The URL can be used to link to this page

Home My WebLink AboutX2019-2743 - Permits (2)ct,f City of Newport Beach - Building Division q 100 Civic Center Drive, Newport Beach, CA 92660 E Psmit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIII�IIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIUIII�III COMB Permit: X2019-2743 x 2 9 1 9 2 7 4 3 Project No : 1390-2018 Issued Date : 0910412019 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: 501 TUSTIN AVE NB Description: DEMO SFR GARAGE 2827 SF 4 BEDROOMS. SEWER CAP INCLUDED tlp, t �®� Legal Desc.: FIRST ADD T TO NEWPORT HEIGHTS BILK 35 LOT 24 t A�iA i\J Owner: MOHR Contractor: KRS DEVELOPMENT Architect:. BRANDON CHRISTOPHER Address: 501TUSTIN AV Address: 151 KALMUSDR#G-1 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Phone: Phone: 714-754-4040 State Lic:C031637 Engineer: Address: Phone: Designer: Address: Phone: Applicant: KRS DEVELOPMENT Address: 2941 GRACE LN STE C COSTA MESA, CA 92626 Phone: 949-290-6500 Code Edit: 2016 Type of Construction: 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: Flood Zone: Worker's Compensation Insurance Carder: STATE COMP FUND Policy No: 9129520 Expire: 05/31/2021 Building Setbacks Rear: I Front: I Left: I Right: I BURKETHOMAS - 312 OCEAN AVE LAGUNA BEACH CA 92651 949-494-0776 State Lic:S-005088 Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS 6 TREES N eDo°o se°v° a °o 0 0 ° 0 o cam ° 3 �D° �° Do uonsrrucuon vawanon: ais,uuu.uu 4 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department- Fire Department ° Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share; $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat 00 - --- $0rFEE$2,149.27 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.27 $0.00 TA Plan Check Fee: $0.00 Fe ue at Pe ' Issuance: $2,149.27 PROCESSED BY: PUBLIC WORKS PPROVAL vl( 6Yvn � SEC ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 7 X-I APPROVAL TO ISSUE: Address: 2941 GRACE LN STE C 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 applicablPcitem(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). ❑ 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 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). ❑ 1, 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). ❑ lam 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 legally 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Division f the Business and Prof Co Vd my " nse is in farce and effect. License Class License No Date Contractor Signatum%<=� ^T WORKERS' COMPENSATION DECLARATION �— NARNING: FAuu,S2ETp SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF CO CFjJ$&TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I«hereby affirgrunder penalty of perjury one of the following declarations: y y. f have aiO;A1 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 )ePformance otthe work for which this permit is issued. Policy No. and*%1 1 kaintain 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' caralerVhd policy number are: Policy Number Date certify that, in the performance of the work for which ermit 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 f, 141 shouig I)eaorRe subject to the wo ers' compen a n provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� [1 patare of Applji _ Date> J CVRATION.I I:Q DING CZNSfRUCTION S6NQLUQA6ENCY rreby affirm under Venalty 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). Ider's Name Lender's Address By 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 law ting to building construction. I authorize representatives of this city or co ty t r the ve-identfied erty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE _ 1403 PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED V LJ I SUBMITTED ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION