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Home My WebLink AboutX2017-1201 - Permitsxv �. City of Newport Beach - Building Division *X20171201* tJ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3268 Q Inspection Requests Phone (949)644-3255 F "' S KLM "'+rrrrnr�"a Combination Type - SFP REOU RM COMB Permit: X2017-1201 Project No: 1723-2016 Issued Date : 04/14/2017 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 Job Address: 1501 SERENADE TER NB 1017631 - - s F� Description: SFR -"CHANGE OF ENGINEER** NEW SFR W/ATT GARAGE/RETAINING WALLS (X2016 -3663/X2017 -0640/X2017-0884) Legal Desc.: N TR 1701 LOT 39 Address: 4400 CAMPUS DR Owner: SERENADE TERRACE LLC Contractor: BERK CUSTOM HOMES INC Architect: BRANDON CHRISTOPHER Address: 428 OLD NEWPORT BLVD Address: 428 OLD NEWPORT BLVD Address: 3001 RED HILL AVE, BLDG 1 STE 102 NEWPORT BEACH CA 92663 949-752-1612 State Lic:C047283 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Phone: Phone: 949-300-5152 Phone: 949-533-2340 State Lic:C031637 Applicant: SMITH CAITLIN Con State Lie: 1017631 Engineer: DEIHIMI AMIR Address: 3001 RED HILL AVE, BLDG 1, STE 102 Lie Expire: 08/31/2018 Address: 4400 CAMPUS DR COSTA MESA CA 92626 Bus Lie: BT30057033 NEWPORT BEACH CA 92660 Phone: 714-754-4040X102 Lie Exp Date: 10/31/2017 Phone: 949-752-1612 State Lic:C047283 .°"`. oomm Code Edit : 2106 Worker's Compensation Insurance Designer: .. m. Type of Construction: VB -SPR Carrier: WC EXEMPT Address: m m e m Occupancy Group: R3/U Policy No: (NO EMPLOYEES) m Added /New/TI sq.ft. Bldg: 0 Expire: - Phone: Added /New sq. ft. Garage: 0 m m <o m m No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I .... Bldg Height: 0 Left: / Bldg Sprinklers: Right: / m Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N E Construction Valuation: $0.00 Y • Building Permit Fee: $6.00 Excise Tax: $0.00 Planning Department - Fire Department Omm c Plan Check Fee: $0.00 Additional Fee : $33.00 Plan check Fee : $0.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist : $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $33.00 PROCESSED BY ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $33.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: lsr APPROVAL TO ISSUE: OCODtO O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t t ason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) lection 7031.5, Business and Professions Code: Any city or coun s i to e' improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant tot - actors' 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 t I. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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: y 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 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 professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature 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 Section 70 0 of Divisi n 3 of the Business Pr fession Code, nd my license is in full force nd effect. License Class License No Date Cc d e ✓ORKERS' COMPENSATION DECLARATION ARNING:FAILURE TWCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI INES UP TO ON HOUSAND DOLLARS ($100,000), IN ADDITION TO THE DEP0P0'OMPENW1ION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of perjury one of the following declarations: I'gave 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 Ninpnce of trg "ollfor which this permit is issued. Policy No. Me 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' compensa carrief Mctpolicy number are: oar,' ""` Policy Number Expiration Date 11 certify that, 3t! if 1,Should 0004 ,nature of Al penalty of of the vkrk for which this permit is issued, I shall not person in any manner so as to become subject to the workers' compens 'on laws of California, and agre r Code, I shall forthwith comply with those provisions. r Date_ TION LENDING AGENCY there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address 3y my signafLre-bet5W, I certify to each of the following: I am the property owner or authorized to act on the proper s behalf. I have read this application and the information I provided is cor ct. I agree to comply with all applicable city an ounty ordin as an tate laws relating to building construction. I authorize representatives of this city or o n r the ab -I ntif' a e pet'ttOn-parnesas. Signature of Property Owner or Authoriz gent Print Property Owner's or Authorized Age ACTION DATE Y ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Name '4/J 414 Date All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. 1403 PERMIT EXPIRED Ell SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EMENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF OCCUPANCYISSUED �I �1 N� q (( PROPOSED DEMOLITION SIGNATURE: Name '4/J 414 Date All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.