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Home My WebLink AboutX2018-2362 - Permits1a City of Newport Beach - Building 1IW`S1661 eu�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II � II COMB Permit :X2018-2362 1 100 Civic Center Drive, Newport Beach, CA 92660 0 ° f o ° ° ¢ ° �• ° ° X 2 9 1 8 2 3 6 2 Project NO : 1873-2018 E+. Permit Counter Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 e ° Combination Type - BLDG PLUMo i• , ,` , a: ' o ee o Issued Date : 0 810 712 01B ° E Inspection Area : 5 oe m g e e ooe ° e PERMIPS 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 'lob Address: 304 POPPY AVE NS Description: DEMO SFR 2352 SF, 4 BEDROOM. SEWER CAP INCLUDED Legal Desc.: N TR 673 BILK A LOT 16 Owner: 304 POPPY LLC Contractor: PINNACLE CUSTOM HOMES INC Architect: Address: 304 POPPY AV Address: 151 KALMUS DR STE D-210 Address: Disabled Access : CDM CA 92625 Hazardous Mat COSTA MESA CA 92626 Building Green Fee : Phone: - Phone: 714-327-0225 Phone: State Lic: Applicant: O'BRIEN MICHAEL ROY Con State Lic: 782202 Engineer: Address: 151 KALMUS DR B-160 Lic Expire: 07/31/2020 Address: COSTA MESA CA 92626 Bus Lic: BT30051358 Phone: 714-329.6172 - Lic Exp Date: 06/30/2019 Phone: State Lic: Code Edit : 2016 Type of Construction: V -B Occupancy Group: R31U Added /New.sq.ft. Bldg: 0 Added /New sq ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $15.000.00 Building Permit Fee: $103.00 Plan Check Fee: $189.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,309.27 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9030335 Expire: 1210112018 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / �arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee Designer: Address: Phone: 1f'' A��{�u..s Special Conditions: RrC �a c• TO. TO HAUL DEBRIS r `� V Planning Department - Fire Department Plan check Fee: $90.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PMI Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $2,309.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $90.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,309.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: •b'^ ••6 p p •p OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicabeloWl7y the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altef, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the ConftgCtors•State 1; Cense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any$iolation of S(Ictign 703,1.4 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 L) all of or (_) portions oAthe word. nCihe 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 the purpose of sale). 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). 1 am exempt from licensure under the Contractors' 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 legally 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. lignature 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 7000) of Rlivision 3 of the Business and Professiorys,Code, and y f ens In full force end effect. License Class License No Date [`S Contractor Signatur:.6 G i VORKERS' COMPENSATION DECLARATION rARNING: 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: 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 rmance of the work for which this permit is issued. Policy No. ave 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' compensa s ce carrier and policy numberare: Policy Number Date ne of Agent r'none if certify that, in the performance 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 agm, t, if I should become subject too the workers' compensation islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D f Ica nature of Applicant rj / "(i � , � � TI�L' — G? CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby 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, 1 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.-' ' G, I authorize representatives of this city or county `o enter t abov er/pyfled pr y for inspection purposes. .t/,C /Q o� � nnn,re of ❑rnnami rrn.,nor nr A, d6nrl7d Anonr X K � V�--� ler \—forint Pronedv Owner's or Authorized Aeenfs Name- (r r` Date ACTION DATEI RY '/ /I REGULATIONS PART61 OF TITLE 40bECLARATION OF COMPLIANCE TAND AQMD RULEH CODE OF RAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMITFINAL p'.{/� LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF tO \V PROPOSED DEMOLITION�L%J,�.,./;J' �s OCCUPANCY ISSUED \ SIGNATUR6M/ %'%IGr�WC�fll..