEEKEND EEKEND AE8' FLOOD ZONE Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Y i Excise Tax: $1,280.37 Planning Department- Fire Department Additional Fee: $0.00 Plan check Fee : $520.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $1,092.00 In -lieu Housing Fee: $0.00 Building Dept Arm Grading PC Fee: $950.04 Public Works Department- General Service WQ Insp. Fee: $1,220.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check: $406.00 Grading Bond: Electrical %: $515.97 San Dist: $1,016.00 Mechanical %: $294.84 NMUSD Fee: $6,044.40 Plumbing %: $663.39 TOTAL FEE: $27,552.52 Plan Check Fee: $27,552.62 Fee Due at Permit issuance PROCESSED BY: .II PUBLIC WORKS APPROVAL: ?OAt ZONING APPROVAL: r' A PLAN CHECK BY: V" GRADING APPROVAL: swn APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chackmark,$) haL a placed ne:d 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 ary structure, winr to it^ 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)'uf 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). ❑ 1, 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 St. ut:ur. is net intendaJ or offered or sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or pemonal effort, builds or-improvr;e, fhe-prrperty, 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 hays'the ngrden yf 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 ]!censure 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:lhm .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 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 Professio s in full force and affect. License Class License No Date /z • Z� Contractor Signature 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 0705 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 thi O Nrmance 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: 1e of Agent certify that, in the performance of the work if I should become s blect to the workeml Policy Number Expiration Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicarf /kL/" `^"r' , Date Z• �= �' DECLARATION REGRRMNG'CONSTRUCTION LENDING AGENCY 1 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 C de). Lender's Name Lender's Address By 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 count rdinanc and st laws relating to building construction. I authorize representatives of this city or coun enter t - ' led property for inspection purposes. _ �/ o� ` Signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name o12:t., e`rl Date y' 7 Z' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ADMD RULE 1403 PERMITFINAL ❑ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF IIr/ .�S-2 i -'�- PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: