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Home My WebLink AboutX2019-4171 - Permits�1.whof City of Newport Beach - Building Division COMB Permit: X2019-4171 .� 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2896-2019 M ' Permit Counter Phone (949)644-3288 i3 m Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM MECH GRAD Issued Date : Inspection Arearea :2021 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211912024 OR PERMIT WILL BE INVALID 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: 1405 KEEL DR NB - Description: NEW SFR W/ ATT GARAGE 3765 SF 8 703 SF s� Legal Desc.: N TR 6634 LOT 79 Owner: 146 18TH LLC Contractor: OWNERIBLDR Architect: LU JOHNNY Address: 17620 FITCH #220 Address: Ole ATT TO DEMO PERMIT Address: 411 E HUNTINGTON DR #308 IRVINE CA 92614 CARLSON JEFF ARCADIA CA 91006 Phone: Phone: Phone: 949-294-2666 State Lic:C030396 Applicant: Address: LU JOHNNY 411 E HUNTINGTON DR #308 Con State Lic: O/B Lic Expire: Engineer: TRUING PHILLIP Address: 641 S. ALMIRANTE DR ARCADIA CA 91006 Bus Lic: WEST COVINA CA 91791 Phone: 949-294-2666 Lic Exp Date: Phone: 562-277-5649 State Lic:C-076425 Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 3743 Added /New sq. ft. Garage: 678 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Building Permit Fee: $5,770.00 Plan Check Fee: $4,433.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $102.00 Energy Compliance: $303.00 CA Seismic Safety: $117.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $36.00 TOTAL FEE: $19,385.17 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: 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: 6 Front: 21 Left: 6 Right: 6 Designer: Address: Phone: Special Conditions: $928.41 Planning Department - Fire Department $66.00 Plan check Fee : $462.50 Fire Inspection: $0.N $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $952.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $820.24 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check: $430.00 Grading Bond: $0.00 $403.90 San Dist: $945.00 $230.80 NMUSD Fee: $2,857.62 $0.00 $519.30 $0.00 Plan Check Fee : $5,493.25 Fee Due at Permit Issuance: $13,891.92 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 is 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 oved for the purpose of sale). Vy 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 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 ell a structure that I have built as an owner -builder if it he of en constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the sine and 'rofessions Code, is available upon re uest when this �p li ati I ubm ted rat the followin Web site:htt ://w .le info.ca. ov/calaw.htmi. c 2 signature of Property Owner or Authorized Agent O I� g p g g Date 2 O .ICENSED CONTRACTOR'S DECLARATION 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 Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE',(, bECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO :OMPENSPTCN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hs-rty affirm urder Penalty of perjury one of the following declarations: 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 Jnn,mce of theworkfor which this permit is issued. Policy No. have and wily Tuirtain 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' compensE rande carrier and policy number are: Policy Number or Agent Date ce,Lfy 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 , if I should 7eccrnc subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county dins es and state laws relating to building construction. I authorize representatives of this city or county to er a/1�,ov-Identif property for inspection purposes.-- / L nature of Propertv Owner or Authorized Agent .Y . Print Prooertv Owner's or Authorized Aaent's Name / . 1 f •Ft (C -1 s OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE VEKIVIII "PIKW LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED OACNID PERMITFINAL —9'%Z3 Df—AIL. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFIC4TE OF PROPOSED DEMOLITION OCCUPANCY/SSUED SIGNATURE: