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Home My WebLink AboutX2019-0929 - Permits1{I City of Newport Beach - Building Division IIIIIillllllllllllllllllllllllllllllllll $10.000.00 COMB Permit: X2019-0929 $103.00 Plan Check Fee: $208.00. $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 h 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 9 2 9 Project No: 2809-2018 $0.00 0 ,: Permit Counter Phone (949)644-3288 $0.00 $0.00 Inspection Requests Phone (949)644-3255 Issued Date: 0312612019 %r k+14�'`g "' Combination Type - BLDG PLUM Inspection Area : 2 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2585 CRESTVIEW DR NB Description: DEMO SFR 1035 SF (2 BEDROOMS) Legal Desc.: N TR 1102 LOT 66 Owner PHAM ANTHONY Contractor: PINNACLE CUSTOM HOMES INC Architect: BRANDON CHRISTOPHER e . Address: 2585 CRESTVIEW-DR Address: 151 KALMUS DR STE D-210 Address: 151 KALMUS DR #G-1 • e "',� °®'b O NEWPORT BEACH,. CA 92663 COSTA MESA CA 92626 e• •e COSTA MESA CA 92626 Phone 714-7544040 Phone: 714-327-0225 Phone: 714-754-4040 State Lic:C031637 Applicant: JOHNSTON JUSTIN Con State Lic: 782202 Engineer: MANSHADI FARHAD a °•,'oma• -O Address: 151 KALMUS DR #G-1 tic Expire: 07/31/2020 Address: 1800 E 16TH ST UNIT IS • ° • ° r -' o COSTA MESA CA 92626 Bus Lie: BT30051358 SANTA ANA CA 92701 ° ° ®� _ d.. m Phone: 714-754-4040 Lie Exp Date:. 0 613 012 01 9 Phone: • m 714-835-2800 State Lic:C-036840 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3 Added /New sq.ft. Bldg: - 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $10.000.00 Building Permit Fee: $103.00 Plan Check Fee: $208.00. $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 11 TOTAL FEE: $2,339.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9030335 Expire: 1 2/0112 01 9 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee Electrical %: Mechanical W Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Planning Department - Designer: Address: Phone: e 0 o b t emoomm • o o m o • ° •b Special Conditions: FRANCHISED HAULER: GREENLEAF Plan check Fee Fire Department Fair Share: $90.00 SJH Trans : $0.00 In -lieu Housing Fee: Fire Plan Rev Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Pee: $0.00 1rd Zone: N Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $2,339.27 Fire Department $90.00 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 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $2,339.27 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) 1 have placed next to the applicable item(s) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 rovements 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 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 ply to an owl bl &'Xoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I agi exempt HA licensure under the Contractors' State License Law for the following reason: my eignatuFa geld%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 legal a structuredFiat•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 feSyons Code. is available upon request when this application is submitted or at the following Web site: hltp://w .leginfo.ca.gov/calaw.html. nature of Property.Qwner or Authorized Agent 4 Date LENSED OgNTRIkCTOR'S DECLARATION ireby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7100 of Di sion 3 of the Business and Prof siorpCode, and m 'c se is in full force effect_ Liranee less License No Date - Contractor Signature/ C� DECLARATION IND, 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 ($760,000), IN ADDITION TO THE OF COMPEN14TIOP.QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :•bY affirm under penalty of perjury one of the following declarations: ; . rave and w . ell 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 the rmance of th44u'ot'k 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' carrier and policy number are: Policy Number Date ne of Agent _inone Ir certify that, in the perfo ance 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' dmpensation laws of California, and agree I, if 1 should becomes ject to the workers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / S nature of Applicant /��'—'� _ Dat CLARATION REG DING CO ST UCTION LENDING AGENCY :reby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Ider's Name Lender's 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 "ve provided is correct. I agree to comply with all applicable city and cou(�(ty ordinances and state laws relating to building construction. I authorize representatives of this city or county c entar the above -id tified property for inspection purposes. ['� 0,910J nature of Property Owner or Authorized Agent /��l7 tQ�� Print Property Owner's or Authorized Agent's Name 1� Date ACTIONI DATE I BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RbGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED r I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EP PERMIT EXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED / G I� ( / L1 ASBESTOS N IFICATION IS NOT APPLICABLE TO PROPOSEDDE OUT ---Df SIGNATURE: KC7/1 `__�J e,