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Home My WebLink AboutX2017-1667 - Permitso f °�z City of Newport Beach - Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2017-1667 .', 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 1 6 6 7 Project No : 1130-2017 t: * �^ Permit Counter Phone (949)644-3288 'c'', , Inspection Requests Phone (949)644-3255 �arnw�s Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 01/11/2017 i.. Inspection Area : 4 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 882 SANDCASTLE DR NB ,..r.,.,�. Description: SFRIADD 1,229 SF, REMODEL 2,000 SF & PATIO 163 SFW/YARD DRAINAGE Legal Desc.: N TR 6228 LOT 787",�.,� Owner: BARTUSICK JASON Address: 882 SANDCASTLE DR Record Management: CORONA DEL MAR, CA 92625 Phone: 714-973-2904 Applicant: BROOKLYN MARK Address: 240 AVENIDA VISTA MONTANA SAN CLEMENTE CA 92672 Phone: 949-973-2904 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R-3/ U Added /New sq.ft. Bldg: 1220 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Building Permit Fee: $4,394.00 Plan Check Fee: $3,473.15 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $44.00 Energy Compliance: $268.00 CA Seismic Safety: $58.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $18.00 TOTAL FEE: $14,516.01 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: JENKINS CONSTRUCTION Address: 504 CANAL ST $0.00 NEWPORT BEACH CA 92663 Phone: 714-345.9371 Con State Lic: 901221 Lic Expire: 0713112019 Bus Lic: BT30035239 Lic Exp Date: 04/3012018 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9076367 SAN CLEMENTE CA 92672 Expire: 1 012 012 01 8 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: 6' Front: 6' Left: 6' Right: 6' Parking $0.00 $276.00 $0.00 $716.02 $0.00 $157.18 $0.00 $307.58 $175.76 $395.46 Architect: Address: Phone: State Lic: Engineer: BETANCOURT L SCOTT Address: 26170 ENTERPRISE WAY #400 $0.00 LAKE FOREST CA 92630 Phone: 949-215-3339 State Lic:S-004296 Designer: BROOKLYN MARK Address: 240 AVE VISTA MONTANA 6B Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 PAN Plan Check: $266.00 San Dist: $770.00 NMUSD Fee: $2,261.36 $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Pddr, CK4'ck F4 )' W,110111' o Fee Due at Permit Issuance : $10,405.86 o v v<c c ooe 4G •& B 4 ` POBLIC`WORKS APPROVAL: m d, �PLAN CHECK BY: ¢+ o¢c c w o o` o oAPPP.Of7AL TO ISSUE: o 0o co e a oam om A Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Pddr, CK4'ck F4 )' W,110111' o Fee Due at Permit Issuance : $10,405.86 o v v<c c ooe 4G •& B 4 ` POBLIC`WORKS APPROVAL: m d, �PLAN CHECK BY: ¢+ o¢c c w o o` o oAPPP.Of7AL TO ISSUE: o 0o co e a oam om A 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 is 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 Irofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n 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 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: sy 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 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 e B siness and Irofessions 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 Dat .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Di 3 of the Business and Profe ion y li se is i full force nd effect. License Class License No Date Contractor Signatu COMPENSATION DECLARATION ;NTNG: 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 TOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm under penalty of perjury one of the following declarations: 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 'o�Hance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation sur ince, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Trance carrier ar�olicy number arg: ! / is of Agent S� certify that, in the pi if I should become 1 Iature of Aoclicant Date I not employ any person in any manner so as to become subject to the workers' comp saton laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. I hereby affirm under penaltk-orperjury that there is a construction lendi g agency r the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the fo"pr I am the property owner or authorized to act ner' eh I have read this application and the informatiis orre I agree to comply with all applicable city andan aws relati o building construc' I authorize representatives of this city or couove-id fled pro rty for nspection r oses.Signature of Property Owner or Authorized A enP roperty Owner's or Authorized Agent's Na ACTION DATE BY DECLARATION OC LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA T630F TITLE 40 AND AQMD RULE 1403 • .•• +•w • • ••• PERMITEXPIRED I SUBMITTED ASBESTOS N Jfrl0 TO • • • '• PERMITC4NCELLED EPA ' • •' '• PERMIT EXTENDED QMD PERMITFINALASBESTOSN I C. [ON 0 CABLE CERTIFICATE OF 7 itI� PROPOSED DE OL I N • ••• +•• •• • •.a OCCUPANCYISSUED SIGNATUR • `