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Home My WebLink AboutX2018-0186 - Permits�Ity of Newport Beach - Building Division *X20180186* COMB Permit: X2018-0186 uw 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0156-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ma Combination Type - SFP ELEC MECH PLUM Issued Date: 04126/2018 Inspection Area : 2 Flood Zone: x PERMITS EXPIRE 180 RAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Parking 5 aces: 0 Tire Hazare cone : N 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: 660 HARBOR ISLAND DR NIB Description: SFR -ADD 15 SF AND MAJOR REMODEL 4,700 SF Building Permit Fee: $3,554.00 Excise Tax: $0.00 Planning Department - Legal Desc.: N TR 3867 LOT 20 Contractor. OWNER/BLDR Architect: �. � I 1' Additional Fee: $0.00 Owner: HALCOVICH FRANK & WENDY $37.50 Fire Inspection: IN, Overtime Plan Ck: $0.00 Grading Bonds Fee: Address: 81161 INDIO BLVD Address: BAYNE GRANT Address: Fire Plan Rev �' Investigation Fee: $0.00 INDIO CA 92201 $0.00 SJH Trans: $0.00 Demolition Fee Phone: 760-343.2704 Phone: Phone: State Lie: $0.00 Building Dept Adm Applicant: BAYNE GRANT Con State Lie: OIB Engineer: LAWSON ROBERT E Public Works Department - Address: 70200 MIRAGE COVE Lie Expire: Address: 312 OCEAN AVE .... Park Dedication : $0.00 RANCHO MIRAGE CA 92270 Bus Lic: $564.00 LAGUNA BEACH CA 92651 6....9 Phone: 714-349-8362 Lie Exp Date: Phone: 949-494.0776 State Lic:5-001343 .... Electrical %: Code Edit: 2016 Worker's Compensation Insurance Designer: PAYTON BROCK .... ° o Type of Construction: V -B -SPR Carrier: Address: 70200 MIRAGE COVE $0.00 Occupancy Group: R3/U Policy No: $319.86 RANCHO MIRAGE CA 92270 ° ° Added /New sq.ft. Bldg: 15 Expire: Phone: 714-349-8362 m ° ° • ° • ° ° Added /New sq. ft. Garage: 0 •° o No of Stories: 2 Building Setbacks Rear: 11 : Special Conditions: O/B AUTH ATTACHED °O • °oo°•• No of Units: 1 Front: I t�l Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: x Use Zone: Parking 5 aces: 0 Tire Hazare cone : N - �. ° •. ° ° Construction Valuation: $550.000.00 0 . o ° • • ° Building Permit Fee: $3,554.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,091.98 Additional Fee: $0.00 Plan check Fee : $37.50 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: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $82.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $268.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $71.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check : $266.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $248.78 San Dist: $0.00 Building Green Fee : $22.00 Mechanical %: $142.16 NMUSD Fee: $0.00 $0.00 Plumbing %: $319.86 $0.00 TOTAL FEE : $8,888.78 Plan Check Fee: $3,359.98 Fee Due at Permit Issuance : $5,528.80 PROCESSED BY: rt,�4� PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I < 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 theaQoiuc&Rf 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 goLm9re than five hundred dollars ($500). 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, mess 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 improved for the purpose of sale). U 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 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ungle4fyenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Divislao 3 of the Busines and Pr d my lic 's -in full force and effect. Licerjpp Class License No -D�t ,.�iS'Z Contra 'to nature AfQRK9RS' QSWjENSATION DECLARATION NARNING!FAILURE TgVCWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE)) TH USAND DOL RS ($700,00 JN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hhereby affirm under penalty of perjury one of the following declarations: Q1 *je and 6jlj fha�7tain 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 oTrnance of the irk for which this permit is issued. Policy No. MAe and 4111 Wain 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 ce carrier Vd policy number are: Policy Number Date 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 he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLARATI EGAR I UC N LENDING AGENCY hereby affirm u er p al of rjury that the is a construction lending agency for the performance of the work for which this permit is issued (Sectio r 3097, Civil Code). ender's Name Lender's Address Iy my signature below, I rtify to as ollowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information a e provided is correct. I agree to comply with all applicable city and untVordil ances and state laws relating to building construction. I authorize representatives of this ci un c fin( hove -identified property for inspection purposes. / /^' {�J4�ZS �5 kinature of Propertv Owai`Lor Authorized Agent- Print Property Owner's or Authorized Agent's Nam/ l )�� i-�'1yM�D BY PERMIT CANCELLED PERMIT EXTENDED CERTIFIC4 TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS IS NOTAPPLICABLE TO FOR OFFICE USE ONLY