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Home My WebLink AboutX2016-4298 - PermitsI r . " City of Newport Beach - Building Division 100 Civic Center * 20 6-42_ 29s8 NX COMB Permit: X2016-4298 ; Drive, Newport Beach, CA 92660 Construction Hours: Project No: 2953-2016 �, . y Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �y�`j�yj� ��] �` f�.!YiV RW �& -" Combination Type - MFP GRAD ELEC MECH PLUM Description: Issued Date 0 $702.87 Planning Department- Inspection Area : 5 Applicant: HENDERSON JUSTIN PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 20201 SW BIRCH ST#100 Bus Lie: NEWPORT BEACH CA 92660 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: 416 MARGUERITE AVE NS ... Description: NEW DUPLEX 1846 & 1107 LIV SF, ATT GARAGES 197 & 197 SF Excise Tax: $702.87 Planning Department- Legal Desc.: CORONA DEL MAR BLK 439 LOT 10a o° Plan Check Fee: $2,903.00 Additional Fee : $0.00 Plan check Fee : $391.00 Fire Inspection: $0.00. Owner: HB 300 PARTNERS Contractor: PACIFIC STANDARD INC Architect: GROSS MARKS $0.00 Fair Share : Address: 20201 SW BIRCH ST, STE 100 Address: 20201 SW BIRCH ST #100 Address: 8881 RESEARCH DR Investigation Fee: $0.00 Grading PC Consultant : NEWPORT BEACH CA 92660 NEWPORT BEACH, CA 92660 IRVINE CA 92618 $0.00 Demolition Fee Phone: 949.252.1122 Phone: 949-252-1122 Phone: 949-387-3800 State Lic:CO24313 $861.00 Applicant: HENDERSON JUSTIN Address: 20201 SW BIRCH ST#100 Bus Lie: NEWPORT BEACH CA 92660 Phone: 949-252-1122 Code Edit: 2013 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2953 Added /New sq. ft. Garage: 394 No of Stories: 3 No of Units: 2 Bldg Height: 24 Bldg Sprinklers: Y Con State Lie: 954449 Lie Expire: 11/30/2018 Bus Lie: BT30054116 Lie Exp Date: 02/28/2018 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9076769 Expire: 01/01/2018 Building Setbacks Rear: 5' Front: 20' Left: 3' Right: 3' Engineer: ""------- - Address: KUSTER ROSS 2755 BRISTOL ST #100 Phone: COSTA MESA CA 92626 714-556.1916 State Lic:C-046386 Designer: Address: --- Phone Special Conditions: WELD <500 SQ. FT. 0000 Flood Zone: X Use Zone: R-2 Parking Spaces: 4 Fire Hazard Zone : N Construction Valuation: $600.000.00 ... Building Permit Fee: $4,563.00 Excise Tax: $702.87 Planning Department- - Fire Department o° Plan Check Fee: $2,903.00 Additional Fee : $0.00 Plan check Fee : $391.00 Fire Inspection: $0.00. Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $112.00 Grading Permit Fee: $861.00 In -lieu Housing Fee: $0.00 Building Dept Adm 000, Energy Compliance: $268.00 Grading PC Fee: $749.07 Public Works Department - General Service $0.00 CA Seismic Safety: $78.00 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00° Disabled Access : $0.00 PAN Plan Check: $228.00 Grading Bond:aOP° Hazardous Mat $0.00 Electrical %: $638.82 San Dist: $3,003.00 Building Green Fee : $24.00 Mechanical %: $501.93 NMUSD Fee: $3,510.72 $0.06. Plumbing %: $410.67 $0.00 O° TOTAL FEE : $19,053.08 Plan Check Fee : $4,218.40 Fee Due at Permit Issuance : $14,834.68 PROCESSED BY: PUBLIC WORKS APPROVAL: 1i ZONING APPROVAL: `.��Nt.� PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION- L w I hereby affirm under penalty of perjury that I am exempt from the Contr c ors a License h 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�awt�� 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 provi t eFA�'�, tate 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 intendedor 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 im 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 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 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Busln ss an Professions Code, and y.li e s s in full force and effect. License Class License No Da 2 ContraIor Signatu WORKERS' COMPENSATION DECLARATION WARNING: 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 (5100,0 I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 I 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 th erformance of the work for which this permit is issued. Policy No. I have 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agerft, Phone # f 4ify that, intheoperlomnani a work for ' h this permit' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subje to the workers' compei ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n atiork ro / • Signature of ApAKant bate_ � ��— EGLARATIQN RiNARDING CONSTRUCTION LENDIG A I Y I piety affirmamder penalty of perjury that there is a co tructlo I riding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lrder's Narme Lender's Address Er� y signattLe below, I certify to each of the following: •I am the prqperty owner or authorized to act on the property owner's behalf. • • I:iave real this Application and the information I he d is corre • I agree tb%tft MV with all applicable city and C ty ordinance and s a e laws relating to building construction. ... :authorp re fJ� �sentatives of this it or cou y to enter the abo e n ified roperty for inspection purposes. Z tighature oPPrbperty Owner or A ized Agent Print Property Owner's or Authorized Agent's me UJ7 r/ fj�NA�2-f�i✓ to ACTION DATE BY DECLARATIOfq 00 PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA l OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LJ ISUBMITTED ASIRSTOS NOTIFICATION TO TISPROPOSED ASBESTOS ION IS NOT APPLICABLE TO CERFICATEOF OSEDEMOLITION OCCUPANCYISSUED LI(L LI��NA