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HomeMy WebLinkAboutX2018-1064 - PermitsCity -of N,�w�ort Beach -Building Division QO C�lc,Csnter Drive, Newport Beach, CA 92660 ° Pelni�'CQurJer Phone (949)644-3288 i'nepection Rt; aes4SPhone (949)644-3255 p,ax$ Combination Type - BLDG 02 • n • c•• ,m Cohs1ruct1c6H;urs:Monday Job Address: 304 POPPY AVE NB Description: SFR SITE WALLS APPROX. 18OLF Legal Desc.: N TR 673 BLK A LOT 16 Owner: GREENWOOD BRUCE Address: 19605 MAYFIELD CIR Bus Lie: HUNTINGTON BEACH CA 92648 Phone: 06/30/2019 Applicant: BRANDON CHRISTOPHER Address: 151 KALMUS DR #G-1 Front: I to COSTA MESA CA 92626 Phone: 714.754-4040 Cade Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: III IXIIII2IIII0IIIIVIII6II IIIIII1III0III6III4 II COMB Permit: X2018-1064 Project No : 0865-2018 Issued Date: 08113/2018 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 IOR Contractor: PINNACLE CUSTOM HOMES INC Architect: BRANDON CHRISTOP Address: 151 KALMUS DR STE D-210 Address: 151 KALMUS DR #G-1 COSTA MESA CA 92626 COSTA MESA CA 92626 Phone: 714-327-0225 Phone: 714-754.4040 State Lic:C031637 Con State Lie: 782202 Lie Expire: 07/31/2020 Bus Lie: BT30051368 Lie Exp Date: 06/30/2019 2016 Worker's Compensation Insurance Carrier: STATE COMP INS FUND U Policy No: 9030335 0 Expire: 12101/2018 0 CA Seismic Safety: Building Setbacks Rear: I i $0.00 Front: I to $0.00 Left: I S $1.00 Right: 11j Building Permit Fee: $386.00 Plan Check Fee:- $342.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $767.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: sq -61 Engineer: BURKE THOMAS Address: 312 OCEAN AVE LAGUNA BEACH CA 92651 Phone: 949-494-0776 State Lic:S-005088 Designer: Plan check Fee : Address: $37.50 Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $767.00 PUBLIC WORKS APPROVAL: iRr Q - PLAN CHECK BY: -CC I , v im APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION ' ' " •• ••° ' ated below b the checkmark s I have total ne t th licable ite s 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License. Law for the reason(s) iodic y () p >� d E aPP r� ) 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 %%*npg,:al9 �mqui res t1e applit'ant for is 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 thg BuSiAess 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 (_) all of or (_) portions of the work, and the structure is not intended or olered fotsale (y4Acti n-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 oramprovls the pjopertyfprovidadrWaCthQ 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 bfirdefl Ot proving that Llyvas nbt Uuilt or- nproved for the purpose of sale). .. 1 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�toan 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). 7 I am exempt'from licensure"under the Pontractors' State License Law for the following reason: ly 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 legal) 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 Sectiop 7p00) o Di 'sion 3 of the Business and Prof lions Code, and my licens in full force nd effect. License Class License No D to s' Contractor SignatLuey / t -� 7 r� VORKERS' COMPENSATION DECLARATION V DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3J 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 the Kormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work far 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 I, if I should become subject the work' compensation p isionns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat nature of Applicant C.Aouyz ?J:71 CLARATION REGARDING CONSTRUCTION LEN NG AGENCY T :reby 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). 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. / I authorize representatives of this city or coun(y,to enter t e above -i entifie operty for inspection purposes. I '� nature of Prooertv Owner or Authorized ADent X /dile. Print Prooertv Owner's or Authorized Avent's Name /� _ Vw Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DS NOTIFICATION IS NOTAPPLICABLE TO DEMOLITION