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Home My WebLink AboutX2019-1283 - Permits{1'O"�A City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1283 n +� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 8 3 Project No: 0334-2019 C, n Permit Counter Phone (949)644-3288 Excise Tax: $0.00 Planning Department - Inspection Requests Phone (949)644-3255 `�`ry�yn vs Combination Type- SFP MECH PLUM Issued Date :04/3012019 .. $0.00. Plan check Fee : $160.00 Inspection Area : 3 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Overtime Plan Ck: $0.00 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 $0.00 Job Address: 18 CAPE. ANDOVER NB $0.00 Description: DELTA 1, ADD 140 SF IN BEDROOM #3, REPLACE FIREPLACE IN FAMILY ROOM Investigation Fee: $0.00 Grading PC Consultant: Legal Desc.:: N TR 15012 LOT 118 SJH Trans : $0.00 Demolition Fee .I ., 6 $ 1 b Owner: SCHULZE STEPHEN J Contractor: SHORELINE DEVELOPERS Architect: ROCHELEAU MITCHELL SCOTT Address: 18 CAPE ANDOVER Address: P 0 BOX 551 Address: 23291 DOWNLANDRD NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92661 LAKE FOREST CA 92630 $0.00 Phone: 949-466-8010Phone: 949-697-3993 Phone: 210-771-1615 State Lic:C036977 ••°• $0.00 Applicant:. ROCHELEAU MITCHELL Con State Lie: 890871 Engineer: WONG ARIV NATHANIEL. pO°4 WQ Insp. Fee: Address: 9891 IRVINE CENTER DR STE 190 Lie Expire: 01/3112021 Address: 180 S PROSPECT AVE #110 "° ° ` IRVINE CA 92618 Bus Lie: BT30041079 • TUSTIN CA 92780 • o c o Disabled Access: $0.00 Phone 210-771-1615 Lie Exp Date: 10/31/2019 Phone: 714-838-9898 State Lic:C-055045 • • e • • ° Grading Bond: $0.00 Code Edit: 2016 Worker's Compensation Insurance Designer. °• • ® • ° Type of Construction: VB Carrier: STATE COMP Address: ' ° ®• • m Occupancy Group: R31U Policy No: 9038773- p°O° ° °. m•uo° Added/New sq.ft. Bldg: 140 Expire: Phone: •••• `••°,,,; .01/01/2020 Added /New sq. ft. Garage:. 0 No of Stories: 2 Building Setbacks Rear. 10 Special Conditions: REV19-0657 • • ommen ° ° ° No of Units: 1 Front: 10 ••••°o • ° °. Bldg Height: 0 Left: 5 - ° ° • ". Bldg Sprinklers:. Right: 5 c 0`�° °•m°o° Flood Zone: X Use Zone: Parkine Soaces: 0 eco Fire Hazard Zone : N PUBLIC WORKS APPROVAL: Construction Valuation:. $11.200.00 Building Permit Feer $888.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $697.48 Additional Fee: $0.00. Plan check Fee : $160.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $15.00. Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm. $0.00 Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $1.46 WQ Insp. Fee: $0.00 Park Dedication `. $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: ' $0.00 Building Green Fee :. $1.00 Mechanical %: -$35.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $79.92 - .$0.00 TOTAL FEE: $1,976.63 Plan Check Fee : $1,976.63 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 1" f GRADING APPROVAL: APPROVAL TO ISSUE: 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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 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 legal) 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:http://www.leginfo.ca.gov/calaw.htm]. Signature of Proq@r1?(9 ner or Authorized Agent Date LJCENS.ED CONTRACTOR'S DECLARATION I releb;effirm LmOor penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70] pf Iws n of the Business and Prof ions Code, nd my license is in full force and effect. LicensQl'jass License No Date �i .36 Contractor Signature 670%@RS' COMPENSATION DECLARATION NARNING: FAILURS TO SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNG D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CIp%J OI%OMPEN3P.J10N, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 00 I11erel" affirm unVe r penalty of perjury one of the following declarations: r Uve and wY1•malntain 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 iefft"ance of the work for which this permit is issued. Policy No. ••.. 191ave and wilSmainQain 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' compensatio s ce carrie'r amd fj4licy number are: Policy Number Date certify that, in the perfo ante 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' ompensation laws of California, and agre t, if I should become su je rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D'�` F -f CLARATION REGA ION LENDING AGENCY :reby affirm under pe alt e ' at there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , 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 county rdinances and state laws relating to building construction. I authorize representatives of this city orcounty to r thea ve-identified property for inspecti as. rnT4 kC �� /rt /�a t/ nature of Prooertv Owner or Authorized ADent riot Property Owner's or Authorized Agent's Na l Da ACTION DATE BY ��/ Tl�d'CrCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGIPW(TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION TO APPLICABLE TO