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Home My WebLink AboutX2017-1276 - Permitst ..... City of Newport Beach - Building 100 Civic Center Drive, Newport Beach, CA 92660 H' rrrr Permit Counter Phone (949)644-3288 �Y Inspection Requests Phone (949)644-3255 Combination Type - SFP GRAD MECH ELEC Division P/�y(�; III] 9_2 a 1®? -.-.f 2eT7' s� III o o m 0 0 0 MMSR fN s • ee•• K e a o e e o e o e o e o m a •e• •• PLUME, p m COMB Permit: X2017-1276 Project No : 0855-2017 Issued Date: 11113/2017 Inspection Area : 4 o m o mem m omm PERMITS EXPIRE 180 DAYS AFTER ISSUANDIF. O AS.T VALID IN 9 PsC I N. • - Construction Hours: Monday -Friday 7.00 a.m. to 6:30 p.m, and Saturday°from•8:00 a.6r. t® 6:00 p.& Np work on Sundays or Holidays Job Address: 2007 PORT PROVENCE PL NB • o m mmm • m m m emm m Description: NEW SFR & GARAGE 4,591/459 SF Legal Desc.: N TR 6624 LOT 51 Construction Building Permit Fee: $5,888.00 Plan Check Fee: $4,801.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $98.00 Energy Compliance: $268.00 CA Seismic Safety: $111.80 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $35.00 TOTAL FEE : $19,481.13 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $1,060.50 $0.00 $0.00 $0.00 $861.00 $749.07 $0.00 $412.16 $235.52 $529.92 Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $190.00 San Dist: $770.00 NMUSD Fee: $3,080.16 Fire Department $0.00 Fire Inspection: Owner: ST JOHN ROBERTIJANA Contractor: RODEO HOMES INC Architect: $0.00 Address: 2007 PORT PROVENCEPL Address: P 0 BOX 7206 Address: 011 NEWPORT BEACH CA 92660 General Service NEWPORT BEACH CA 92658 Refund Deposit Phone: Phone: 714.319-2999 Phone: State Lie: Applicant: HAMPTON CRAIG Con State Lie: 700151 Engineer: FORBES DALE L Address: 3615 S BROOKSHORE PL Lie Expire: 08/3112018 Address: 1800 E 16TH ST #B BOISE ID 83706 Bus Lic:. BT02080838 SANTA ANA CA 92701 Phone: 949-209-8883 Lie Exp Date: 06/30/2018 Phone: 714.835.2800 State Lic:C-030407 Code Edit : 2016 Workers Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: STATE FUND Address: Occupancy Group: R3IU Policy No: 9146121 Added /New sq.ft. Bldg: 4591 Expire: 1112712017 Phone: Added /New sq. ft. Garage: 459 No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units : 1 - Front: 20' Bldg Height: 0 Left: 5' Bldg Sprinklers: Y Right: l5' Construction Building Permit Fee: $5,888.00 Plan Check Fee: $4,801.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $98.00 Energy Compliance: $268.00 CA Seismic Safety: $111.80 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $35.00 TOTAL FEE : $19,481.13 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $1,060.50 $0.00 $0.00 $0.00 $861.00 $749.07 $0.00 $412.16 $235.52 $529.92 Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $190.00 San Dist: $770.00 NMUSD Fee: $3,080.16 Plan Check Fee : $5,761.07 Fee Due at Permit Issuance : $13,720.06 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: -9L 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 Plan Check Fee : $5,761.07 Fee Due at Permit Issuance : $13,720.06 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: -9L OWNER -BUILDER DECLARATION .. ... .. .. ... I hereby affirm under penalty of perjury that I am exempt frim the C'pnfitacto$' Sta% Li nse Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicalr}s items) Section 7031.5, Business and Professions Code: Any cilyl)r 0,ountgthDt I$gQirV acpefm' u pair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed-pument to the provisions Li a ter 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 exempt n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). _... 7110 =- I, as owner of the property, or my employees with wages as glair Sola compansation, Will doh) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Susiness and Professions Code: The Contractors' State LiCP,nse3-awtloe5 not *ply'to a0 ownyr of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, buildin94rImprovement is id within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved 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 Ipply 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: Sy 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of 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 Section 7000 f vi ' n o e Business and Pro fe r ' as is in full force UId effect. License Class License No D ontractor Signa u P-- VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIE D CIVIL FINES UP TO ONE HUNDRED THOUS OLLARS ($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: I 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 'Avkrmance of the work for which this permit is issued. Policy No. I h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this p it is issu . My workers' compensatio insurhrgec ier and of nu er are:la go arrier Policy Numb"4%fA0* Expiration Date AV 7 Name of gent Phone #IF W I certify that, in the performance of the work for wh' this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation WE of alifornia, and agre that, if I should become work com sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica - toAE 4001%r OE AE DECLARATION RE NG DNST CTIO ENDING, GENCY I hereby affirm under penalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Nvil Code 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 rrect. I agree to comply with all applicable city and county ordinances state s relating to building construction. I authorize representatives of this city or cc -iden ' property for inspection purposes. ,Signature of Property Owner or Authorized Agent Priat Proeerty Owner's or Authorized Agent's N e ACTION DATE BY DEC r ION OF PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS _PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 2.%' '*L r!� L� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: