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Home My WebLink AboutX2015-1631 - Permits��,064* City of Newport Beach - Building Division i�IIIIIIIIIIIIIIIIII111111111Illllllllllllllillllllll COMB Permit: X2015-1631 0100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 5 1 6 3 1 - µ -Permit Counter Phone (949)644-3288PrOjE:Ct NO :3028-2013uk Inspection Requests Phone (949)644-3255 -Q,IL*Combination Type - SFP GRAD MECH ELEC PLUM Issued Date : Os11112015 , Inspection Area : 5 PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 3725 OCEAN BLVD NB ; Description: "CHANGE IN CONTRACTOR' NEW SFR W/BASEMENT 6,850/391 SF, DECKS 535 SF, INCLUDING SHORING (X2013-3584) 5 F Legal Desc.: CORONA DEL MAR LOT BLK A POR OF BILK t 11 Owner: FISCHER,DESMOND LAWRENCE Contractor: PINNACLE CUSTOM HOMES INC Architect: MCINNES JOHN �, 9 �� .,! ,j Address: 3725 OCEAN BLVD Address: 151 KALMUS DR STE D-210 Address: 933 SO COAST HWV CORONA DEL MAR, CA 92625 COSTA MESA CA 92626 LAGUNA BEACH CA 92651 Phone: Phone: 714-327-0225 Phone: 9491494-0476 State Lic:0009832 Applicant: MCINNES JOHN Con State Lic: 782202 Engineer: NELSON WILLIAM MC KEE } Address: 933 SO COAST HWY Lic Expire: 07/31/2016 Address: 8951 RESEARCH DRIVE #200 LAGUNA BEACH CA 92651 Bus Lic: BT30061358 IRVINE CA 92618 Phone: 949/494.0476 Lic Exp Date: 06/30/2016 Phone: 949-752-2070 State Lic:S-003417 Code Edit : 2010 Worker's Compensation Insurance Designer: 0000 ...... Type of Construction: V -B -SPR Carrier: STATE COMP INS FUND Address: o°°°° ° Occupancy Group: R3IU Policy No: 9030335 Added /New sq.ft. Bldg: 6850 Expire: 12/01/2015 Phone: Added /New sq. ft. Garage: 391 ° No of Stories: 3 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA 00 ° No of Units: 1 Front: / OWNER AUTH.ATT Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° Construction Valuation: $0.00 -o°°00 c0000c ` Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : ($3,361.00) Plan check Fee : $0.00 Fire Inspection: ° °$666 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev `$0.0U 0000 Investigation Fee: $0.00 Grading PC Consultant : $2,716.80 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: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 - NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $35.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: "4 GRADING APPROVAL: APPROVAL TO ISSUE: 4 r' - l �1 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) ` lection 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 (e 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 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 of more than five hundred dollars ($500): 11, 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, lusiness 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 nproved 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 pply 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: ly 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 ell 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca. gov/calaw. html. signature o Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio OV01f Diision-Lef the Business and Pr f Ions Code, and my license is in full force nd effect. License Class License No D I I S Contractor Signatu i YORKERS' ('i7MPENSATION DECLARATION 'ARNING: FAILURE•lt%tCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000(, IN ADDITION TO THE PST QCCOMPENSAJIDH, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. %rebl affirm xmaer<penalty of perjury one of the following declarations: 1• •ave and witl 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 the rf ance of floe work forwhich this permit is issued. Policy No. • ;ill 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' compensatior Ba rre ce carri%r-a� v.*Iicy number are: '.ar' r • Policy Number Expiration Date 0 Phnne A �Tg P[r\yent lI cert;y that, 4athe-4rformance 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 agrel tat• #J Should b ecojesubjer�t tothe I kee'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.rigRrTtmreofAp�lice4roECLARATIW REDING CONSTRUCTION LENDING AGENCY ��(4 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 309 Civil Code). ender's Name Lender's Address iy 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 tobuilding construction. r� I authorize representatives of this city or co t��ro ant he abou I ntified property for inspection purposes. � y oy � eg`� -�j �� mn,m of Prnnarry ()wnar nr AiRhnri7Rd Annn'tf( ve-4 F'-�—%-� Print Property Owner's or Authorized Agent's N f l`'' ( D .,y....._._ _..._�_.-_...._. _. ..__._.. __-.�_. - DECLARATION OF COMPLIANCE WITH CODE OF - FUN UtNtl.t kUNIT AfRfNt DATF 13Y FEDERAL REGULATIONS PART 61 OF TITLEJd AND AGNI)RULC 1403. ❑ esanurrrrDasnr-sTnsrJv�rrrx:aT�frluTn: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICARDIVIS NOT APPLICABLE TO _-PROPOSC-DOE11,10LIUON. 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