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Home My WebLink AboutX2019-3400 - Permitsh�r City of Newport Beach - Building Division Illlllllllllllllllllllilllllllllllllllllllllllllllll 111 COMB Permit: X2019-3400 a 100 Civic Center Drive, Newport Beach CA 92660 Counter X 2 0 1 9 3 4 0 0 Project No: 1631-2019 Excise Tax: e", p Permit Phone (949)644-3288 Plan Check Fee: $208.00 _ Inspection Requests Phone (949)644-3255 Overtime Plan Ck: ' aLrH�tic `� Combination Type. -BLDG PLUM issued Date: 10124/2019 Investigation Fee: Inspection Area : 1 Grading PC Consultant'. PERMITS EXPIRE. 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Record Management: 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 Grading Permit Fee: Job Address: 2104 E OCEAN FRONT NB Energy Compliance: $0.00 Description DEMO 4 BDRM, 3,056 SF SFR W/ATT GARAGE $0.00 - CA Seismic Safety: Legal Desc.: TR 518 LOT 2 BLK E POR OF LOT AS DESC IN DD -67101997 OR- fir, 1"n - - pp yy1s�,`1f: ai 1i- p� Owner. WATERFRONT 777 LLC Contractor: COLLINS JB INC Architect: MCDANIEL RYAN GG. - 1 Address: :2025 W BALBOA BLVD Address ` 2025 W BALBOA BLVD # 2A Address:. 151 KALMUS DR STE G-1" $26.00 .NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Mechanical %`. Phone: 949-613-5260 - Phone: 949.613-5260 Phone 714-754-4040 State Lic:C035732 $210.00' Applicant MCDANIEL RYAN G Con State Lic: 688859 Engineer: TOTAL Address: 151. KALMUS DR STE G-1 Lic Expire. - 05/3112020 Address: :.. a Refund Deposit COSTA MESA CA 92626 Bus Lin BT30064186 •.mom, Phone: 714-754-4040 Lic Exp Date: 0713112020 Phone: State Lic: " • •+• - o • • • • � - Code Edit 2016 - Worker's Compensation Insurance •mmm Designer. �p� - 0" Type of Construction VB Carrier STATE FUND Occupancy Group: R3/U Policy No. 9242458 Address: N C "r° g 6.A q joe CONSTRU $0.00 Added /New sq.ft. Bldg: 0 Expire: 12116/2019 Phone: m m - Added lNew sq.. ft. Garage: 0 - .... • m No of Stories: 2 Building Setbacks Rear / Special Conditions: JD DEMO TO HAUL .... o m of Units : 1 Front I �g ooemo Bl Bldg Height 0 '- Left: I - 9�� ON THE WEE 'ND WEEKEND A Bldg Sprinklers. : Right: / $0.00 m Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N ` ...... PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL:. Construction Valuation: $8.000.00 Building Permit Fee: $103.00 Excise Tax: Planning Department - Plan Check Fee: $208.00 Additional Fee Overtime Plan Ck: $0.00 'Grading. Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant'. Record Management: $0.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee:. $0.00 - CA Seismic Safety: $0.00 WQ Insp. Fee: Demolition Fee Disabled Access : , $0.00 $0.00 In -lieu Housing Fee : Hazardous Mat $0.00 Electrical %: $26.00 .Building Green Fee: $1.00 Mechanical %`. General Service $210.00' Plumbing %i $0.00 TOTAL FEE : $1,774.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL:. ,.�•''`� ,� PUBLIC WORKS APPROVAL:' PLAN CHECK BY: APPROVAL TO ISSUE: .�_ $0.00 Planning Department - :. Fire Department $0.00 Plan check fee : $90.00 - Fire Inspection:. $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 $0.00 - SJH Trans . '$0.00 Demolition Fee j $0.00 In -lieu Housing Fee : - $0.00 Building Dept Adm $26.00 $0.00 Public Works Department - General Service $210.00' $0.00 Park Dedication: $0.00 Refund Deposit $1,127.00. PM Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $9.27 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,774.27 ,.�•''`� ,� PUBLIC WORKS APPROVAL:' PLAN CHECK BY: 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) (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 penally 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 improved 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 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, I 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm grKel pQnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) o Div�,on3oftheB ' essandProfes s o , and my license is in full force and effect. License less License No D - Cont rac Signature SVOkKjRS' g0MP �NSATION DECLARATION N99RNITfL: FAILURE t0 SBCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 6b4T 0 JCOMPENSAT�ON, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. cher€ily affirm ugderpgnalty of perjury one of the following declarations: . . Krce nd *4 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 th of tbawork forwhich this permit is issued. Policy No. d will-4allttain 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 rrier and policy number are: Policy Number Expiration Date Agent y thatrin the if I this permit is issued, I shall not employ any person in any manner so as to become subject to the ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby (firm fl der pe�1hJ here LENDING AGENCY hereby affirm under pe ally pe ry that there L a construction lending agency for the performance of the work for which this permit is issued (Section Enders Name. Lenders Address Iy',, my signature below, 1 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 1 have provided is correct. I agree to comply with all applicable city and -county or anc s and state laws relating to building construction. I authorize representatives of this city or ount to epjef ab ve-identified property for inspection purposes. ;-+, �— „f ornn=4„ n,.,,,or nr Aufhnri� Pit (%� Print Property Owners or Authorized Agent's N BYTD CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PER CERTIFICATE OF. Le as'9 ITFINALb9 I rR SIGNATUPOSED RE:U ASBESTOS I5 NOT APPLICABLE TO OCCUPANCY ISSUED compensation laws of California, and Code). cu- ,, Ll -