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Home My WebLink AboutX2016-4298 - Permits (2)' City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 * 20 6-4 984 f L9 iRS COMB Permit: X2016-4298 """-----" Address: 20201 SW BIRCH ST #100 Construction Hours: Project No : 2953-2016 i y Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 MC{RE Issued Date zrras Combination Type- MFP GRAD ELEC MECH PLUM Description: NEW DUPLEX 1846 & 1107 LIV SF, ATT GARAGES 197 & 197 SF 2755 BRISTOL ST #100 ' Lic Exp Date: Inspection Area : 5 Applicant: HENDERSON JUSTIN Con State Lie: 954449 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Engineer. """-----" Address: 20201 SW BIRCH ST #100 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 NB NEWPORT BEACH CA 92660 Bus Lic: BT30064116 Description: NEW DUPLEX 1846 & 1107 LIV SF, ATT GARAGES 197 & 197 SF 2755 BRISTOL ST #100 ' Lic Exp Date: Legal Desc.: CORONA DEL MAR BLK 439 LOT 10 Phone: , xy �" t 714.656-1916 State Lic:C-0, Code Edit: 2013 Worker's Compensation Owner: HE 300 PARTNERS Contractor: PACIFIC STANDARD INC Architect: GROSS MARK°� Type of Construction: V-BSPR Carrier: STATE FUND Address: 20201 SW BIRCH ST, STE 100 Address: 20201 SW BIRCH ST #100 Address: 8881 RESEARCH DR Occupancy Group: R3/U Policy No: 9076769 NEWPORT BEACH CA 92660 NEWPORT BEACH, CA 92660 IRVINE CA 92618 Added /New sq.ft. Bldg: 2953 Phone: 949-252-1122 Phone: 949-252.1122 Phone: 949-387-3800 State Lic:CO24313 Applicant: HENDERSON JUSTIN Con State Lie: 954449 Engineer. """-----" Address: 20201 SW BIRCH ST #100 Lic Expire: 11/30/2018 Address: KUSTER ROSS NEWPORT BEACH CA 92660 Bus Lic: BT30064116 2755 BRISTOL ST #100 Phone: 949-252-1122 Lic Exp Date: 02/2812018 Phone: COSTA MESA CA 92626 714.656-1916 State Lic:C-0, Code Edit: 2013 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: STATE FUND Address: - -- Occupancy Group: R3/U Policy No: 9076769 Added /New sq.ft. Bldg: 2953 Expire: 0110112018 Phone: Added /New sq. ft. Garage: 394 No of Stories: 3 Building Setbacks Rear: 5' Special Conditions: WELD <500 SQ. FT. No of Units: 2 Front: 20' Bldg Height: 24 Left: 3' Bldg Sprinklers: Y Right: 3' 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 Plan Check Fee: $2,903.00 Additional Fee : $0.00 Plan check Fee: $391.00 Fire Inspection: 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 Energy Compliance: $268.00 Grading PC Fee: $749.07 Public Works Department- General Service CA Seismic Safety: $78.00 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit Disabled Access: $0.00 PAN Plan Check: $228.00 Grading Bond: 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 Plumbing %: $410.67 TOTAL FEE: $19,053.08 PROCESSED BY: ZONING APPROVAL: t $l $0.00° $o b0.0.e. $0100. o $0.00 .. Plan Check Fee : $4,218.40 Fee Due at Permit Issuance : $14,834.68 PUBLIC WORKS APPROVAL: PLAN CHECK BY: -tr GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION d I en - - - I hereby affirm under penalty of perjury that I am exempt from the Contra, ors V e se Lw h a indicated below by the checkmark(s) I have placed next to the applicable items) ction 7031.5, Business and Professions Code: Any city or county that requiresimprove, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provi t m1tate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L all of or L) portions of the work, and the structure is not intendedor offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). 1, 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 Iy 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 tl 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION 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 nd effect. License Class License No Da 2 ContraAor S CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OST 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: rents covered by this permit, I cannot law, Section 7044 of the Business and in full force ADDITION TO 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 brmance of the work for which this permit is issued. Policy No. 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' compensa Trance carrier and policy number are: of Agent 11 of in th D,performanc he work tiecome subie o the workers' 'a CONSTRUCTION LEf of perjury that there is a Policy Number Date this permit 6 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ;a;;;7 tiork ro I ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // Date —?A 4& = �pVer's Name .,,. y my signat4,ICebelow, I certify to each of the following: - �I am the prWerty owner or authorized to act on the property �Ilave read this 4application and the information I ha .previl I agree tbL•5MV with all applicable city and c ty ordinan "CauthorVe re ptesentatives of this cit or cou y to enter the ,nature of--rbDertv Owner or A ized ADent agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address behalf. laws relating to building construction. =d property for inspection purposes. ACTION DATE BY DECLARATION OgfCIMPLIANCE WITH CODE OF FEDERAL REGULATIONS IA OF TITLE 40 AND AQMD RULE 1403 JI PERMITEXPIRED U ISUBMITTED ASIMSTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINALASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED [� �S ✓ �J16� ( PROPOSED DEMOLITION SIGNATURE: mens or Authorized Aa FOR OFFICE USE ONLY