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Home My WebLink AboutX2018-1243 - Permitsw City of Newport Beach - Building Division D'. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 _.' Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD *X20181243* COMB Permit: X2018-1243 Project No: 0988-2018 Issued Date : 09/14/2018 Inspection Area : 4 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: 19 MONTGOMERY NB Description: SFR ADD 197 SF (MUD ROOM), REMODEL 312 SF, ATT/PATI0.328 SF WIYARD DRAINAGE JO jam' p�► .l'O D iJ Legal Desc.: N TR 15409 LOT 58 Owner: HOPKINS DAVIDIHOPKINS ELIZABETH Address: 19 MONTGOMERY Record Management: NEWPORT BEACH, CA 92660 Phone: $116.11 Applicant: BAILEY DAVID Address: 23183 LA CADENA DR #101 Hazardous Mat LAGUNA HILLS CA 92653 Phone: 949-573-1050 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 197 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,986.00 Plan Check Fee: $1,666.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $72.00 Energy Compliance: $116.11 CA Seismic Safety: $21.56 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $7.00 TOTAL FEE : $5,815.37 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M B CONSTRUCTION Architect: BAILEY DAVID Address: 27161 CALLE DELGADO Address: 23183 LA CADENA DR #101 $0.00 SAN JUAN CAPISTRANO CA 92675 Fire Plan Rev LAGUNA HILLS CA 92653 Phone: 949-378-9291 Phone: 949.573-1050 State Lic:CO27404 Con State Lic: 781252 Engineer: WILSON KALEN Lic Expire: 07/3112020 Address: 1371 WARNER AVE#A Bus Lic: BT30051149 ee TUSTIN CA 92780 Lic Exp Date: 0513112019 Phone: 714.576-6524 State Lic:C-083753 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9228890 Expire: 0313112019 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: 3 Front: 15 Left: 5 Right: 5 Designer: Address: Phone: Special Conditions: FUEL MOD, SPECIAL FIRE IRSD e 000000 000000 0 0 0 0e o ooeeoo oe o 0000 $0.00 Planning Department - Fire Department d Plan check Fee: $150.00 Fire Inspection: $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 o e eeeoma e Demolition Fee $293.00 e o Building Dept Adm • o n o ee o 00o e ° o ° e o ee o0 0 ° 0000 oomoo 0 _ 000co e 000000 000000 0 0 0 0e o ooeeoo oe o 0000 $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $150.00 Fire Inspection: $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans: $0.00 Demolition Fee $293.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 $293.00 Public Works Department - General Service $197.00 $0.00 Park Dedication : $0.00 Refund Deposit $554.00 PM Plan Check : $38.00 Grading Bond: $0.00 $139.02 San Dist: $0.00 $79.44 NMUSD Fee: $0.00 $0.00 $178.74 $0.00 Plan Check Fee: $1,960.61 Fee Due at Permit Issuance : $3,854.76 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) action 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 ifessions Cade) 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 Movements 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). 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 Ply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 a slructurelliai 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 fessions Col iS available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. DaGue of Property-OwnerJ�or Authorized Agent Date 'EASEDl @1-RACTOR'S DECLARATION :r 94y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti/n0,1%) f i ' n 3 of the Business and Pr is in full force Pelfect. License Glass License No DContractor Signature )RKERS' CL RIPPISATION DECLARATION IARRIRG: FAILUIIEPpTOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO p$jpF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Gereby affirm under penalty of perjury one of the following declarations: and vgill 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 ice ofi fvlilr c for which this permit is issued. Policy No. and wig 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' compensa carri&,Ag policy number are: of Agent Policy Number Expiration Date Phone # JI certify that, in the pNance rk for ich thi rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pen ation aws of California, and agre tat, if I should becomrs'c nsat' n vI 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dat VlqIECLARATION REGATION LENDING AGENCY hereby affirm under phere is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). ender's Name 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 infor ation ave provide is correct. I agree to comply with all applicable city a d ni o Inanc is nd to laws relating to building construction. / I authorize representatives of this city or c g9flt r tjre alp -iik property for inspection purposes. PART 63 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED PERMIT FINAL ^ CERTIFICATE OF OCCUPANCYISSUED t FOR OFFICE USE ONLY