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Home My WebLink AboutX2017-1672 - Permits�wao City of Newport Beach -Building Division 4 3. e1 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 - u Inspection Requests Phone (949)644-3255 ;"rsrrnx��4 Combination Type - SFP ELEC MECH PLUM GRAD �IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-1672 x 2 6 1 7 1 6 7 2 Project No: 1135-2017 Issued Date : 10/0412017 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: 182 SHORECLIFF RD NB Description: SFR -ADD 164 SF, REMODEL 1350 SF, DEMO EXTG ATTD GARAGES 479 SF & ADD NEW 594 SF GARAGE, ADD OPEN DECK 806 SF & COVERED PATIOS 379 SF Legal Desc : N TR 1116 LOT 100 ?!,^n Owner: HOHMANN DAVID Contractor: TONY VALENTINE CONST INC Architect: HOHMANN DAVID Address: 182 SHORECLIFF RD Address: 2435 E COAST HWY #2 Address: 151 KALMUS DR E. #201 i CORONA DEL MAR, CA92660 CORONA DEL MAR CA 92625 COSTA MESA CA 92626 Phone: Phone: 949.723.6449 Phone: 714-241-3600 State Lic:CO20379 Applicant: HOHMANN DAVID Con State Lic: 467553 Engineer: MANSHADI FARHAD Address: 151 KALMUS DR E. #201 Lic Expire: 04/30/2018 Address: 1800 E 16TH ST UNIT B COSTA MESA CA 92626 - Bus Lic: BT00021099 SANTA ANA CA 92701 Phone: 714-241.3600 Lic Exp Date: 02/2812018 Phone: 714-835-2800 State Lic:C-036840 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: STATE COMP INS FUND Address: Occupancy Group: Policy No: 1794693 ° ®° ° a Added /New sq.ft. Bldg: 164 Expire: 07/01/2018 Phone: °omoo ° ® ° Added ]New sq. R. Garage: 594 No of Stories: 2 Building Setbacks Rear: 6' Special Conditions: <50% EXT. WALL REPLACED o No of Units : 1 Front: 15' °O ° ° ° Bldg Height: ht: 24 Left: 6' 00CC Bldg Sprinklers: N Right: 6' °O°° ° Flood Zone: Use Zone: R-1-6000 Parkin Spaces: 2 Fire Hazard Zone : N .. oo cc Construction Valuation: $450.000.00 ° 0 o oococu Building Permit Fee: $3,181.00 Excise Tax: $0.00 Planning Department- Fire Department c o Plan Check Fee: $2,696.15 Additional Fee : $2,108.00 Plan check Fee: $0.00 Fire Inspection: , °0.00 ...... Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $841.81 SJH Trans : $0.00 Demolition Fee Record Management: $88.00 Grading Permit Fee: $820.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $268.00 Grading PC Fee: $184.79 Public Works Department - General Service $197.00 CA Seismic Safety: $58.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check: $456.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $222.67 San Dist: $0.00 Building Green Fee : $18.00hanical %: $127.24 NMUSD Fee: $0.00 $0.00 PI bing o: $286.29 - $0.00 TOTAL F : $12,291.45 Plan Check Fee: $7,536.56 Fe ermit Issuance : $4,754.89 PROCESSED BY: PUBLIC WORKSPPROVAL: YZ 7T ZONING APPROVAL: PLAN CHECK BY. (� GRADING APPROVAL: �] APPROVAL TO ISSUE: 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) 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 le 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, iusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f Division 3 of the Business and Prof�ssiq+ty Code, and y licein full force nd effect. License Class License No Date Contractor SignatureNr / /0� 142 VORKERS' COMPENSATION DECLARATION /G DARNING: 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 ($10D,000), IN ADDITION TO THE OST OF COMPEL*=Ipg,:)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereb4affirm under ptnalty of perjury one of the following declarations: • 11*11 ue 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, g1pro—ariSp of tRe work for which this permit is issued. Policy No. Fh • wl IM main 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 rao carrier and Policy number are: t , ... r Policy Number Expiration Date game of Agent • Phone # U-CeRify 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 agre, Std ffI Ihould become subject to the worker ' m n ati n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iiggna%* of Applicant • L/�-- D� A ` 17 IELLA�RATIOWREOAR ING CONSTRUCTION LENDING AGENCY helel% affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). -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. /f 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 county to enter the -ide - property for inspection purposes. Dat i 3i nature of Property Owner or Authorized A e Print Property Owner's or Authorized Agent's Nam 110 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I i Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL ! 2a ASBESTOS NOTIFICATION OTAPPLICABLE TO CERTIFICATEOF /'V -G `PROPOSEDDEMOLITIOV- OCCUPANCYISSUED SIGNATURE: •�