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Home My WebLink AboutX2020-1524 - Permits�,ywc r•nF City of Newport Beach - Building Divisiort- r a 100 Civic Center Drive, Newport Beach, CA 92660 ,} Ew � Permit Counter Phone (949)644-3288 i5 4 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM COMB Permit: X2020-1524 x 2 0 2 0 1 5 2 4 Project No: 1174-2020 Issued Date : 1010612020 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/07/2023 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: 1419 DOLPHIN TER NB Description: NEW SFR WI BASEMENT 7158 SF, GARAGE 712 SF R Legal Desc.: N TR 2334 LOT 10 I r V �� 0 Owner: HEUSER GEORGE Contractor: LEGACY CUSTOM HOMES INC Architect: WILSON TYLER SCOTT Address: 1419 DOLPHIN TER Address: 1000 QUAIL ST, STE 220 Address: 24471 CHRISANTA DRIVE CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 MISSION VIEJO, CA 92691 Phone: Phone: 949-887-4750 Phone: 714-754-4040 State Uc:C036519 Applicant: RIELLY BRUCE Con State Lic: 986194 Engineer: HAKIM FADY Address: 1000 QUAIL ST #220 Lic Expire: 08/31/2021 Address: 124 PEONY NEWPORT BEACH CA 92660 Bus Lic: BT30045036 IRVINE CA 92618 Phone: 949-887-6233 Lic Exp Date: 10/31/2020 Phone: 310-422-1536 State Lic:C-075736 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: OAK RIVER INSURANCE Address: Occupancy Group: R3/U Policy No: LEWC912262 Added /New sq.ft. Bldg: 7158 Expire: 12/02/2020 Phone: Added /New sq. ft. Garage: 712 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: LANDSLIDE AREA , No of Units : 1 Front: 5 ... , Bldg Height: 0 Left: 4 , Bldg Sprinklers: Y Right: 4 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,345,400.00 , Building Permit Fee: $9,159.00 Excise Tax: $1,662.70 Planning Department - Fire Department Plan Check Fee: $6,586.50 Additional Fee : ($42.00) Plan check Fee : $462.50 Fire Inspection: $010' Overtime Plan Ck: $6,286.75 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0,09, Investigation Fee: $0.00 Grading PC Consultant : $2,457.54 SJH Trans : $0.00 Demolition Fee I Record Management: $154.00 Grading Permit Fee: $3,296.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $3,165.12 Public Works Department - General Service $0.00 CA Seismic Safety: $174.90 WQ Insp. Fee: $120.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $1,376.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $1,198.91 San Dist: $994.00 Building Green Fee : $54.00 Mechanical %: $685.09 NMUSD Fee: $7,935.92 $0.00 Plumbing %: $1,541.46 $0.00 TOTAL FEE : $47,532.64 Plan Check Fee : $14,588.50 Fee Due at Permit Issuance : $32,944.14 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: A 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 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 U 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). ❑ 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). LJ I 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://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 Sectibr. 70jJB�Of DivJyS�ion 3 of the Bus' s nd Professio0 de and my Ii�-fall force and effect. License Class License No Dn}]I(jb/l /Z [J Contractor, naturp�>r� WORKERS' COMPENSATION DECLARATION NARNING: 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 ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 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 the performance 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' carries and policy number are: Policy Number of Agent Date certify :hat, io the performance offhe 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 become,subj the workers' cgaHB Bsat[V�Provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s, 1 ignature of Appli ale ZJQ iECLARATION a U ENDING AGENCY hereby affim, jt,der penalty of perjury thatkhere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Nam.3 - Lender's Address y 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 or `s and state laws relating to buildin construction. //// I authorize representatives of this city or unty to a above-idenf 'ed property for Ion purposes. aA� �i.C(.Lt' _ i/ ionature of Prooertv Owner or Authorized De Print Prooertv Owner's or Authorized Agent' N r;- 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 a�I U ISUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I LIAQM D PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: