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Home My WebLink AboutX2018-2210 - PermitsCity of Newport Beach - Building 9LVl!Morl•• o e o°� h��I IIIIIIIIIIUIIIIIII�lllll ll llllll' b +s 100 Civic Center Drive, Newport Beach, CA 92660 e ° ° ® ° ° ` II E 6 1 8 2 2 1 0� II Permit Counter Phone (949)644-3288 0 ° ° , ° ° • ° ° ° ° ° ° Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH e ° Phone Applicant: BENSON JEFF Address: 234 BROADWAY COSTA MESA CA 92627 Phone: 949-534-2724 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 40 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height. 0 Bldg Sprinklers: Construction Building Permit Fee: $736.00 Plan Check Fee: $569.00 Overtime Plan Ck: Construction Hours: Monday - Friday 7:06a.r Job Address: 205 N BAY FRONT NB Description: SFR -ADD 40 SF -3 -STOP ELEVATOR Legal Desc.: BALBOA ISLAND REBUS SEC 1 BLK 4 LOT 3 Owner: LANDON MARVIN Contractor: Address: 5395 JED SMITH RD Address: Hazardous Mat HIDDEN HILLS CA 91302 Phone Applicant: BENSON JEFF Address: 234 BROADWAY COSTA MESA CA 92627 Phone: 949-534-2724 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 40 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height. 0 Bldg Sprinklers: Construction Building Permit Fee: $736.00 Plan Check Fee: $569.00 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 : $3.00 TOTAL FEE : $1,600.96 PROCESSED BY: ZONING APPROVAL: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: COMB Permit: X2018-2210 Project No: 1749-2018 Issued Date : 08/1612018 Inspection Area : 2 !ER ISSMANCE OR LAST VALID INSPECTION. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays TONY VALENTINE CONST INC 2435 E COAST HWY#2 CORONA DEL MAR CA 92625 949-723-6449 467553 0413012020 BT00021099 0212812019 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 0 710112 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 %: Plumbing %: Rear. ALLEY 5' Front: 7' Left: 3' Right: 3' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $51.52 $29.44 $0.00 Plan Check Fee : Architect: BENSON JEFFREY JAMES Address: 234 BROADWAY COSTA MESA CA 92627 Phone: 949-534.2724 State Lic:C032268 Engineer: DEIHIMI DAMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 Phone: 949-954-7244 State Lic:C-078194 Designer: Address: Phone: Special Conditions: 5 j$ Ik. :T , Fire Hazard Zone : N Planning Department - Fire Department " Plan check Fee: $150.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check : $38.00 San Dist: $0.00 NMUSD Fee: $0.00 $757.00 Fee Due at Permit Issuance : $843.96 PUBLIC WORKS APPROVAL: . - PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department " $150.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit. $0.00 Grading Bond: $0.00 $0.00 $0.00 $757.00 Fee Due at Permit Issuance : $843.96 PUBLIC WORKS APPROVAL: . - PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION - - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor 4jreasen(a) ipdiy'attd 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, demBlishJr 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). . ; • �. ; , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will doe j all of or (_)•poi ions of the walk, eno 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 pt"rty 4s, th4ph employegs' Dr 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 completi&, 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 legally 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 off ,C�hapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions d" , and my license is in full force and effect. License Class a License No yh 7 .S'.S' 2 Dait�� Contractor Signaturec1 NORKERS' 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 THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 the )ear Gtmance of the work 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 of Agent Date certify that, in the performance 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' compensation laws of California, and if I should become subject to tlI�orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Date �-. 16 —�1 C CLARATION REGARDING CONSTRUCTIOR-LENDING AGENCY Ireby 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). 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 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 contXy to enter th ve-Ide"�tlf1led property for inspection purposes. �/ L nature of ProDertv Owner or Authorized AGent�L— Print Prouertv Owners or Authorized ADenl's Name/( ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATEOF OCCUPANCY155UED DATEDECLARAION OF CMPLIANCE WITH CODE OF FEDER( BY XREGULATTONS PARTO61 OF TITLE 40 AND QMD RULE AL FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO SIGNATURE: NOTIFICATION IS WTAPPLICABLE TO �A