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Home My WebLink AboutX2017-3674 - Permitsano$7 City of Newport Beach - Building Division mm m 6, 7.4 II r3 100 Civic Center Drive, Newport Beach, CA 92660 m uP�Y i'0 A N '_+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ® • • • m e °e • ° • eoo o ome mm z •e v,? j'' Combination Type - SFP MECH ELEC PLUM m ®® m Applicant: MERYLIEDMONDSON PHILIP Address: 2600 NEWPORT BLVD #114 NEWPORT BEACH CA 92663 Phone: 949.675-9468 Code Edit: 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: 202 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $2,711.00 Plan Check Fee: $2,287.25 Overtime Plan Ck: $0.00 PERMITS EXPIRE 160 DA YSeAGTFR bSa $0.00 Construction Hours: Monday - Friday 7:00 a.m. to 6:30 pA. anylatu Job Address: 8 WATERFORD WAY NIB $218.60 Description: SFR ADD 202 SF & REMODEL 3,449 SF Disabled Access: Legal Desc.: Hazardous Mat $0.00 Owner: MORNING SPRING LLC Contractor: LEWIS CARL CO Address: 10061 TALBERT AVE #325 Address: 738 N JANSS ST $564.00 FOUTAIN VALLEY CA 92657 ANAHEIM CA 92805 Phone: Phone: 714-774-3844 Applicant: MERYLIEDMONDSON PHILIP Address: 2600 NEWPORT BLVD #114 NEWPORT BEACH CA 92663 Phone: 949.675-9468 Code Edit: 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: 202 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $2,711.00 Plan Check Fee: $2,287.25 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $48.00 Energy Compliance: $218.60 CA Seismic Safety: $40.60 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $13.00 TOTAL FEE: $6,871.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 487135 Lic Expire: 02/28/2020 Bus Lic BT30022339 Lic Exp Date: 03/3112019 Worker's Compensation Insurance Carrier: EVEREST NATL Policy No: 7600012208171 Expire: 10/01/2018 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 110 Front: 1 10 Left: 15 Right: 15' 'arkino Spaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $189.77 $108.44 $243.99 Plan Check Fee 0 COMB Permit: X2017-3674 Project No: 2565-2017 Issued Date: 04/26/2018 Inspection Area : 6 8:00 A.rnm tca 6:00 p.m. No work on Sundays or Holidays eoe Architect: EDMONDSON PHILIP LEE Address: 2600 NEWPORT BLVD #114 Designer Address: Phone: " � t Special Conditions:'y�J s Fire Hazard Zone: N Planning Department - NEWPORT BEACH CA 92663 Phone: 949.675-9468 State Lic:C018423 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B In -lieu Housing Fee SANTA ANA CA 92701 Phone: 714-835-2800 - State Lic:C-036840 Designer Address: Phone: " � t Special Conditions:'y�J s Fire Hazard Zone: N Planning Department - Fire Department Plan check Fee $0.00 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $76.00 San Dist: $0.00 NMUSD Fee: $0.00 $2,287.25 Fee Due at Permit Issuance : $4,584.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 $2,287.25 Fee Due at Permit Issuance : $4,584.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION .. ... . . .. .. ... I hereby affirm under penalty of perjury that I am exempt from the Contraato;; Stele Gicanselaw for the ieason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that recMiris a p$r4t tb cangtr*t, alta; 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}JfovWdihs of the flontractors• 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). V ❑ I, as owner of the property, or my employees with wages as their sole oompenaation, N 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.nol aply tearyoirIle} of prEpe rt,Y.w*, jhrough employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the buildin f 9r4imy(oyemelltai6 s91V1 :Irithinbne yB91•of completion, the Owner -Builder will have the burden of proving that it was not built or improved 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 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). ❑ 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 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:hftp://w .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 Section 70001 of Divisi n 3 of the Business and Prpfessions o and my license is in full force and effect. License Class License No D e Contractor SignatuieV NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST 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: iI 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 the ae rmance of the work for which this permit is issued. Policy No. Piave 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 �K nce carrier and policy number are: vier Policy Number Expiration Date ne of Agent Phone # certify that, in the performance of th 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 agree if I should become subject to orkers' cor pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican DatrY�lo ,ice ^.I ARATIr1N RrcUiMiKjr.1r.nhIqTRI ICTIr3N 1 FNr11Nr: Ar:FNCY ;reby 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). Ider's Name Lender's Address 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 countyordinances and state laws relating to building construction. I authorize representatives of this city or courrty tnter ove-identiJmd property for inspection purposes. Date ACTION DATE BY O£CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY L REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE \ 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL [3ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: