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Home My WebLink Aboutx2019-2743 - Permits01r, City of Newport Beach - Building Division IIIIIIIII�IIIIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2743 -_ 100 Civic Center Drive, Newport Beach, CA 92660 Ilf x 2 0 1 9 2 7 4 3 Project No : 1390-2018 A Permit Counter Phone (949)644-3288 c" Inspection Requests Phone (949)644-3255 - �"a4rns1s4;a Combination Type - BLDG PLUM Issued Date : 09/04/2019 • °aa • Inspection Area : 3 • ` a " ®® • PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ° • • • • ClAstruction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m, and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job AdilF6S6: 501 TUSTBSAVE NB Deseriptk- c DEMO SFR & GARAGE 2984 SF 4 BEDROOMS. SEWER CAP INCLUDED Legal>Eesc°: FIRST 1',f"TO NEWPORT HEIGHTS BLK 35 LOT 24 00 ` E�. LZ Owfle•r° • ° MOHR ... Contractor: KRS DEVELOPMENT Architect: BRANDON CHRISTOPHER Address ° WSd6N Sol T•AV Address: 2941 GRACE LN STE C Address: 151 KALMUS DR #G-1 NEWPORT BEACH CA 92663 COSTA MESA, CA 92626. COSTA MESA CA 92626 Phone: ° Phone: 949-290-6500 Phone: 714-754-4040 State Lic:C031637 Applicant`:: o KRS bEVELOPMENT Con State Lie: 912477 Engineer: BURKE THOMAS Address: 2941 G%kCE LN STE C Lie Expire: 04/30/2020 Address: 312 OCEAN AVE COSTA MESA, CA 92626 Bus Lie: BT30044186 LAGUNA BEACH CA 92651 Phone: 949-290-6500 Lie Exp Date: 07/3112020 Phone: 949-494-0776 State Lic:S-005088 Code Edit: 2016 Worker's. Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP FUND Address: Occupancy Group: R3/U Policy No: 9129520 Added /New sq.ft. Bldg: 0 Expire: - 05/31/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: TIGHT QUARTERS No of Units : 1 Front: / TO HAUL DEBRIS Bldg Height:- 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $13.000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : - $0.00 Plan check Fee : $0.00 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: $108.00 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 $0.00 TOTAL FEE : $2,149.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,149.27 PROCESSED BY: J _ 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) 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 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). ass. • • • .es.• 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 (6ection 701441 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 proflerty, provided tt1i 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 ttrat ft 2&s not Juilt gr ; 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 d9pt*ntl' 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 tyi's 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 of4R@Business aaiil 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.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 7000 of Div 'on 3 of the Business and Professio Gode,(gnd my yr,we is in full force• nd effect. License Class License No Da � Contractor Sign at�i re) ��• _ VORKERS' COMPENSATION DECLARATION \"�(\ DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST 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: 1 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 Ice 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' compensal carder and policy number are: of Agent Policy Number Expiration Date Phone # 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 agre t, if I should become subject to the wy rs' compen atl provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p' q1 nature of Applicant ✓ Date /may f CLARATION REGA I CONSTRUCTION L NDING 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 Lenders 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 ordina as and stat ws relating to building construction. I authorize representatives of this city or county too enter e4de d or inspection purposes. nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Name Y �"�`1� Date ACTION. DATE BY ,II DECLARATION OF COMPLIANCE WITH CODE OF I REGULATIONS PART 61 OFTTLE 40AND AQMD RULE 1FEDERA I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED NOTIFICATION TO PERMITEXTENDED 11 QMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 4k4 PROPOSED DEMOLITION OCCUPANCYISSUED 1I�I� !fu SIGNATURE: C�