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Home My WebLink AboutX2018-2064 - Permits�w1 p City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 rtr Combination Type - SFP ELEC MECH COMB Permit: X2018-2064 Illl�llllllll�l0llllll�lllu�ll��lllllll�lll�lll� II Project No: 1619-2018 Issued Date : 07/1012018 Inspection Area : 6 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: 52 AVIGNON NB Description: SFR - INTERIOR LOFT ADDITION 205 SF Legal Desc.: Owner: HANSON GARY Contractor: LOFTCRAFTERS INC THE Address: 52 AVIGNON Address: 8 HAMMOND #102 NEWPORT COAST CA 92657 IRVINE CA 92618 Phone: 213-399-6556 Phone: 949-456-1234 Applicant: AGUIRRE MORRIS Con State Lie: 463944 Address: 8 HAMMOND STE 102. Lie Expire: 08131/2018 IRVINE CA 92618 Bus Lie: ST30020595 Phone: 949-456-1234 Lie Exp Date: 0913012018 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 205 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $482.00 Plan Check Fee: $419.34 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,041.86 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: O*U Worker's Compensation Insurance Carder: EMPLOYEE SVC GRP Policy No: RWCC48831308 Expire: 1110112018 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: I Front: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.74 $19.28 $0.00 Architect: Address: Phone: State Lie: Engineer: GARRETT LARRY D Address: 7612 BESTEL AVE WESTMINSTER CA 92683 Phone: 714-893-2979 State Lic:S-002366 Designer: Address: Phone: Special Conditions: , Planning Department - Plan check Fee : Fair Share SJH Trans In-Iiek Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $38.00 San Dist: ` ` $0.00 NMUSD Fee: $0.00 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: Plan Check Fee: $0.00 Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 o $UAU- •$0 00 $1,041.86�� PUBLIC WORKS APPROVAL: 4'O&l a.o.o. oo•® PLAN CHECK BY: APPROVAL TO ISSUE: 000 0 0000a 00000m 000�oo 0 0 • o 0 00� OWNER -BUILDER DECLARATION S I hereby affirm under penalty of perjury that 1 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 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). ❑ 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 legall) 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:lfwww.leginfb.ca.govicalaw.html. 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 7000) of Division 3 of the Business and Professi s � de a my lic_qhse is in full force and effect. License Class License No Dat Contractor SignatorgV WORKERS' COMPENSATION DECLARATION �C WARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will ntaina 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 ert m� of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent rnone 8 certify that, in the performance 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' compensation laws of California, and agre nature should beplicome sub ' t the workers' compe provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. %(� JC DaDr9 r � — ` d CLARATION REdoh ING CONSTRUCTION LENDING AGENCY t/� �reby 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). 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 ordinances and state laws relating to building construction. I authorize tesentatives of this city or co�un� to linter he�ra,6ov - dentifie ro ertfor inspection purposes. mature of ProdtIM4,ner or Authorized ADegn r �iC�—/' p y Print Property Owner's or Authorized Agent's Na ACTION- . • -- DATE AERMjT EXPIRER: ... PER"TCANCELLED PLi7A91T EXTEND d • • PP6MITFINAL OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 4o AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO Jft-A-1 I PROPOSED ISNOTARPLICABLE TO cc<ccc < m ccoo me•see • me