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Home My WebLink AboutX2018-0403 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-0403 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 0 4 0 3 Project No : 0336-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 0211212018 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Flours: 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 Sunday y�lidays Job Address: 1708 W NEWPORT HILLS DR NB ^) Description- SFR -REMODEL MASTER BDRM/BATH/ADD BATHROOM AND KITCHEN REMODEL 270 SF .�' , Legal Desc.: N TR 7032 LOT 15, .:If Owner: WILSON KELLAN Contractor: AMERICAN RENOVATION INC Architect: LUSHBAUGH WILLIAM //bb �Y Address: 1708 NEWPORT HILLS DR W Address: 102 W FIRST ST Address: 17191 CITRON .v" NEWPORT BEACH, CA 92660 TUSTIN CA 92780 IRVINE CA 92612 Phone: 949-466-3919 Phone: 949-432.7000 Phone: 949-251-1710 State Lic:CO24867 Applicant: LUSHBAUGH LUSHBAUGH WILLIAM Con State Lie: 1014729 Engineer: Address: 17191 CITRON Lie Expire: 0613012018 Address: IRVINE CA 92612 Bus Lie: BT30062104a • a a Phone: 949-251-1710 Lie Exp Date: 02/2812019 Phone: State Lie: ...... Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: 2016 -Worker's Compensation Insurance VB Carrier: WIC EXEMPT R31U Policy No: - 0 Expire: aaaaau 0 Building Setbacks Rear: I Front: I se a c Left: I Excise Tax: Right: / Use Zone: Parkino Soaces: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N e 00 o mmm.00 aaa° 0 0 or. 9W 1. d C em000m o coa u Ca 0 O pfi:t C(i .. aoa�� L OO6a9C` O oaoacc o ,, Construction Valuation: $60.000.00 - aaaaau se a c Building Permit Fee: $786.00 Excise Tax: $0.00 Planning Department- Fire Department a o e c°oo� Plan Check Fee: $683.82 Additional Fee: $0.00 Plan check Fee : $37.50 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: $8.00 Grading Permit Fee: $0.00 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: $38.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $55.02 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $31.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $70.74 $0.00 TOTAL FEE : $1,713.52 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,713.52 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: ( PLAN CHECK BY: 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), >ection 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 ie 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 '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). 7 1, 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, 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). 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 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). I 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.govlcalaw.html. 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 Section 700 o Divi jo 3 of the Business and Professioyl!�Code. l d m license is in full force nd effect. Licipi'IMCIpss License No Date Contractor Signature VORKFRS' C(il0M•N'SATION DECLARATION IQ(E M:FAILURF�fO %E'byRE 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. tfeseb'yaffirm under penalty of perjury one of the following declarations: I hgve and y4lq gipotain 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 erfsrmance of the work for which this permit is issued. Policy No. 3;:a and wilrmalnfain 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 lwarlpt carrier 911d policy number are: Policy Number Date w — erfi?tyy that, in jhe 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 agree o,S Lstould becemesubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with.those provisions. nature of ApplicantDate CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 county to nter above -identified property for inspection purposes. nature of Pronertv Owner or Authorized ADenb % Print Property Owner's or Authorized Agent's Name Date DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL ;y�`j/(% QA(I{�"�rL�G��tSBEST05 r�OTIFICATION IS NOT APPLICABLE TO OCCUPANCY IISSSUED / 1 T' SIGNATURE: Ef�AOLITION