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Home My WebLink AboutX2019-1848 - PermitsCity of Newport Beach - Building Division a4. " 100 Civic Center Drive, Newport Beach, CA 92660 rte+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD X 2 0 1 9I8 48�� III Project OB o Permit: 019-1848 34-20 9 Issued Date: 09118/2019 Inspection Area : 2 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: 1211 CLIFF DR NB Description: SFR ADD 1,245 SF & 201 SF TO GARAGE, REMODEL 3,283 SF W/YARD DRAINAGE Legal Desc.: N TR 1219 BLK B LOT 1 Owner: HILL II RUSH N Contractor: PDC INC 1010 S HATHAWAY ST UNIT C r/y ld J Address: 115 22ND ST Address: SANTA ANA, CA 92705 Architect: "U NEWPORT BEACH, CA 92663 Phone: Phone: (714) 664-0477 Phone: State Lie: M Applicant: ROLANDO/SMITH CRAIG Con State Lie: 988559 Engineer: JAMIL BASHAR S Address: 1041 W 18TH STREET #A-208 Lie Expire: 1113 0/2 01 9 Address: 751 SHASTA DR J COSTA MESA CA 92627 Bus Lie: BT30066261 CORONA CA 92881 -1 Phone: 949-764-0010 Lie Exp Date: 06/30/2020 Phone: 714-883-4124 State Lie C-083129 Code Edit: 2016 Worker's Compensation InSurance Designer: R'1 Type of Construction: V -B -SPR Carrier: EVEREST PREMIER INS CO Address: •�1J Occupancy Group: R3/U Policy No: 7600020452191 Added /New sq.ft. Bldg: 1245 Expire: 05/2912020 Phone: Added /New sq. ft. Garage: 201 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $713.960.00 Building Permit Fee: $4,977.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,895.24 Additional Fee : $588.00 Plan check Fee : $160.00 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: $72.00 Grading Permit Fee: $312.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $268.00 Grading PC Fee: $312.00 Public Works Department - General Service $197.00 CA Seismic Safety: $92.81 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PM Plan Check : $330.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $348.39 San Dist: $0.00 Building Green Fee : $29.00 Mechanical %: $199.08 NMUSD Fee: $1,686.08 $0.00 Plumbing %: $447.93 $0.00 TOTAL FEE : $14,510.53 Plan Check Fee : $4,065.84 Fee Due at Permit Issuance : $10,444.69 PROCESSED BY: 7UBUC WVO)RKO APPSjAV'AL; ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPFImVA1..•T°0IynUE:°, ¢G0 64 1.0 G G °4G iiG 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 items) lection 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 is 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved for the purpose of sale). 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 700p) -of D' i 'on 3 of the Business and Pro ((((((e��aaaaaa a I my li ReetistiR-f Il force nd effect. License Class License No Date Contractor Signature] ` VORKERS' COMPENSATION DECLARATION // IARNING: 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: 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 earformance of the work for which this permit is issued. Policy No. isu have and will r( intain 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 rance carrier a licv number are: _ A _ of Agent Number Date in the performance of th rk for which t ' ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 1, if I should become�su(b' /�/ /v s' =comp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �l11 /z_ Cis CLARATION REGAP4115O STRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civil Code). Ider'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 nc s and state law ting to building construction. I authorize representatives of this city or count nt b e-ide d property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Names D 9 j8-/7 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED Leif SUBMITTED 4SBF5I NU ur IILTI IO PERMITCANCELLED •EPA • • • • : • PERMITEXTENDED QMD PERMITFINAL 9,f -f1 ?A�SBEST9S NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ''✓' %C SM34 OCCUPANCYISSUED li l SHINATUR