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Home My WebLink AboutX2018-0423 - Permits�w1op City of Newport Beach - Building Division a' 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-0423 x 2 0 1 8 0 4 2 3 Project No : 2340-2017 Issued Date : 0 412 512 01 8 Inspection Area :YZ 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: 515 TUSTIN AVE NB - Description: .SFR DELTA 2, (INCREASED SCOPE OF WORK) ADD'L 172 SF OF GARAGE WI 476 SF OF BONUS ROOM WI BATHROOM 8: WETBAR. (REV18-0 TOR LegalDesc.: FIRST ADD TO NEWPORT HEIGHTS ELK 35 LOT 21 Owner: ASHBY CONSTRUCTION CO INC Contractor: ASHBY RICHARD KENT Architect: HAMILTON JOHN Address: 515 TUSTIN AVE IAddress: CA Seismic Safety: 5642 RESEARCH DR #A Address: 12240 VENICE BLVD #25 Hazardous Mat NEWPORT BEACH, CA 92663 Building Green Fee : HUNTINGTON BEACH CA 92649 LOS ANGELES CA 90066 Phone: Phone: (714) 8955349 Phone: 310-398-1500 State Lic:CO28865 Applicant: HAN JOY Con State Lie: 237718 Engineer: LE H THANG „® ° Address: 12240 VENICE BLVD #25 Lie Expire: 10/31/2018 Address: 155 S EL MOLIUA AVE #102 LOS ANGELES CA 90066 Bus Lie: BT30050028 PASADENA CA 91101 m m e Phone: 310-398-1500 Lie Exp Date: 02/20/2019 Phone: 626-639-3492 State Lic:S-004978 eoem Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 476 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $1,177.00 Plan Check Fee: $854.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $124.00 Energy Compliance: $56.00 CA Seismic Safety: $9.75 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $3,660.95 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5' Front: 20' Left: 4' Right: 4' $99.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $82.39 $47.08 $105.93 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $76.00 San Dist: $0.00 NMUSD Fee: $875.84 mo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,136.00 Fee Due at Permit Issuance : $2,524.95 I. PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: o m mmmemo m m mmmoo m00000 mm0000 c o 0 c o oommoo 0 0 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: mo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,136.00 Fee Due at Permit Issuance : $2,524.95 I. PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: o m mmmemo m m mmmoo m00000 mm0000 c o 0 c o oommoo 0 0 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 the provisions 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). 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, 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 nproved for'thepurpose of sale): P 3 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: 1y 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.htmi. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Di Sion 3 of the Busin nd Profs o s Code,?2d m •license is in full force nd effect. Licenir:��ass License No '�p�te- 2 $ Contract nature -Lr,---�(� YORKERS' COKP, IISATION DECLARATION jI 'a6til" FAILURE lQ ASF�CURE 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 OST OF COMPENSATIO DAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hareb�baffirm under p9ISalty of perjury one of the following declarations: • I fFa4e and wig majrjtain 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 Cade, for th elf Dram ce of the work�for which this permit is issued. Policy No. Ihave and wigrpaigtain 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' compensatioi St NfIte,, carrie;arll number are: %IrfeT0 _ Policy Number Expiration Date ...... that, in the perto a of the work for which 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 ould besomQ bjec o the workgrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I DECLARATION REGARDING CONSTRUCTION LENDING AGENCY _ '�_A 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 1 have provided is correct. - I agree to comply with all applicable city and count inances and state laws relating to building construction. I authorize repr s Ives of this city or coun ant r the above *d tified p operty fo 'Iaspection purposes. : Signature of Property Owner or Authorized Age Print Pro ert Owner's or Auth riz A en Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U E 0 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED LIAQIVID PERMITFINAL BESTOS N I TION 15 NOTAPPLICABLE TO CERTIFICATE OF `� ^, POSED DE OLIT N L fI OCCUPANCY ISSUED �(J S URE: .iln_ A u/