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Home My WebLink AboutX2018-0171 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0171 n 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 1 7 1 Project No : 1663-2017 R ,4 Permit Counter Phone (949)644-3288 -. Inspection Requests Phone (949)644-3255 Issued Date : 01/24/2018 ai.rrnwH`a Combination Type - BLDG Inspection Area : 2 Applicant: SMITH CRAIG MONROE Address: 1041 W 18TH ST #A-208 COSTA MESA CA 92627 Phone: 949-764-0010 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 29 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $520.00 Plan Check Fee: $860.00 Overtime Plan Ck: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Investigation Fee: $0.00 Record Management: 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 Energy Compliance: Job Address: 1520 KINGS RD NB $0.00 Disabled Access: Description: Legal Desc.: SFR TEMP SHORING 35' ON EAST SIDE & 70' ON WEST SIDE OF PROPERTY N TR 1219 BILK F LOT 3 g, R e^� A'3. `'s P `� PCT Owner: TROESH JON & ELSA Contractor: GREGORY BUILDERS Architect: SMITH CRAIG MONROE' Rear: 10 NMUSD Fee: Front: 20 Address: 336 CATALINA DR Address: 233 OCEANVIEW AVE Address: 1041 W 18TH ST #A-208 Right: 4 Phone: NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 COSTA MESA CA 92627 951-760-4230 Phone: 714.747.4027 Phone: 949-764-0010 State Lic:CO20154 Applicant: SMITH CRAIG MONROE Address: 1041 W 18TH ST #A-208 COSTA MESA CA 92627 Phone: 949-764-0010 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 29 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $520.00 Plan Check Fee: $860.00 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 : $;X TOT#L FEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 719030 Lie Expire: 0212812018 Bus Lie: BT20012402 Lie Exp Date: 0613012018 Workers Compensation Insurance Carrier: CALIFORNIA INS Policy No: 4604999801 Expire: 09/2012018 Building Setbacks Rear: 10 NMUSD Fee: Front: 20 Left: 4 Right: 4 Use Zone: R-1 Parkinq Spaces: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: FORBES DALE L Address: 1800 E 16TH ST #B Fair Share SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Building Dept Adm Address: Park Dedication : Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $860.00 PUBLIC WORKS I PLAN CHECK BY: APPROVAL TO IS. Zone :N •POO o eeee o c 00000e 0 e 00 0 V m m 0 oe ocoo e moan {VOOGC c 0 0 coomeo 0 0 coo00 0 oomoo 00000c U O G 0 0 0 0 o c000 me 'o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $523.00 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: •POO o eeee o c 00000e 0 e 00 0 V m m 0 oe ocoo e moan {VOOGC c 0 0 coomeo 0 0 coo00 0 oomoo 00000c U O G 0 0 0 0 o c000 me 'o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $523.00 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 the 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 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 their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or 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, amexclusivelycontracting 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 legall 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 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://wvvw.leginfo.ca.gov/calaw.html. 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 lices n fu Section 0 ) of Div ion of the Business and Professions nand my ll force 3ndeffect. Licenaea6lass License No Date ,7 .y Contractor Signatur A9 NORKERS' C80IF16SATION DECLARATION UARNFIZ FAILURE 70 SEOtlRE 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 T E !OST OF COMPENS/ I N,(AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lejetlyaffirm under penalty of perjury one of the following declarations: clave 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 0 le4fp ante of tMorl for which this permit is issued. Policy No. and vRRRintain 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' ier carrand policy number are: Policy Number Expiration Date ceGiiy that, in the performance of the work forwqoKthis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t J j, Should 14ft 2.subject t workers' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant n� Dat , a CLARATION RE RDING CONS RUC LENDING A ENCY / �reby affirm unde penalty of perjury that there is a construct on lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). lder's Name Lender's Address my signature below, I certify to each 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 correct. I agree to comply with all applicable city and county ordi s and stat s relating to building construction. I authorize representatives of this city or cou y to an r ^ above -id Ified property for inspection purposes. n / /j /> r ' y'd- nature of Prooertv Owner or Authorized ADent 4" Print Prooertv Owner's or Authorized Agent's Name Date °� ACTION DATE BY IDECLARATION OF I REGULATIONS PARTT B10 INCE 40 AH CODE OF FEDERRULE AL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED UAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED Ih I{o �� PROPOSED DEMOLITION SIGNATURE: