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Home My WebLink AboutX2018-1507 - Permits+wJr City of Newport Beach - Building Division '. 100 Civic Center Drive, Newport Beach, CA 92660 r - Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X20181507* COMB Permit: X2018-1507 Project No: 1165-2018 Issued Date : 06/26/2018 Inspection Area : 3 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: 1106 DOVER DR NB Description: SFR -INTERIOR REMODEL, CIO 1 WINDOW IN GUEST ROOM, ADD GUEST BATH, 4 SKYLIGHTS. 542 SF Legal Desc.: N TR 3000 LOT 12 Owner: RYAN LANCE Address: 1106 DOVER DR Record Management: NEWPORT BEACH CA 92660 Phone: 310.952.6424 Applicant: HALTON TODD Address: 1203 CHARCO Hazardous Mat SAN CLEMENTE CA 92673 Phone: 949-533-7746 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $891.00 Plan Check Fee: $775.17 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $30.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,914.87 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HALTON CORPORATION Address: 1203 CHARCO SAN CLEMENTE CA 92673 Phone: 949-600-5770 Con State Lie: 767300 Lie Expire: 0313112019 Bus Lie: BT30061116 Lie Exp Date: 1113012018 Workers Compensation Insurance Carrier: WIC EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.37 $35.64 $60.19 Architect Address: Phone: State Lie Engineer: SCHUMACHER ROGER Address: 6 SIERRA BLANCO Special Conditions Planning Department - FOOTHILL RANCH CA 92610 Phone: State Lic:C-052780 Designer: HALTON TODD Address: 1203 CHARCO In -lieu Housing Fee: SAN CLEMENTE CA 92673 Phone: 949-533-7746 Special Conditions Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $812.67 om m 0 o m 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $1,102.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: M Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: om m 0 o m 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $1,102.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: M 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) (Section 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 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) 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 for a permit subjects the applicant to a civil penalty of not 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 (_) 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 not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 have the burden of proving that it was not built or improved for t4%purpose of sale). ❑ I, as ownep of4he 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:o 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 Sm exempt fiom licensure under the Contractors' State License Law for the following reason: Byrn .-signaturebelow 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 sella structure jhat j 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 erofyssions CDde!is 9vailable upon request when this application is submitted or at the following Web site:hit11www.leginfo.ca.gov/calaw.him1. Mrs of P"perty Owner or Authorized Agent Date LICENSED GONikiACTOR'S DECLARATION .here aff'rm'undbrpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 o DIVIs On 3 of the Business andp od ,and license is in full force and a a t. LICEMS Class License No Date Contractor Sig ture V1 6 14ERB, �)py1QQENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES uP TO ONE H DRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE CO!lPO . OMPENSBTIGM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm brdErpenalty 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 th 7erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date I.Fertify that, in the perfo ' ance of ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker/compensation compensation laws of California, and agree t, if I should becomes act tot orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % p, mature of Applican D to CLARATION REG"2[bWCONSTRUCTION LENDING AGENCY If :reby affirm under pqffalty 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). lder'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 county rdinances d state laws relating to building construction. I authorize representatives of this city or county the e -identified property for inspection purposes. mature of Property Owner or Authorized A en int Property Owner's or Authorized Agent's Name tDa TION DATE I BYDE RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED LIAQMD PERMITFINAL BESTOS OTIFICATIONI NOTAPPLICABLE TO CERTIFICATE OF OPC MOUTION OCCUPANCY ISSUED 9GNAnla . /\ 0 C X Z o W �o 0 U M N N ZZ co m� p € EZ 0 V W vnn o m W o i A�a°�. OJT (1 P+ m V W o lS O E� ftp y W c G o H a) Y Uo o V UO L L''. E2 C N N U N 2 L O :E o •d EE O) N O ELL o.ro cn 12 w�3 a o°m �€ y8 .� ya � Y N .N+ fOYtn d 16 Ut ai _Ncn �. a. —cnm'cc N O O a E . 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