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Home My WebLink AboutX2017-2155 - Permits�,vrrq City of Newport Beach - Building Division *X20172155" COMB Permit: X2017-2155 a 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1527-2017 w - 'c a+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255! '. „�� i Issued Date Combination Type - SFP ELEC MECH PLUM GRAD REOUIR : 05/2412018 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 206 42ND ST NB Description: NEW SFR W/ATTACH GARAGE 2725 & 405 SF Legal Desc.: CANAL SECTION ELK 141 LOT 4 vs,, Owner: TRIMAR PROPERTIES Contractor: BURKHART BROTHERS CONSTR Architect: Address: 2015 SHIPWAY LN Address: 12 BALBOA COVES Address: NEWPORT BEACH, CA 92662 NEWPORT BEACH CA 92663 Phone: 949-639-7905 Phone: 714-350-3892 Phone: State Lic: Applicant: MARTINEZ JOSE Con State Lic: 905510 Engineer: RADVAR SHAHROKH Address: 206 42ND ST Lic Expire: 1 0131/2 01 9 Address: 5 HODGENVILLE NEWPORT BEACH, CA 92663 Bus Lic: BT30026869 IRVINE CA 92620 Phone: 626-3194102 Lic Exp Date: 03/31/2019 Phone: 714470.6780 State Lic:C-066139 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: STATE COMP Address: .... Occupancy Group: R31U Policy No: 9041905 Added /New sq.ft. Bldg: 2725 Expire: 02101/2019 Phone: ® o ° ° ®• °. 0 0 Added /New sq. ft. Garage: 405 ° ° ° ° o ° o No of Stories: 3 Building Setbacks Rear: 5' Special Conditions: ° • ° No of Units : 1 Front: 10' ° ° •. • o Bldg Height: 24 Left: 3' Bldg Sprinklers: Y Right: 3' Flood Zone: .2% Use Zone: R-2 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $535.066.00 .... ° °ooco Building Permit Fee: $4,563.00 Excise Tax: $657.30 Planning Department - Fire Department Plan Check Fee: $2,903.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $2,427.75 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev °10.40 0 ... Investigation Fee: $0.00 Grading PC Consultant : $774.08 SJH Trans: $0.00 Demolition Fee Record Management: $56.00 Grading Permit Fee: $861.00 In -lieu Housing Fee : $0.00 Building Dept Adm °90.80 Energy Compliance: $268.00 Grading PC Fee: $169.92 Public Works Department - General Service $0.00 CA Seismic Safety: $69.56 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $304.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $319.41 San Dist: $1,465.00 Building Green Fee : $22.00 Mechanical %: $182.52 NMUSD Fee: $2,353.36 $0.00 Plumbing %: $410.67 $0.00 TOTAL FEE : $18,305.57 Plan Check Fee : $6,640.75 Fee Due at Permit Issuance : $11,664.82 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: �-'RM� PLAN CHECK BY: GRADING APPROVAL: �jr�l APPROVAL TO ISSUE: l OWNER -BUILDER 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 req� I molish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the i � r ccVV a 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 aIle o¢VI tion o ection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, 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, Iusiness 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). 1 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 buildseWimproves 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: Iy 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 legal) ell astructure that I have built as an ownerbuilder 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 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 S do 00) of�SDwision 3 03 of the Busine Professions Codes ander license is in full force nd effect. License Class License No to 24 +If Contractor S' lure IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uDadrOftalty of perjury one of the following declarations: .. I have and will.maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN RS ce of thcjvo?kfor which this permit is issued. Policy No. c// a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Isurance carrier and policy number are: arrier• • 0 • * Policy Number Expiration Date �i certify that, in t44parformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref ITdtif (should becgme subjec o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J ...... / - Sate S < 214 3forRrtl�L<Di`ADDIiCaI CLA REGARDING CONSTRUCTION LENDING AGENCY %1' At; affir underpanalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 097, Civil Code). Id&% Name ' ' ' Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize repre�$je�n�tatives of this city or county to e9ter the above -identified property for inspection purposes. - nature of PrODerI�OWrler or Authorized ADent ��` ' _ Print Property Owner's or Authorized_4gent's�dme 9 Cdr' MA705Z" ACTION DATE BY DECLARATION OF II REGULAT ONS PA PART OF ITLE 40 AND AQMD RULECE WITH CODE OF RAL I FOR OFFICE PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL /y� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /0''1 f� PROPOSED DEMOLITION OCCUPANCYISSUED __ SIGNATURE: iC Date