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Home My WebLink AboutX2018-2243 - PermitsCity of Newport Beach - Building DivisionIll�lullll��llllll�lullulll�lll��lullflll� a COMB -Permit : X2018-2243 c� 100 Civic Center Drive, Newport Beach, CA 92660 li ex 2e 0 10 8 c 2 02 c4 31It Project No: 0986-2018 s '§ Permit Counter Phone (949)644-3288 00 0 0 0 o a o o ) Inspection Requests Phone (949)644-3255 o o e e e c s o A o 0 • m e e e o r o 0 o Combination Type -BLDG PLUM Issued Date : 07/25/2018 Inspection Area : 1 0 000 0 0 Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and 9at>rrday from &00ba.m.otmo 6:O0:p.m. No work on Sundays or Holidays Job Address: 109 26TH ST NB Description: DEMO SFR/GAR 976 SF LIV, 4 BR *SEWER CAP INCLUDED• Legal �CTOR Owner: Desc.: 9 6 H RT TEACH CITY BILK 26 LOT 31 Contractor: B2 RKHARTBALBOA BROTHERS CONSTR COVES Architect: 8682 AN OH N T. JAddAVI N NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 N. TUSTIN CA 92705 Phone: 949.500.0132 Phone: 714-350-3892 Phone: 714-730-2723 State Lic:CO22567 Applicant: MORGAN JOHN T. JR Con State Lie: 905510 Engineer: FORBES DALE L Address: 18682 BEACHMONT AVE Lie Expire: 10/3112019 Address: 1800 E 16TH ST #B N. TUSTIN CA 92705 Bus Lia BT30026869 SANTA ANA CA 92701 Phone: 714-730-2723 Lie Exp Date: 03131/2019 Phone: 714.835-2800 State Lic:C-030407 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,461.27 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9041905 Expire: 0210112019 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: I Front: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Designer: Address: Phone: Special Conditions: A TO Z TO HAUL DEBRIS #Awe5%5 17aEYt>l { ?D8t3 OfPub(>s Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee $0.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,461.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,461.27 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 loatracOsItate Licensalfaw 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 tjat�equir�s' p�dlt LIDdonBtNly., alter, 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 -0 thleVrovi9lons df the LUntPaClbfS' 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 theil.scie compensation, w1i ldo (_}all ofor)portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Lava; %es riot ably fdwnr aif otl' of (rppi}rt 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 Milding ?t imprdvpfnep10 sold wiglirrgrfe 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). 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 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 owder-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. 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 of Chapter 9 (commencing with Section 7700 9) of Di isi n I of the Business and Profess' s ode y lice se is in full force and effect. License Class License No Date Contractor Signatur€ 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 HUND HOUSAND DOLLAR (E100,00D(, 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: 71 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 7"rmance of the work for which this permit is issued. Policy No. ave 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' compensatiol u nce carrier and policy number are: '! ler Policy Number Expiration Date Vame of Agent Phone # ❑1 certify that, in the performance of the w or which this permit is issu , 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 subj Ct to the w e ' compensation provisions ction 3700 of the Labor C , I h comply with those provisions. % I / D Signature of Applicant Datele_ " Jy1 )ECLARATION REGA IVIG ONS R ION LENDING AGENCY �( hereby affirm under penalty of ped u at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify toe ch 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 c Ct. I agree to comply with all applicable city and county o Inances a s ate laZpei ting to building construction. I authorize representatives of this city or cou ly toe the abo -i ntifiedy for inspection purposes. Signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name�G V H rl— Date ACTION DATE BY CIARATION O M ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO TG�.IpC✓ -11�� + �� PERMIT CANCELLED EPA PERMIT EXTENDED WQMDPERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED ASBESTOS NOTIFICATI 5 NOT AITLICABLE TO PROPOSEp��ypEMOLITION SIGNATURHI I