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Home My WebLink AboutX2017-3319 - Permits (2)fiw,• City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-3319 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 3 3 1 9 Project No: 2313-2017 N 3 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 riu�x* Combination Type- SFP ELEC MECH PLUM GRAD Issued Date: Inspection Area: 8 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: 2854 CAROB ST NEI Description: NEW SFR WI ATTACHED GARAGE 3,998/536 SF'°„s Legal Desc.: N TR 5018 LOT 117 Owner: ACOSTA JONATHON Contractor: GUENTHNER VON CONSTRUCTION Architect: MORGAN JOHN T. JR Address: 2854 CAROB ST Address: 30367 PASEO DEL VALLE Address: 18682 BEACHMONT AVE A • s-- e"•"`�, NEWPORT BEACH, CA 92661 LAGUNA NIGUEL CA 92677 - N. TUSTIN CA 92705 OA Phone: 714.730.2723 Phone: 714-632.8565 Phone: 714-730-2723- State Lic:CO22667 Applicant: MORGAN JOHN T. JR Con State Lie: 566158 Engineer: FORBES DALE L •°„ Address: 18682 BEACHMONT AVE Lie Expire: 0 913 0/2 01 8 Address: 1800 E 16TH ST #B ° ° � + ° N. TUSTIN CA 92705 - Bus Lie: BT00012584 SANTA ANA CA 92701 e • ° " ° o. Phone: 714-730.2723 Lie Exp Date: 11130/2018 Phone: 714-835.2600 State Lic:C-030407 Code Edit: 2016 Workers Compensation Insurance Designer: + + Type of Construction: V -B -SPR Carrier: EXEMPT Address: a0°OfO ° Occupancy Group: R31U Policy No: NO EMPLOYEES ° o . ° ° •", Added /New sq.ft. Bldg: 3998 Expire: Phone: Added /New sq. ft. Garage: 537 No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: REV18.0276 No of Units : 1 Front: 6 Bldg Height: 29 Left: 6 Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $720.280.00 Building Permit Fee: $5,152.00 Excise Tax: $952.56 Planning Department - Fire Department , Plan Check Fee: $3,795.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 .Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $96.76 SJH Trans : $0.00 Demolition Fee Record Management: $66.00 Grading Permit Fee: $820.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $266.00 Grading PC Fee: $734.64 Public Works Department- General Service $0.00 CA Seismic Safety: $93.64 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $152.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $360.64 San Dist: $770.00 Building Green Fee : $29.00 Mechanical %: $206.08 NMUSD Fee: $3,555.92 $0.00 Plumbing %: $463.68 $0.00 TOTAL FEE : $17,916.92 Plan Check Fee : $17,803.94 Fee Due at Permit Issuance : $112.98 PROCESSED BY: ,1 PUBLIC WORKS APPROVAL: ZONING APPROVAL: / %� PLAN CHECK BY: 1" �_ GRADING APPROVAL: __ APPROVAL TO ISSUE: 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) ction 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 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 fessions 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 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, iness 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 rovements 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 roved 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 ly to an ownef6f pfigerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt frFo"licensure under the Contractors' State License Law for the following reason: iVdlgnaturepgloWl' cknowledge 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 a structure that► 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 Passions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Taf ite of Property 0,4ner or Authorized Agent Date :FUNS€D CONT TOR'S DECLARATION rebyaffirm ui2qej p natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 of the Business and Profe Code, and my _ffull force affect. Licens&Class License No Date ^i Contractor Signature ICKER.. S' COMPENSATION DECLARATION NI".. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRININ L of AND CIVIL FINES UP TO ONE HUNG ED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE TUF CDMPENS& CQN. U&MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Fyefef3y,41ffirm under pelTalty of perjury one of the following declarations: ®dahave and will rrrialrrtain 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. ❑I have 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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, andagree that, if I should become s j t the workers' corn nsaon pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA DING CONSTRUCTION LENDING AGENCY 1 hereby affirm under nalty 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). Lender'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 cou ty ordinances and stat ws relating to building construction. I authorize representatives of this city or county o r the above -id tifip party for inspection purposes. 15 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ant's ame Date `l 548 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITEXTENDED remwn r,[VAL CERTIFICATEE OF OCCUPANCYISSUED- NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION