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Home My WebLink AboutX2016-4322 - Permitsa+xro� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2016-4322 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 4 3 2 2 Project No: 2970-2016 Permit Counter Phone (949)644-3288 • • ° ' Inspection Requests Phone(949)644-3255 FIRE SPRINKLERS�'•°°` Combination Type - SFP ELEC MECH PLUM /'�� t ssued Date : 06Itan017 REQUIRE® Inspection Area : 6 °® 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 8:00 a.m, to 6:00 p.m. No work on Sundays or Holideyaa • • • m • ° • ° ° ° Job Address: 4 FAIRWIND NB • • ° Description: SFR -ADD 2077 SF AND REMODEL 1000 SF 5 ^, ° r ° Legal Desc.: N TR 14037 LOT 37 A ° Owner: BUI CHRIS Contractor: CAVANAUGH MATHEW Architect: COOMBS RANDALL B , `:,� �s • 1F° �' . Address: 4 FAIRWIND Address: 23811 ALISO CREEK RD #102 Address: 17341 GROVEMONT ST m • ° ° ° ° NEWPORT COAST, CA 92657 LAGUNA NIGUEL CA 92677 SANTA ANA, CA 92705 ° ° ° • °° ° ° ° ° ° Phone: 714-580-4546 Phone: 928-300-1777 Phone: 714.744-1972 State Lic:C019185 • • ° ° ° Applicant: COOMBS BRETT Con State Lic: 976618 Engineer: FORBES DALE L Address: 17341 GROVEMONT Lic Expire: 09130/2018 Address: 1800 E 16TH ST #B SANTA ANA CA 92705 Bus Lic: BT30060675 SANTA ANA CA 92701 Phone: 714-744-1972 Lic Exp Date: 04130/2018 Phone: 714-835-2800 State Lic:C-030407 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B -SPR Carrier: W/C EXEMPT Address: Occupancy Group: R31U Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: 2077 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 0' Special Conditions: SPECIAL FIRE PROTECTION No of Units : 1 Front: 10' AREA & VHFHSZ Bldg Height: 35 Left: 0' Bldg Sprinklers: Y Right: 0' Flood Zone: X Use Zone: Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $700,000.00 Building Permit Fee: $4,753.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $3,746.62 Additional Fee : $0.00 Plan check Fee: $187.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $1,011.14 SJH Trans : $0.00 Demolition Fee Record Management: $68.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: $268.00 Grading PC Fee: $221.96 Public Works Department - General Service $197.00 CA Seismic Safety: $91.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %.: $332.71 San Dist: $740.00 Building Green Fee : $28.00 Mechanical %: $190.12 NMUSD Fee: $3,821.68 - $0.00 Plumbing %: $427.77 $0.00 TOTAL FEE • 16,672.50 Plan Check Fee : $4,014.62 Fee Due at Permit Issuance : $12,657.88 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: / ' APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirP grLder 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 7031.6,,6 usirress and Professions Code: Any city or county that requlfes°a)Jarrrmit td"c6PstYUCt^altei:� improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for )he per¢lit to file a slgned statement that he or she is licensed purs 2 ant to,the-provisions o€ the ObntrBCtere' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and f1r8f@6Vons Cgdbl5 that he or she is exempt from licensure and the basislor the,allege¢ gx?mptiop. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five Kindred dollars ($500). y j7S owner ofthe property, or my employees with wages as their sole compensation will do L all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, business and Pmfessipns Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the .. yfiprovaments are..no mended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or rm rbited for thepp pose of sale). I; tS owner of 06property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not SPIN? to an owner pf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J3:rn exemptJrom licensure under the Contractors' State License Law for the following reason: By my slgnatur@ D@II)t : acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) cal6a.st$ucture that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and P Irons Cote,.is available upon request whe t 'S a 1C tion is submitted or at Ilowin Web site:htt //www.le info.ca. ov/calaw.htmi. 4�9sS P q P 9 P: 9 9 , y4e:, 2 Signature of PrdfTerty Owner or Authorized Agent Da) \¢�D/ _ LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature 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 DOLLARS ($100,000), IN ADDITION TO THE 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: 7 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. 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent 4ertlfy that, in the performance of the work for which this 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 agree t, I should become subject to Joe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �i natureCLAR of TION Applicant // _ MC Date/� �/z CLARATION REGAR GNS�l1CT10N-C IN CY )reby affirm under penalty of perjury that there is a construction lending a "erformance 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 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. �yq.-IT— I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cc jy t the abs° e -identified property for inspection purposes. Signature of Property Owner or Authorized Agee / Print Property Owner's or Authorized Agent's Nam ACTION I DATE I By D R COMPLI ITH E OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART W&rTITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED OEPA PERMITEXTENDED OMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED ( d n^ a //" ESTOS NOTIFICATION IS NOTAPPLICABLE TO OPOSEDJ�LITTON SIGNATURE// f l X V.AIVAU 6 ff