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Home My WebLink AboutX2018-1408 - PermitsCity of Newport Beach - Building Division -100 Civic Center Drive, Newport Beach, CA 92660 r~ Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM *X2018-1408* COMB Permit: X2018-1408 Project No : 1110-2018 Issued Date: 0611412018 Inspection Area : 8 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: 1721 ORCHARD DR NB Description: SFR REMODEL KITCHEN 400 SF Legal CARLSON KARA HORSLEY Contractor: T H T CONSTRUCTION Architect: ECTOR Address: 1721 ORCHARD DR Address:: 463 E 19TH STREET Address: NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-646-2262 Phone: State Lie: Applicant: THOMPSON MARTHA Address: 463 E 19TH STREET Occupancy Group:. COSTA MESA CA 92627 Phone: 949-646-2262 Code Edit: 2016 Type of Construction: VB Occupancy Group:. R31U Added /New'sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: 9119,000.00 Building Permit Fee: $1,190.00 Plan Check Fee: $1,035.30 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $5.00 TOTAL FEE: $2,529.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 725078 Lie Expire: 0 913 012 01 8 Bus Lie: BT30060997 Lie Exp Date: 10/31/2018 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: / -- - Use Zone: Parkina Sea 0 Engineer: YAGHI SHUCRI I Address: 112 E. CHAPMAN #D 000°o0 0 ORANGE CA 92866 Phone: 714.997.9120 State Lic:C-043205 Designer: LARSON TED Address: 1907N WOODSIDE ST ORANGE CA 92627 °000 Phone: 714-709-7934 ...... �_ Special Conditions: iA T=wrY• -�r�e- 00 0 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - 0 0 00 0 000°o0 0 Fire Department Additional Fee :. $0.00 Plan check Fee : 0000 $37.50 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share: 0$0.00 $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department- $0.00 General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check : $0.00 Grading Bond: Electrical %: $83.30 San Dist: $0.00 Mechanical %: $47.60 NMUSD Fee: $0.00 Plumbing %: $107.10 0 0 0 0 0 0 0 0 00 0 000°o0 0 0 a oco° 0000 c°000 0000 00000 0$0.00 ° 0 $6.06 0000 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,035.30 Fee Due at Permit Issuance : $1,494.50 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION _ t 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- m(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 he 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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). g-, 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 ipply 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: 3y 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 this permit, I cannot legall, ;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 )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 Be on 7000 i ion 3 of the Business an_q�({ Professions C�brJe n y li as is in full force Ind effect. License Class License No D e Contractor SiSLRAture �_ YORKERS' COMPENSATION DECLARATION 77k, 1ARNING: 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 0`100,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA90R CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have ago` wiIr 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, forth ormance of frM'%nork for which this permit is issued. Policy No. • .. . five anti 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' mance caffier and policy number are: of Agent •••• Rify-that yytpe performance of the I should beVPl; p subject tgMwo Policy Number Expiration Date Phone # permit is issued, I shall not employ any person in any manner so as to become subject to the workers' I provisionp of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , ereby affirm 'AlIV malty of perjury that there is kE IstructionNending agency for the performance of the work for which this permit is issued (Section 3097, Civil gcIw'e Name Lender's Address jr .ftnature beloV I certify to each of the following: 060 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 !Tcd state laws relating to building construction. I authorize representatives of this city or county to enter�t - property for inspection purposes.Ar' mature of Prooertv Owner or Authoo Agent n Print Procertv Owner's or Authorized Aqent's a ,4 ACTION DATE BY CLXRA ION OF COM LIANCE 40 O H DE OF RUDERAL I FOR OFFICE USE ONLY RE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED 13AQMD PERMITFINAL-I` CERTIFIC.QTE OF OCCUPANCYISSUED I I� ASBE OS NOTIFICATION 15 N PLICABLE TO DDEM)fiJTI � Ate' SIGN U y��'I ABIA I of California, and