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Home My WebLink AboutX2018-0129 - Permitsnn City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone (949)644-3286 cf Inspection Requests Phone (949)644-3255 c'�rareix'�`s Combination Type - SFP IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0129 Project No : 1988-2017 Issued Date: 01/19/2018 Inspection Area : 5 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 Holidays Job Address: 262 MORNING CANYON RD NB Description: SFR - ADD'L SCOPE -ADD 2.5 SF & C/O DOORSIWINDOWS (DELTA 2) Legal Desc.: N TR 1116 LOT 85 •ao• Owner: CL PROPERTIES 2017 TRUST Contractor: R D M S INC Architect: OLSON DAVID ROLF Address: 233 ENERALD BAY Address: 250 E BAKER ST # 300 Address: 470 WALD LAGUNA BEACH CA 92651 COSTA MESA CA 92626 IRVINE, CA 92618 Phone: Phone: 714-448-9835 Phone: 949-450-0093 State Lic:C019424 Applicant: WAN STEPHEN Con State Lic: 815872 Engineer: DAILEY TIMOTHY Address: 470 WALD Lic Expire: 1 213112 01 8 Address: 9332 WINTERWOOD CIR IRVINE CA 92618 Bus Lic: BT30008726 HUNTINGTON BEACH CA 92626 Phone: 949.450-0093 Lic Exp Date: 0113112018 Phone: 714-962-6903 State Lic:C-039489 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB - Carrier: EVERST NATIONAL INS Address: Occupancy Group: R3/1.1 Policy No: 7600015443 Added /New sq.ft. Bldg: 0 Expire: 09/01/2018 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: $142.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $123.54 Additional Fee : $0.00 Plan check Fee: $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.65 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 IITOTAL FEE: $323.19 _ Plan Check Fee PROCESSED BY: 1 ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $123.54 Fee Due at Permit Issuance : $199.65 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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),' ction 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 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, dness 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 ,ly to an ownaroE 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 exemptfiolrrllcensure under the Contractors' State License Law for the following reason: p&y Agnature below) 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 legalll a stfucturelft T 114ve 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 feesions Code, is available upon request when this application is submitted or at the following Web site:http://v✓avw.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date :EWSED C&iLNA,CTOR'S DECLARATION !reti)faffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of i`isio 3 of the Business and Profs oq d Ir'.,'�1r' I)' ense is in full force ,gTct. LicVMft,C1Dss License No Date N Contractor Signature j@KERS' COMPENSATION DECLARATION ffj,FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE TO COMPENSAMON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm under penalty of perjury one of the following declarations: I*** �rg0e and y,AI6Mjptain 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 ormance of the vrovk 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 Trance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # certify that, in the perfo. ante oft a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co - pensation laws of California, and ogre I, if I should becomes ject to t�wgrkers' compens,@t/}'61h�pro�vtls. ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n mature of Apran /.//L//AL I v — Da/ CLARATION RE ARD NG CONSTRUCTION LENDING AGENCY ;reby affirm and r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). ider's Name Lender's Address By 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 Woes and state laws relating to building construction. cy I authorize representatives of this city or county to en h -iyf nt' d property for inspection purposes. �� `Z f�E'wj Signature of Property Owner or Authorized Agent ( Print Property Owner's or Authorized Agent's Nam Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL SBESTOS N F1 TION IS NOTAP ABLE TO CERTIFICATE OF 4 1� ''f') PROPOSED DE U OIW)� OCCUPANCYISSUED 1 SIGNATURE: Y ,/