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Home My WebLink AboutX2017-2344 - PermitsIw City of Newport Beach. '.Bu ilding bivision, COMB Permit: X2017-2344 a . 100 Civic Center DriveNewport Beach, CA 92660 II1111111III II IIII III IIVIII II IIIII I� � X 2 0 0 1 7 2 3 4 a a Project No :1663-2017 N Permit Counter Phone (949)644-3288R � +4C+PRN�R� Inspection Requests Phone (949)644)644-3255 Combination Type - SFP GRAD ELEC MREQUIRED ECH PLUM Issued Date :UIRED Inspection Area rea : 2018 "�"1��t1' : 2 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: KINGS NB NEW r Description: NEW SFR W/GAR 5491 & 1304 SF, DECKS 1429 SF &COVERED PATIO 338 SF R Legal Desc.: N TR 1219 BLK F LOT 3 Ni�, �% Owner. TROESH JON & ELSA Contractor: GREGORY BUILDERS Architect: SMITH CRAIG MONROE Address: 336 CATALINA DR Address: 233 OCEANVIEW AVE Address: 1041 W 18TH ST #A-208 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: 951-760-4230 Phone: 714-747-4027 Phone: 949.764.0010 State Lic:CO20164 Applicant: SMITH CRAIG MONROE Con State Lie: 719030 Engineer: FORBES DALE L Address: 1041 W 18TH ST #A-208 Lie Expire: 02128/2018 Address: 1800 E 16TH ST #B COSTA MESA CA 92627 Bus Lie: BT20012402 SANTA ANA CA 92701 Phone: 949-764-0010 Lie Exp Date: 06130/2018 Phone: 714-835-2800 State Lic:C-030407 °.. • • ` e c Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: CALIFORNIA INS Address: Occupancy Group: R31U Policy No: 4604999801 0 0000 0 ++ • Added /New sq.ft. Bldg: 5491 Expire: 09/28/2018 Phone: Added /New sq. ft. Garage: 1304 o. m. 00 ° No of Stories: 3 Building Setbacks Rear: 10 Special Conditions: ZC2017.001 ADU No of Units : 1 Front: 20 ° e • o 0 a Bldg Height: 29 Left: 4 0 0 0+ o o Bldg Sprinklers: Right: 4 Flood Zone: X Use Zone: R-1 Parking Spaces: 4 Fire Hazard Zone: N ° Construction Valuation: $1.111.350.00 om o Building Permit Fee: $5,888.00 Excise Tax: $1,426.95 Planning Department- Fire Department Plan Check Fee: $4,801.00 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $3,851.25 Grading Bonds Fee: $0.00 Fair Share: $1,354.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $1,354.64 SJH Trans : $0.00 Demolition Fee Record Management: $102.00 Grading Permit Fee: $1,463.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $297.36 Public Works Department - General Service $0.00 CA Seismic Safety: $144.48 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $608.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $412.16 San Dist: $770.00 Building Green Fee : $45.00 echanical %: $235.52 NMUSD Fee: $4,600.00 $0.00 lumbing %: $529.92 $0.00 TOTAL E : $28,542.28 Plan Check Fee : $11,230.25 Fee Due at Permit Issuance : $17,312.03 PROCESSED BY: PUBLIC WORKS A ROVAL: ZONING APPROVAL: 1�1 PLAN CHECK BY: Cm GRADING APPROVAL: APPROVAL TO ISSUE: �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' at icense 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 require 1 0 tk: 't F;4Mp Ii h, 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 pro nll�e'tf w (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 allegedC.emfryNq 'o1it, 11 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). «�,up' , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 im 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 nut 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 1 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 legaill 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:/Lwww.leginfo.ca.gov/calaw.html. 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 Section 0 ) of visi 3 of the Business and Projessiions o and my a Is in full force and effect. Liceaoe.�lass License No Date 1 � v Contractor Signaturex WORKERS' COWKgNSATION DECLARATION .VAWON4 FAILURE 70 SEOURE 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 THE EOST OFCOMPENSAIW,, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .t%IeW affirm under penalty of perjury one of the following declarations: eve 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 thi id r nce of 4hAhrQ for which this permit is issued. Policy No. 3 �ay and Wllt AVintain 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 nsural carrier aAal policy number are: Policy Number Expiration Date coilQ that, in the performanc the work for w h 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 agre 4 jj j Should 4db9h2.subje9o e workerspensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �� DaAt__ 1/Y/i CLARATION REGARDI C�ONSTRUVIION LENDING AG NCY Ireby affirm under penalty of perjury that there is a constructloh 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 owner's behalf. I have read this application and the information I have providedis correct. I agree to comply with all applicable city and county ordina s and state s relating to building construction. I authorize representatives of this city or county to ante above -id d pro rlyJ°inspection purposes. //� nature of Prooertv Owner or Authorized AGent 'y - ti +I Print Property Owner's or Authorized Agent's Nam srl L 1 Al 5 `� -' %' i gat 7 °� v i✓ ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE qF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED I i UAQMD PERMITFINAL L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF� OCCUPANCY ISSUED '� f� '/ PROPOSED DEMOLITION SIGNATURE: