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Home My WebLink AboutX2019-2800 - PermitseNi'o City of Newport Beach - Building Division 1111111111111111111111111111111111111111111111111111Jill COMB Permit: X2019-2800 k o'+ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 8 0 0 m p Project No : 1987-2019 Permit Counter Phone (949)644-3288 u 1e Inspection Requests Phone (949)644-3255 q P. 0 Combination Type - SFP ELEC MECH PLUM GRAD INS C 1 Issued Date : 10129/2020 Inspection Area :Z PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/30/2023 OR PERMIT WILL BE INVALID 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 Jab Address: 3730 BLUE KEY NB Description: NEW SFR W/ATT GARAGE 5228 8 760 SF Legal Desc.: N TR 6152 LOT 38 Owner: STROM ROBERT Contractor: DEVCO HOMES Architect: RITNER RONALD Address: 3730 BLUE KEY Address: 13 CORPORATE PLAZA #102 Address: 603 32ND STREET CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 - ^_ Phone: Phone: 949-212-3262 Phone: 949-999-3255 State Lic.0O24105 Applicant: STROM ROBERT Con State Lie: 773220 Engineer: GHOLIU RAID ASAD Address: 3730 BLUE KEY - Lie Expire: 01131/2022 Address: 26040 ACERO #100 CORONA DEL MAR, CA 92625 Bus Lie: BT30001683 MISSION VIEJO CA 92691 Phone: 949-289-5780 Lie Exp Date: 0212812021 Phone: 949-855-2300 State Lic,C-070882 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: WC EXEMPT Address: Occupancy Group: R3IU Policy No: (NO EMPLOYEES) ^ Added /New sq.ft. Bldg: 5228 Expire: Phone: " ^ Added /New sq. ft. Garage: 760°- No of Stories: 3 Building Setbacks Rear: 6 Special Conditions: FUEL MOD ZONE, VHFSZ No of Units : 1 Front: 64 Bldg Height: 0 Left: 6 Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,750,000.00 Building Permit Fee: $6,710.00 Excise Tax: $1,257.48 Planning Department - Fire Department Plan Check Fee: $5,622.50 Additional Fee : ($399.50) Plan check Fee : $462.50 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 : $1,983.58 SJH Trans : $0.00 Demolition Fee Record Management: $136.00 Grading Permit Fee: $1,976.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $435.42 Public Works Department - General Service $0.00 CA Seismic Safety: $227.60 WO Insp. Fee: $120.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $469.70 San Dist: $945.00 Building Green Fee : $70.00 Mechanical % $268.40 NMUSO Fee: $3,731.52 $0.00 Plumbing %: $603.90 $0.00 TOTAL FEE : $24,866.00 Plan Check Fee : $7,100.20 Fee Due at Permit Issuance : $17,765.80 PROCESSED BY: PUBLIC WORKS APPROVAL: �— ZONING APPROVAL: \ PLAN CHECK BY: y GRADING APPROVAL: - �� APPROVAL TO ISSUE: si ®, s 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) - 3ection 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). 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 (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 n roved 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 Iicensure under the Contractors' State License Law for the following reason: ly my signature belcv' 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 'rafaacions Code, is Lvailable upon request when this application is submitted or at the following Web site:http://wv4w.leginfo.ca.gov/calaw.htmi. signature of Propi�t;' Owner or Authorized Agent ICGNQED CONTRACTOR'S DECLARATION nereoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Di isi n of the Business and Pro 'ons Code, a license is i full force nJ effact. LicE:nse Class License No Dat D Contractor Signature ✓ORKERS' COMPENSATION DECLARATION ,ARNINU: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ]S" nF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h=rgh affirm under penalty of perjury one of the following declarations: J I have and will mai,Ilain 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 31cr.T.snce of the work for which this permit is issued. Policy No. ]I nave 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' compensatior lsurance carrier and policy number are: Policy Number of Agent Date certify that, in the p once of the wor ich 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 a , I should beco ubjq!kTft-W0tW<50mPEhsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dat -� '�' )ECLARATION REGA DIN TION LENDING AGENCY hereby 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). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: /-� I am the property owner or authorized to act on the property owners behalf. ��rj «�� 4!Z, 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and co an ws relating to building construction. I authorize representatives of this city or co a ab -Identified erty for inspection purposes. signature of PropertyOwner or Authorized Agent. Print Property Owners or Authorized Agent's NaImL a <<' ACTION I DATE I BY ANCE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT EXTENDED PART 61 OF TITLE 40 AND NOTIFICATION TO TIASBESTOSN T/I CERFIC4TEOF ON OCCUPANCYISSUED �ATUR