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Home My WebLink AboutX2018-3323 - Permitst� City of Newport Beach - Building Division ❑ ,F 100 Civic Center Drive, Newport Beach, CA 92660 H Perr*,t Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIGIIIIIIIIdIIIIIIIIIIIIIIIIINIIIIIIIIIIIII�IIII III COMB Permit: X2018-3323 x .2 8 1 8 3 3 2 3 Project No : 2590-2018 Issued Date : 11/0212018 Inspection Area : 4 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: 1715 PORT SHEFFIELD PL NB , Description: DEMO SFR 1710 (3 BDRMS) r€e g Legal Desc.: N TR 6621 LOT 13 {yi wa t -- Owner: PALAZZOLA JOHN Contractor: CLARKE GREG CONSTRUCTION INC Architect: EDMONDSON PHILIP LEE '6 a�4 ` Address: 1715 PORT SHEFFIELD PL Address: P O BOX 8181 Address: 2600 NEWPORT BLVD #114 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92658 NEWPORT BEACH CA 92663 Phone: 818-371-7790 Phone: 714-904-0692 Phone: 949-675-9468 State Lic:C018423 Applicant: CLARKE GREG Address: P O BOX 8181 NEWPORT BEACH CA 92658 Phone: 714-904-0692 Code Edit: 2016 Type of Construction: Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL F¢E : $1,782.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 819840 Engineer: Lie Expire: 09/30/2020 Address: Bus Lie - BT30018564 Lie Exp Date: 02/28/2019 Phone: Worker's Compensation Insurance Designer: Carrier: WIC EXEMPT Address: Policy No: (NO EMPLOYEES) Expire: Phone: 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: / Front: / Left: I Right: / 'arkln0 SDaees $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee: State Lie: Special Conditions: TIGHT QUARTERS 2 STREET TREES Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans, In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS F PLAN CHECK BY: Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit APPROVAL. TO ISSUE: • aaaao• • aaaao• a 0 aeao e a a a coo • o a¢a o • ¢¢oo• aaa>®• • oav e• • •i60.1)O• oaaae $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $1,782.27 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). iection 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 re&uires Ene applicant for m 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 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 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). 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 builds or improves 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: ,y 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 ell 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 7 Division 3 of the Business and Profes i ns C , an my tense is in full force nd effect. License Class License No D Contractor Signaturd- VORKERS'CgMPENSATION DECLARATION DARNING: FAILUREdrO"I RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF.COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. PIO MBt affirm y19rleranalty, of perjury one of the following declarations: I 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 thl erNWAnce of th? work for which this permit is issued. Policy No. .... 21 heve and wijl Mrt[ain 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 Isureslce carrier and policy number are: %xiee • 1 •6 Policy Number Expiration Date )1-1 A ent (none rF Valfy that, iM the performance of work fo ich this pemlit 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 hatshouldbedCfi4 subject to t orkers' m sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. S�(I�t�uTe of Appt'i�3M� f, Date IECLARATION REQ42S DING CON—ST�UC LEN GENCY hereby 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). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. 1 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 representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam l.. ACTION DATE BY I ,pECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I 1431SUBMITrED ASBESTOS NOTIFICATION TO PERMITCANCELLED PA PERMIT EXTENDED QMD PERMITFINAL f-M ASBESTOS NO TI S NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMO 0 OCCUPANCY ISSUED /e � SIGNATURE: