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Home My WebLink AboutX2019-0687 - Permits.awn 4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2019-0687 p. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 6 8 7 Project No :2440-2018 E Permit Counter Phone (949)644-3288 s'•s, Inspection Requests Phone (949)644-3255 cN,� " Combination Type - SFP ELEC MECH PLUM Issued Date : 03/04/2019 0 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Job Address: 2415 NB 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 Sun �ys o9olida a NOVIA *ADDITIONAL " �'' Description: SFR SCOPE* ADD 31 SF LOFT AREA @ THE 2ND FLR OVER NEW ENTRY 59 SF Legal Desc.:. N TR 7052 LOT 7 Owner: TAGGE FAMILY TRUST Contractor: HASKETT JIM CONSTRUCTION INC Architect: BAILEY DAVID Address: 2415 NOVIA PL Address: PO BOX 512 Address: 23183 LA CADENA DR #101 NEWPORT BEACH, CA 92660 SURFSIDE CA 90743 LAGUNA HILLS CA 92653 Phone: 562-577-1662 Phone: 714-894-4800 Phone: 949-573-1050 State Lic:CO27404 Applicant: BAILEY DAVID Con State Lie 738498 Engineer: WILSON KALEN Address: 23183 LA CADENA DR #101 tic Expire: 0 813112 01 9 Address: 1371 WARNER AVE #A LAGUNA HILLS CA 92653 Bus Lie: BT30060773 TUSTIN CA 92780 Phone: 949-573-1050 Lie Exp Date: 10/31/2019 Phone: 714.576.6524 State Lic:C-083753 Code Edit : 2016 Worker's Compensation Insurance Designer: • m m m m Type of Construction: V -B Carrier: STATE COMP Address: ° Occupancy Group: R31U Policy No: 9166656 Added /New sq.ft. Bldg: 0 Expire: 1 0/0112 01 9 Phone: Added /New sq. ft. Garage: 0 ° • ° ®• o No of Stories: 2 Building Setbacks Rear: I Special Conditions: REV19.0358, DELTA 1 .... No of Units: 1 Front: I Bldg Height: 0 Left: 1 Bldg Sprinklers: N Right: I °mom °°•O°° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $4.250.00 " m000mo 0 Building Permit Fee: $152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $132.24 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: o $tto0, ° ..... mmm° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share :. $0.00 Fire Plan Rev Jado 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 $0.00 Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.55 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $10.64 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $6.08 NMUSD Fee: $0.00 $0.00 Plumbing %: $13.68 $0.00 TOTAL FEE : $495.44 Plan Check Fee: $366.61 Fee Due at Permit Issuance : $128.83 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) lection 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 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 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.gov/calaw.htmi. signature of Property Owner or Authorized Agent I D .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ctlon 7404) 6 iv' ip� of the Businesqan, Profess' nsCodean li / II fo e nd effect. License Class License No to 'S 6 Contractor YORKERS' COMPENSATION DECLARATION DARNING: FAILURF6IE'-4CI4RE 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 COMPENSA710111, I)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 6 eby affirm under penalty of perjury one of the following declarations: 11 have and MAI rtAintain 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 once of thework for which this permit is issued. Policy No. aye and wyl'rilaiRtoin 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 u?Wt carrier AiVoolicy number are: ration Date �rj Ex Policy Number P W4ra%pf'Agent "•• Phone# -3t ttrtt that, int he performance of < for which this permit is issued, I shall not employ any person in any manner so as to become subject to the we kers' compensation laws of California, and agre rat, If I should becsmes b' a work ompen pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. BariaiareofADDl� j Date"` i12CCdRATION , 4RIANG CO TRUCTION LENDING AGENCY hereby affirm undernatty equry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address �y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable ci and cou an to laws relating to building construction. I authorize representatives of y\r-r y 4 my to enter th I tified property for inspection purposes. /1/13 e :........,.e ... D.,...ew., n,.,,,e.... a A, ..r I Print Pronertv Owner's or Authorized AGent's NameZDMt r'� t' { M ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED DATEBY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO APPLICABLE TO FOR OFFICE USE ONLY