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Home My WebLink AboutX2019-0266 - Permits,�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0266 100 Civic Center Drive, Newport Beach, CA 92660 X 2 1 9 9 2 6 69 Project No : 0196-2019 Permit Counter Phone (949)644-3288 "'u, 0 ar Inspection Requests Phone (949)644-3255 �m �' Combination Type - MFP MECH ELEC PLUM Issued Date: 06/14/2019 Inspection Area : 3 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: 6700 W OCEAN FRONT NB, .... Description: MFR REMODEL 750 SF .... Legal Desc.: SEASHORE COLONY TR LOT 1 BLK G ALL -INC POR ST ADJ- -EX NELY 15 FT- ° ° m • m ®° ° ° o • m o Owner: WESTOF LLC Contractor: R D M 8 INC Architect:. m ry +''' `' a 1 4 I'e o 0 Address: 14850 SUNFLOWER AVE - Address: 250 E BAKER ST # 300 Address: ' *�° ;3 , ° • ° SANTA ANA CA 92707 Phone: Phone: COSTA MESA CA 92626 1°;O° '\,° •°o Late LIC: 714448-9835 Phone: Applicant: WOLF DEREK Con State Lic: 815872 Engineer: FORBES DALE L .... Address: 3001 RED HILL AVE #4-215 Lic Expire:. 12/31/2020 Address: 1800 E 16TH ST #B • ° • ° ° ° COSTA MESA CA 92626 Bus Lic: BT30008726 - SANTA ANA CA 92701 e • ° e ° o o Phone: 949.375-2811 Lic Exp Date: 0113112020 Phone: 714.835-2800 State Lic:C-030407 Code Edit: 2016 Worker's Compensation Insurance Designer:°, Type of Construction: V -B -SPR Carrier. EVERST NATIONAL INS. Address: 000m 000c': Occupancy Group: R3/U Policy No: 7600015443 Added /New sq.ft. Bldg: 0 Expire: 0 9/0112 01 9 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: COASTAL EXEMPT <10% No of Units: 2 Front: 5' - TIGHT QUARTERS TO HAULT Bldg Height: 24 Left: 3' LIQUEFACTION AREA Bldg Sprinklers: Right: 3' Flood Zone: X Use Zone: R-2 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $200.000.00 Building Permit Fee: $1,768.00 ` Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,538.16 Additional Fee: $0.00 Plan check Fee: $40.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $42.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: $140.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety:. $0.00 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check: $41.25 Grading Bond:. $0.00 Hazardous Mat $0.00. Electrical %: $123.76 San Dist: $0.00 Building Green Fee : $8.00 Mechanical W $70.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $159.12 $0.00 TOTAL FEE : $4,716.01 Plan Check Fee : $1,538.16 Fee Due at Permit Issuance" : $3,177.85 PROCESSED BY: t^ PUBLIC WORKS APPROVAL: "t� v A\ ZONING APPROVAL: FD PLAN CHECK BY: GRADING APPROVAL: 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 penalty 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 L) all of or U 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 tl7p'purpose of sale). .... P I, aA 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 epplytQ an owgftt prpperty who builds or improves thereon, 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: I g Signature b91ow 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 It%141ve 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 e►gjesejpns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sign0tLre of PrgRmV Owner or Authorized Agent Date li CON,IXACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profes e once W.Qffffest. License Class License No Date — — Contractor Signature *dIRKCRS' CVNIPENSATION DECLARATION WaAYIa®?FAILURE TO SECIjRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 7FCOMPENVTILy, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm undAr'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 thI formance of the work for which this permit is issued. Policy No. 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' compensatior Jrrince carrier and policy number are: Her Policy Number Expiration Date ne of Agent Phone # certify that, in thepbj 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' mpensation laws of California, and agree I, if I should becomt rkers' compens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pronature of ApplicanDaCLARATION REG UCTION LENDING AGENCY Ireby affirm undererjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, 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 Ih ve provided is correct. I agree to comply with all applicable city and cou n and state IawS relating to building construction. I authorize representatives of this city or county ove-identified rty for inspection purposes. _ I nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Dat r �! TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED I I LOU I SUBMITTED ASBESTOS NOTIFICATION TO CERMIIC47E �f�i6pyD — BEST IF �� NOTAPPLICASLE TO CERTIFICATEL or OPOSEDD O OCCUPANCYISSUED SIGNATOR