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Home My WebLink AboutX2018-0223 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2018-0223 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 0 2 2 3 Project No: 1663-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 01/24/2018 Inspection Area : 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: 1520 KINGS RD NB - Description: SFR -ACCESSORY DWELLING UNIT 663 SF ATTACHED TO NEW SFR Legal Desc.: N TR 1219 BLK F LOT 3t ,N Owner: TROESH JON S ELSA Contractor: GREGORY BUILDERS Architect: SMITH CRAIG MONROE. y,� $ Igra t`�..i 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:CO20154 Applicant: SMITH CRAIG MONROE Address: 1041 W 18TH ST #A-208 COSTA MESA CA 92627 Phone: 949.764-0010 Code Edit: 2016 Type of Construction: VB Occupancy Group: R311.1 Added /New sq.ft. Bldg: 663 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Flood Zone: X Construction Valuation: $115.100.00 Building Permit Fee: $3,238.00 Plan Check Fee: $2,467.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $14.96 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : _ .00 FEE: $1 PROCESSED BY: ZONING APPROVAL: Con State tic: 719030 Engineer: Lic Expire: 0212812018 Address: Bus Lic: BT20012402 $0.00 Lic Exp Date: 0613012018 Phone: Worker's Compensation Insurance Designer: Carrier: CALIFORNIA INS Address: Policy No: 4604999801 Expire: 09/28/2018 Phone: 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: 10 Front: 20 Left: 4 Right: 4 Parkins Scaces $139.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $226.66 $129.52 $291.42 Plan Check Fee FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 ° • ° ° • e 714-835-2800 State Lic:C-030407 • • • e o m meeem• 0 Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $2,387.00 NMUSD Fee: $1,219.92 $0.00 PUBLIC WORKS / PLAN CHECK BY: Fee Due at Permit GRADING APPROVAL: APPROVAL TO ISSUE: c o coomow c • o mm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,509.71 m moe•oo m o 000mo 0 000mo 000000 o m 0 0 omooeo Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit GRADING APPROVAL: APPROVAL TO ISSUE: c o coomow c • o mm $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,509.71 m moe•oo m o 000mo 0 000mo 000000 o m 0 0 omooeo 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 ie permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 of more than five hundred dollars ($500). 1, 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, lusiness 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 nprovements 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 nf�roved for the purpose of sale). J 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 pply to an owner of property who builds or improvesthereon, 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: ly 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] ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION G� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 D' isi n 3 of the Business and Pr ssion / ,and my lic�dkeis in full force nd effect. Licemw@less License No Date .? id Contractor Signature �.< <' VORKfRS' CORIIPENSATION DECLARATION 'AMO&*FAILURF� tQ $F,p�IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE OST OF tOMPENS/CT& MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h%re* affirm under penalty of perjury one of the following declarations: ] I heve andyyJJIIII g%ptain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e°rfbrmance of {hawork for which this permit is issued. Policy No. °e and 411`1$intain 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 isutiFit CIE carrier and policy number are: Policy Number Date garfle oeAgent _ :...: Phone # ceIgy that, in the Performance of 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 tRat° if I, should liecomesubject to orkers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . . /e}v Signature of Applicant DECLARATION REG DING CONSTRUCTION LEN NG AGENCY I hereby affirm under penalty 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 county ordinances and state la relating to building construction. I authorize representatives of this city or couty to t above-ide ' d property for inspection purposes. /i Signature of PropertyOwner or Authorized Agent +- Print Property Owner's or Authorized Agent's Name A s• "0 ° - ate Z y �✓ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQMD PERMITFINALASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF G, PROPOSED DEMOLITION OCCUPANCYISSUED �� I 1 / NATURE: