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Home My WebLink AboutX2018-2904 - Permitsa City of Newport Beach - Building Division IIIIIIIIIII'IIIIIII��IIII�IIIIII�IIllllll COMB Permit: X2018-2904 100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 8 2 9 6 4 Project No : 0742-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 09/27/2018 Inspection Area : 5 Construction Valuation: $10.000.00 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: 418 LARKSPUR AVE NB Building Permit Fee: $103.00 Excise Tax: $0.00 • e" Description: DEMO DUPLEX 1654 SF (4 BEDROOMS) Fire Department Plan Check Fee: $206.00 • • ° ° • ° Legal Desc.: CORONA DEL MAR BILK 438 LOT 14 Plan check Fee: $90.00 Fire Inspection: • • • o • ° ° ° o Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : D e Owner: DEXTER 418 LARKSPUR LLC Contractor: KRS DEVELOPMENT Architect: BRANDON CHRISTOPHER • • • ° Address: 255 E. SANTA CLARA ST STE 220 Address: 2941 GRACE LN STE C Address: 151 KALMUS DR #G-1 Record Management: $0.00 ARCADIA, CA 91006 $0.00 COSTA MESA, CA 92626 COSTA MESA CA 92626 °o° • • i • ° Phone: 626-445-4500 Phone: 949-290-6500 Phone: 714-754-4040 State Lic:C031637 F•.r� °' ° Applicant: BRANDON CHRISTOPHER Con State Lic: 912477 Engineer. MANSHADI FARHAD D • ° ° e D ° ° o Address: 151 KALMUS DR #G-1 Lic Expire: 05/31/2019 Address: 1800 E 16TH ST UNIT B , • --' ®®� ° ° COSTA MESA CA 92626 Bus Lic: BT30044186 SANTA ANA CA 92701 a Phone: 714-754-4040 Lic Exp Date: 07/31/2019 Phone: 714.835-2800 State Lic:C-036840 • • •" N San Dist: $0.00 Building Green Fee : $1.00 Code Edit: 2016 Worker's Compensation Insurance Designer: D�"•fi=,°�, D e ° ° Type of Construction: Carrier: STATE COMP FUND Address:9,: $9.27 Occupancy Group: R3 Policy No: 9129520 $9.00 TOTAL FEE: $2,339.27 Added /New sq.ft. Bldg: 0 Expire: 04103/2019 Phone:.`,:'..'°` PROCESSED BY: Added /New sq. ft. Garage: 0 PUBLIC WORKS APPROVAL: No of Stories: 0 Building Setbacks Rear: / Special Conditions: FRANCHISED HAULER: No of Units : 2 Front: / TIGHT QUARTERS Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkina Soaces: 0 Fire Hazard Zone : N Construction Valuation: $10.000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $206.00 Additional Fee: $0.00 Plan check Fee: $90.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 - Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.27 $9.00 TOTAL FEE: $2,339.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,339.27 PROCESSED BY: i PUBLIC WORKS APPROVAL: ZONING APPROVAL: 1" SCJ` V " PLAN CHECK BY: f GRADING APPROVAL: APPROVAL TO ISSUE: / \� 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 he 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 Irofessions 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 lot more than five hundred dollars ($500). I, 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, 3usiness 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 Tlprovements 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 reproved for the purpSSe of sale). ,I, al owner of the 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 Ipply to -an owRerti property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ft xempt from licensure under the Contractors' State License Law for the following reason: iy rnysignature 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 legall3 ell aatructure,Mat 1 -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 'rEfEgSions Codet Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. natureofPwpedyQWnerorAuthorizedAgant Date r�CE�NSED CONTRACTOR'S DECLARATION hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profe Bions de ndq» license is in full force iddflJ?ct. License lass License No Date a7- ContractorSignature VORkERS, COMPENSATION DECLARATION .... /ARNING: FAILUI TQ 4ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS 15100,0003, IN ADDITION TO THE :eSPOF cOMPGN a ry DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm tinder penalty of perjury one of the following declarations: 7 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 e ormance 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' compensatiol isu ce carrier and policy number are: Policy Number Expiration Date of Agent ❑I certify that, in the p ormance 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 agree that, if I should become subject to the kers' compensate -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican D e DECLARATION RE RDING CONSTRUCITONDING AGENCY hereby affirm unde penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, 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 or nanc s and state laws relatin ..building construction. I authorize representatives of this city or county to en r t above-iden_' ' erty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name cSS .Swe Date — 27 -SCS ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO CERTIFIC4TEOF (I/(� l ry / SG NA7 EDE :1 OLITICAT N�5=0 P7J� PIICAeLE TO OCCUPANCY 155UED (I '�I II