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Home My WebLink AboutX2019-4050 - Permitst" City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2019-4050 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 5 6 Project No: 2787-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 tt�ri4d�j Combination Type - MFP ELEC MECH PLUM Issued Date : Inspection Arearea :2021 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/09/2024 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 Job Address: 709 MARIGOLD AVE NB Description: NEW DUPLEXIGAR 2959 SF & 389 SF (A-1747/195 sf, 3 BR, B-12121194 sf-2 SR) Legal Desc.: CORONA DEL MAR BLK 739 LOT 9 Owner: RAVERA RON & CATHY Address: 709 MARIGOLD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: VAN VOORHIS JEFFREY A Address: 151 KALMUS DR. STE G-1 COSTA MESA, CA 92626 Phone: 714-754-4040 Code Edit : 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2959 Added /New sq, I Garage; 389 No of Stories: 3 No of Units : 2 Bldg Height: 29 Bldg Sprinklers: Y Building Permit Fee: $5,840.00 Plan Check Fee: $3,338.50 Overtime Plan Ck: $0.00, Investigation Fee: $0.00 Record Management: $76.00 Energy Compliance: $303.00 CA Seismic Safety: $73.29 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $23.00 TOTAL FEE: $22,183.89 PROCESSED BY: ZONING APPROVAL: Contractor: WATERPOINTE CUSTOM HOME Address: 3500 E COAST HWY #110 CORONA DEL MAR CA 92625 Phone: 949-644-8900 Can State Lic: 947494 Lic Expire: 06131/2022 Bus Lic: BT30036114 Lic Exp Date: 06/30/2022 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1952335 Expire: 0510112022 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: 5' Front: 20' Left: 3' Right: 3' $703.08 $370.00 $0.00 $0.00 $952.00 $828.24 $120.00 $817.60 $642.40 $525.60 Architect: VAN VOORHIS JEFFREY A Address: 151 KALMUS DR. STE G-1 COSTA MESA, CA 92626 Phone: 714-754-4040 State Lic:C037065 Engineer: MANSHADI FARHAD Address: SANTA ANA CA 927iQT7 J,\/PIA los Phone: 714-83wr6,-��280jy U�$taie LTc:C-03e8840 Designer: gg^^44,, r �1�5 AddresiA Phone: -�y,yy??�� P'°3 Special Conditions: Hign,7ae�tsif form on page T1.2 Planning Department - Plan check Fee : $462.50 Fair Share: $1,923.00 SJH Trans : $0.00 In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $344.00 San Dist: $1,940.00 NMUSD Fee: $2,901.68 Plan Check Fee : $22,183.89 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General SerAia $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 ;Fee DIE at,Permit Issuznce : $0.00 PUBLIC WORKS APPROVAL:' �� T PLAN CHECK BY: APPROVAL. TU ISSUE:. GRADING APPROVAL: UWNER-BUILDER DECLARATION I hereby affirm Under penalty ro 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 t0 the (Section 703 file 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 re the permits 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 applicable items) Professions Code) Or That he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant fora civil penalty of not more than five hundred dollars ($500). ) the Division n of the ant for e11 penalty and ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 Improvements 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 mproved 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 ❑apply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except fort h 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 sell a structure that I have built as an owner -builder i it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section d y this he Business and Professions 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 LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, apd my license is in full force WORKERS' COMPENSATION DECLARATION and effect. License Class License No ( t/.� Date Contractor Signaturey COST OF FAILURE TI SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND OOLLgR51$700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIONg de OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 )e mance of the work for which this permit is issued. Policy No. I h ve 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' compensatio ns r ce carrier and policy number are: r Policy Number Jame of Agent Expiration Date 11 certify that, in the performance of the work for which this permit is issued, I shall not employ to an Phone # iat, if I should becomesubjecttot workers' compensation provisions of Section 3700 of he Labor Code,lI shall forthwith comply bwith hose pecome J ovis onse workers' compensation laws of California, and ogre 'signature of Applicant lam' Cv,_C� IECLARATION REGFIftI')JNG'CONSTRUCTION LENDING AGENCY Data,/_ tL+ 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 y my signature below, I certify to each of the following: Lender's Address 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 enter the above -identified property for inspection purposes. gnature of Prooertv Owner nr Ai fhrriwa n,.. -. _ / � // / I • , � 11-- u, nuuionzea Agent's Nam L-4.n > C�,14c.; Date (I- q -zl BY OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610 TITLE 40 AND AOMD RULE PERMIT EXPIRED ISL'BN'ITTED. 4SBES FOS NOI. MCATION TO PERMIT CANCELLED Tr•—. CERTIFICATE OF �,ASBESTOSNOTIFICATION IS NOTAPPLICABLE TO OCCUPANCY ISSUED �� Ya✓ytrl\\ r�i0PO5ED DEMOLITION 5SNATURC