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Home My WebLink AboutX2019-0502 - Permitst $ City of Newport Beach - Building Division IIIINIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIII�IIIq COMB Permit: X2019-0502 '> 100Civic Center Ddve, Newport Beach, CA 92660 X 2 0 1 9 0 5 0 2 Project No : 1471-2018 E ° Permit Counter Phone (949)6443288 .f�,w�wr er - Inspection Requests Phone (949)644-3255 M fir+ r� °''rsax�"' Combination Type - SFP GRAD ELEC MECH PLUM ��p Issued Date: 0211512019 MUInspection 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 ; Job Address: 1715 PORT SHEFFIELD PL NB� Description: NEW SFR W/GAR 5276 & 659 SF W/ BASEMENT, SOLID ROOF PATIO COVER 550 SF, CVRD PORCH 283 SF & BALCONY 70 SF Legal Desc.: N TR 6621 LOT 13 Owner. PALAZZOLA JOHN Contractor: CLARKE GREG CONSTRUCTION INC Architect: Address: 1715 PORT SHEFFIELD PL Address: P O BOX 8181 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92658 Phone: 818-371-7790 Phone: 714-904-0692 Phone: Applicant: EDMONDSON PHILIP LEE Con State Lie: 819840 Engineer: Address: 2600 NEWPORT BLVD #114 Lie Expire: 09130/2020 Address: NEWPORT BEACH CA 92663 Bus Lie: BT30018564 Phone: 949-675-9468 Lie Exp Date: 02/28/2019 Phone: Code Edit: 2016 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 5276 Added /New sq. ft. Garage:. 659 No of Stories: 2 No of Units : 1 Bldg Height: 32 Bldg Sprinklers: Y Construction Building Permit Fee: $6,279.00 Plan Check Fee: $61.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $84.00 Energy Compliance: - $0.00 CA Seismic Safety: $131.16 Disabled Access :. $0.00 Hazardous Mat $0.00 Building Green Fee : $41.00 Workers Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical % Plumbing %: Rear: 10 Front: 20 Left: 5 Right: 5 $1,246.35 $0.00 $0.00 $576.13 $875.00 $126.47 $108.00 $439.53 $251.16 $566.11 TOTAL FEE: $18,762.51 Plan Check Fee PROCESSED BY: rye r� ZONING APPROVAL: APPROVAL: r GRADING APPROVAL: Designer: Address: Phone: EDMONDSON PHILIP LEE 2600 NEWPORT BLVD #114 NEWPORT BEACH CA 92663 949-675-9468 State Lic:C018423 MANSHADI FARHAD 1800 E 16TH ST UNIT B SANTA ANA CA 92701 .... 714-835-2800 State Lic:C-036840 ma... .. . .. Special Conditions: 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: $1,649.00 NMUSD Fee: $6,329.60 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ooe000 0 0 .. m... . . mmm.. m 00000 . mm . e oomp $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18,762.51 OWNER -BUILDER 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 7031.5, Business and Professions Code: Any city or county that IS emolish, 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 tot r a 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 al &M)ail Illation 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, willr 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 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 legalll 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/ralaw.html. Signature of Property Owner or Authorized Agent D t.. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 70Q f Div 3 �ofthe B iness and Professio oded nse is in full force and effect. Licersef�ass License No a � c actor Signature. OJORKFRS' COMPENSATION DECLARATION IAARR1ItltlN6!FAILURE "PO SE6tlRE 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 LIOMPENSA L( A, *MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Lebyaffirm 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 ormance of Th'e' er¢ for which this permit is issued. Policy No. j"e and 41?9lalhtain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensal tranoe carrier and policy number are: Policy Number Date in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and b9 to ;subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 Ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertyPbove-identified er's behalf. I have read this application and the information I have ps correct. I agree to comply with all applicable city and county or and state laws relating to building construction. I authorize representatives of this city or county to t property for inspection purposes. � ikmature of PrODertv Owner orize Agent' Print Property Owner's or Authorizedf&W"-Nam ACTION 'DA17E BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMITEXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Civil Code).