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Home My WebLink AboutX2018-2289 - Permits- City of Newport Beach - Building DivisioII d 100 Civic Center Drive, Newport Beach, CA 92660 E+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 o^rLlrau's Combination Type - SFP PLUM VIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII X 2 9 1 8 2 III11 II 2 8 9 1 COMB Permit: X2018-2289 eos e• •• • e u• e• Project NO : WOY-901 • o-+ °. ° ° ° ° ' : Issued Date: 0713112018 Inspection Area : 5 ase oee e m'o ° PERM/7S EXPIRE 180 PAYS AFTER ISSUANCE OR LAST VALID INSPECTION. o °e ° ° ' e • ° Construction Hours: Monday - Friday 7:00 a.m. to 6: 0 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on SWdiVs or Hoei6ys• Job Address: 437 ACACIA AVE NB Description: DEMO SFR 1402 SF, 3 BEDROOMS. *SEWER CAP INCL* CHG OF CONTRACTOR Legal Desc.: N TR 682 LOT 51 Owner: ACACIA PROPERTIES LLC Contractor: J R C COMPANY Architect: KABBANY GISELLE Address: 437 ACACIA AV Address: 2 822 KANEOHE LN Address: 1702 LAKE STREET CORONA DEL MAR CA 92625 UNTINGTON BEACH CA 92646 HUNTINGTIN BEACH, CA 92648 Phone: Phone: Phone: 714-872.0386 State LIc:C035765 Applicant: KABBANY GISELLE Con State Lic: 656317 Engineer: DEIHIMI AMIR Address: 17011 BEACH BLVD STE 900 Lic Expire: 10/31/2018 Address: 4400 CAMPUS DR HUNTINGTON BEACH, CA 92647 Bus Lic: 30063997 NEWPORT BEACH CA 92660 Phone: 714.872-0386 Lic Exp Date: 0, /31/2019 Phone: 949-752-1612 State Lic:C047283 Code Edit: 2016 Worker's Compensation insurance Designer: Type of Construction: V -B Carrier: E�EMPT Address: Occupancy Group: R31U Policy No: mo employees Added /New sq.ft. Bldg: 0 Expire: Phone: " Added /New sq. ft. Garage: 0 ` 6 No of Stories: 1 Building Setbacks R ar: I Special Conditions: JD DEMO TO HAS No of Units : 1 Fr nt: I DEBRIS Bldg Height: 0 Left: I Bldg Sprinklers: Rit ht: I Flood Zone: Use Zone: Parkin I Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $000 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $3300 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0,00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0100 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0100 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 - Grading PC Fee: $0 00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0 00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0 00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $000 NMUSD Fee: $0.00 $0.00 Plumbing %: $ .00 $0.00 TOTAL FEE : $33.00 Plan !Check Fee: $33.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: i APPROVAL TO ISSUE: OWItEI$-BUI2-C1E9 DGCLARk�I N I hereQy $ffirm �j4erpeoalty�of par' * that I am exempt from the Contractors' State License Law for the reasons) Ind i'ated below by the checkmark(s) I have placed next to the applicable item (a) (Section 7064.5! BOsinEss ant 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 _`le o. the is li x r.sed 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 thst ha or lie is g�gmptpom'!censure and the basis for the alleged exemption. Any violation of Sec ion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more min fite hundrpidA rs ($500. •' ❑ I, aspWper of the proartp, or my emlooel with wages as their sole compensation, will do `) all of or (_) portions of he work, and the structure is not intended or offered for sale (Section 7044, Business gIfd eY'g(essiortfoaa:`Fhe Contractors' State License Law does not apply to an owner of property who, throughemployees' 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 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' Stale 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 ear prior to completion of the improvements covered by this permit, I cannot Iegall 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.leg! �fo.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 7000 f , Isio of the Business and Professio C I' , a m ense is in full force and effect, License Class License No Date / ^ Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. AND CIVIL FINES UP TO ONE HUNDft THOUS ND DOLLARS (5700,000), IN ADDITION TO THE I hereby affirm under penalty of perjury one of the following declarations: I have 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 th performance of the work for which this permit is issued. Policy No. I have and 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' compensatio insurance carrier and policy number are: Perrier Policy Number Expiration Date Ida a of Agent Phone # I ertify that, in the performance of the rk for this permit is issued, I shall not employ any person in any manne so as to become subject to the workers' compensation laws of California, and agre than if I should become subject"e nsation provisions of Section 3700 of the Labor Code, I shall forthwiSIn comply with those provisions. Signature of Applicantf 1 Da��L�r� _ L/'�_. DECLARATION REG4 CTION LENDING AGENCY I hereby affirm under pe ty per 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'sibehalfI have read this application and the information I have prov' ed is oI agree to comply with all applicable city and county or ce lating to building construction.I authorize representatives of this city or count t e e h erty for inspection purposes. ii E`�� U Signature of Property Owner or Authorized Agent Print Property Owner's or A u thorized Agent's Name r Date ACTION DATE BY N OF C PLIANCE WITH CODE OF FEDERAL FOR OFFIC USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED MD PERMITFINAL LrwlBEST�'� ILATION IS NOTAPPLICABLE TO CERTIFICATE OF p :BEST DDEMOLITION OCCUPANCYISSUED IGNATURE: I U