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Home My WebLink AboutX2018-3780 - Permits1vn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII�IIIIIi� II COMB Permit: X2018-3780 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 7 8 e Project No: 2925-2018 t+ .Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ,,e� s+1c� Combination Type- SFPELEC PLUM. Issued Date: 12114/2018 9 Inspection Area : 1 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: 1554 E OCEAN FRONT NB Description: SFR- KITCHEN REMODEL 135 SF Legal Desc.:. N TR 518BLK B LOT 17 Fair Owner KULLY HANNAH & RUSS Contractor: GROOVE CONSTRUCTION INC:. Architect: GOETZ ANDREW Address:. 1925 LOMBARDY RD Address: 220 HARTFORD DR Address: 2855 E COAST HWY #234 g • i SAN MARINO, CA 91108 NEWPORT BEACH CA 92660 CORONA DEL MAR CA 92 1 Phone: 626-793-8591 Phone: 949-466-7353 Phone: 949-673-3152 State Lic:C018499 Applicant: GROOVE CONSTRUCTION INC Con State tic: 375176 Engineer. Address: 220 HARTFORD DR Lic Expire: 05/3112020 Address: ` Phone: NEWPORT BEACH CA 92660 Bus Lic: BT97022461 $0.00 Phone: 949.466-7353 Lic Exp Date: 07/31/2019 Phone: State Lic: Code Edit : 2016 Type of Construction:.. VB Occupancy Group:. R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee; $472.00 Plan Check Fee:. $410.64 - Worker's Compensation Insurance .Designer:. Carrier: W/C EXEMPT Address: Policy No: (NO EMPLOYEES) $0.00 Expire: $0.00 $0.�0__�- Phone: Building Setbacks Rear: I Special Conditions: $0.00 Front: I $0.00 Left: Right:. Overtime Plan Ck: $0.00 Investigation Fee: $0.00 - Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety : Disabled Access: $0.00 $0.�0__�- Hazardous Mat$0.00 PM Plan Check : Building Green Fee : !/$1.00 FEE: $1,001. PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WO Insp.. Fee: Electrical %:' Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.04 $0.00 $42.48 Planning Department - Plan check Fee Fire Department Fair Share: Fire Inspection: SJH Trans : Fire Plan Rev In -lieu Housing Fee: Demolition Fee Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 - San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee PUBLIC WORKS APPR(l PLAN CHECK BY: APPROVAL. TO ISSUE: °m commcm c momm m momo 0 O°400 cc omx $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $1,001.16 0 0 ooemee 0 ommco m om000 V6p20C o c c m O oemomo m o omnia Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit .Grading Bond: Fee PUBLIC WORKS APPR(l PLAN CHECK BY: APPROVAL. TO ISSUE: °m commcm c momm m momo 0 O°400 cc omx $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $1,001.16 0 0 ooemee 0 ommco m om000 V6p20C o c c m O oemomo m o omnia 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 (_) 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 Ii -m -moved for the purpose of sale). - u 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). ❑ 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, 1 cannot legally 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://v w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED COMFRAtTOR'S DECLARATION I IJereby�affirm under penalty of perj that I am licensed under provisi s of Chapter 9 commencing with Section 7 _ f ivisio 3,e�3he Business and Pro as g ode nd s is in full force aRrieNct. Licepse Qib;s � License No� n �/ �- 2 Da P Contractor Signature Y ,%3( KERS' CONrlPEIOSATION DECLARATION NARNINOI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL fE QOOOf, N ADDITION TO THE CO§T OF•COMPENSA V10 N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Qer%X affirm under papally of perjury one of the following declarations: ®•1.1 ave and %M'raaintain 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 Lab r Code, for th oejfprM'nce of the %tWfor which this permit is issued. Policy No. Qt=lamand 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' compensatiol Rsurance carriecar+rLpdJicy number are: hq�ff. - ' Policy Number Expiration Date ce that, in the perform of a work for w ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and should beco subje th workers' on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da CLARATION REG G CONSTRUC I DING AGENCY :reby affirm under 6nalty of perjury th a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code Ider's Name Lender's Address my signature below, I certify to each of the ollowing: I am the property owner or authorized to act on the property owner's behalf. ^-F I have read this application and the information I have provi 's correct.Al ` I agree to comply with all applicable city and county ordi n s rid state ws r ating to building construction. I authorize representatives of this city or county to ant a-ide t perty for inspection purposes. nature of Prooertv Owner or Authorized Aqent Print Property Owner's or Authorized Agent's D ACTION WITH CODE OF FEDERAL NOTIFICATION TO n PERMIT EMENDED JVQDMD PERMIT FINAL Q_% -'/T y�� A58ESTOSN C ION ISN ABLE TO CERTIFICATEOF •U PROPOSE:DE OCCUPANCYISSUED SIGNATOR Eb FOR OFFICE USE ONLY