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HomeMy WebLinkAboutX2019-4045 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4045 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 4 5 Project No : 1478-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : Combination Type - BLDG PLUM NO CONSTRUCTION NOISE Inspection Area 95019 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. aCy`yH pd from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 602 IRIS AVE NB WEEKEND Description: DEMO (E) DUPLEX WIUNIT OVER GARAGE 1,095 SF (3 BEDROOMS) Legal Desc.: CORONA DEL MAR BLK 636 LOT 4 Owner: WOLVERTON RICHARD Contractor: OWNER/BLDR Architect: ANDRADE STANLEY Address: 704 ACACIA AVE Address: WOLVERTON RICHARD Address: 2880 S COAST HWY CORONA DEL MAR CA 92625 LAGUNA BEACH CA 92651 Phone: 714-493-0434 Phone: Phone: 949-715.7474 State Lic:C018971 Applicant: ANDRADE STANLEY Con State Lic: O/B Engineer: TRAIN JOHN DINH Address: 2880 S COAST HWY Lic Expire: Address: LAGUNA BEACH CA 92651 Bus Lic: GARDEN GROVE CA Phone: 949-715-7474 Lic Exp Date: Phone: 714-265.1200 State Lic:C-062653 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,041.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Designer: Address: Phone: Special Conditions: HIGH DENSITY AREA NO TREES ON SITE HAULER: CRRB:R Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : Woo PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,041.27 PU9L'C WORKS .APPROVAL: PLAN CHECK BY: APPROV4'_ TN 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). ] I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 4K ovements 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 �Ted for the purpose of sale). I, s 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 op 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: y my signature below I acknowledge that, except for my personal idence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall; all a structure that I have built as an owner -builder if it has not b e co structed 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 whe applicaf n i 'tte following Web site:http:/Aw .leginfo.ca.gov/calaw.html. t/t �_ I�.� ignature of Property Owner or Authorized Agent D eIeJ IJ_'/ ICENSED CONTRACTOR'S DECLARATIbN NZ - hereby affirm under penalty of perjury that I am licensed u provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 7 I 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 th, erformance of the work for which this permit is issued. Policy No. 71 have 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 Isurance carrier and policy number are: Wrier Policy Number Expiration Date lame of Agent Phone # ertify that, in the performanc o he 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 mn sat, if I should becoe sub ct /t�fj/y/��rke_rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. :ignature of ApplicantX / kT'�,� D( IFCI ARATION RF(: R 1!'�1 1tRII TinN I FmnINr: Gr:FNCY �TTT� hereby affirm under pen aM�/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 lam" 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. 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 count o r the above -identified property for inspection purposes. l i signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam Dat ACTION DATE BY % DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REG71 UTIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATE OF ` OCCUPANCY ISSUED 1 OS NOT- FICATION TO NOTAPPLICABLE TO