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Home My WebLink AboutX2016-0827 - PermitsCity of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 *u Inspection Requests Phone (949)644-3255 "rctwu J, Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2016-0827 IIIIIIIIillllllllllllllllllillllllllllllllllllll Project No : 0532-2016 Issued Date: 06/21/2016 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKEICARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 1973 PORT PROVENCE PL NB Description: SFR ADD 1336 SF & RMDL 1736 SF, ADD 417 SF @ GARAGE, W/YARD DRAINAGE Legal Desc.: N TR 6624 LOT 53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: o � o ;PU4L.IIC WORKS APPROVAL: 9 PLAN CHECK BY: o e o AROIROVAL TO ISSUE: 0 c ° a 0 c0 c o 0o u o 000 °c Owner. RANNALA ERIK &KRISTEN Contractor: RJ TANNER CONSTRUCTION Architect: CHERSON ERIN JUS7INE Address: 1973 PORT PROVENCE PL Address: 893 OAK STREET Address: 606 CENTRAL AVE NEWPORT BEACH CA 92660 COSTA MESA CA 92627 SEAL BEACH CA 90740 =- Phone: Phone: 949-235-4856 Phone: 562-596-0495 State Lic:C032745 Applicant: CHERSON ERIN JUSTINE Con State Lie: 744104 Engineer: FORBES DALE L Address: 606 CENTRAL AVE Lie Expire: 12131/2017 Address: 1800 E 16TH ST #B SEAL BEACH CA 90740 Bus Lie: BT98043220 SANTA ANA CA 92701 Phone: 562.596-0495 Lie Exp Date: 06/30/2016 Phone: 714.835-2800 State Lic:C-030407 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: CALIF INS COMPANY Address: Occupancy Group: R3/U Policy No: 4688992401 Added /New sq.ft. Bldg: 1336 Added /New sq. ft. Garage: 0'� Expire: 06/01/2017 Phone: No of Stories: 2 - Building Setbacks Rear: 10 Special Conditio Pso No of Units : 1 Bldg Height: 32 Front: 21 Left: 5 �r Bldg Sprinklers: Y Right: 5 Flood Zone: X Use Zone: PC3 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $402,299.20 Building Permit Fee: $2,589.00 Excise Tax: $0.00 Planning Department - Fire Department Plan. Check Fee: $2,252.43 Additional Fee : $270.00 Plan check Fee : $37.50 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 : $643.45 SJH Trans : $0.00 Demolition Fee Record Management: $48.00 Grading Permit Fee: $287.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $141.25 Public Works Department - General Service $0.00 CA Seismic Safety: $52.30 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $266.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $181.23 San Dist: $0.00 Building Green Fee : $17.00 Mechanical %: $103.56 NMUSD Fee: $2,458.24 $0.00 Plumbing %: $233.01 - -- $0.00 TOTAL FEE : $9,847.97 Plan Check Fee: $2,827.93 Fee Due at Permit Issuance: $7,020.04 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: o � o ;PU4L.IIC WORKS APPROVAL: 9 PLAN CHECK BY: o e o AROIROVAL TO ISSUE: 0 c ° a 0 c0 c o 0o u o 000 °c 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ 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 improved 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 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 sell 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 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Mi i n 3 e Business and Profes ion n y license is in full force and effect. License Class License No Date (rf ctor Signature INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSOD DOLLARS ($100,000), IN ADDITION TO THI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 tl ?serf rmance of the work for which this permit is issued. Policy No. have and will FiaiImain 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' compensatic nsurance carrier aplicy numberarey -. - is of Agent \ ['-X certify that, in the performance of if I should become sub'ect to the Date 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 agre ation provisions of Se tion 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant X<�Dat X �r- IECLARATION REGAyTDIfI G C N DING AGENCY 1 hereby affirm under penalty of perjury at t e i 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 y 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 ha&ovod correct.,I agreeto comply with all applicable city and count state laws twig to building construction. I authorize representatives of this city or county t-ide property for inspection purposes. �� innature of ProDertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Nam c Dat ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' fGU LATIONS PART 61 OF TITLE 40 AND AQMD RULE 403 • ••• ••• •• PERMIT EXPIRED(SUBMITTED ASBESTOS NOTIFICATIPN"!y • •• PERMITCANCELLED EPA • • • : • PhRN111 NIVALG�O/ CERTIFICATEOF tDI ASBESIUS NUIIHLAII N 1 IAP LILABLt IV • • • • • • • OLITI0 OCCUPANCY ISSUED N. (S' V PROPOSED DE SIGNITURE: • .: : : + •• i + • • • • e