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Home My WebLink AboutX2019-2714 - Permits�,,.,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2714 h 100Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 1 4 Project No : 1988-2019 t+ =?.t Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r4rhM�"..:. Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 11113/2019 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7.00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 542 FULLERTON AVE NB Description: SFR ADD 877 SF AND REMODEL 926 SF, NEW GARAGE 639 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 39 LOT 11 Owner: TAILLON THOMAS L Contractor: RHODES CONSTRUCTION Address: 542 FULLERTON AVE Address: 26405 WATERFORD CA Seismic Safety: NEWPORT BEACH, CA 92663 Disabled Access: LAKE FOREST CA 92630 Phone: $0.00 Phone: 949-929-8795 Applicant: PUPO ANGEL Con State Lie: 550916 Address: 8615 FLORENCE AVE #102 Lie Expire: 1013112021 DOWNEY CA 90240 Bus Lie: BT3006OB70 Phone: 626-262-6442 Lie Exp Date: 10/31/2020 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 877 Added /New sq. ft. Garage: 639 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $283.200.00 Building Permit Fee: $3,442.00 Plan Check Fee: $2,131.06 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $42.00 Energy Compliance: $198.24 CA Seismic Safety: $36.82 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $12.00 TOTAL FEE: $10,059.45 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: fla01142900 Expire: 05119/2020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 20 Left: 4 Right: 4 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.94 $137.68 $309.78 Architect: Address: Phone: State Lie: Engineer: BARAKAT FOUAD Address: 8916 LONGDON AVE #C LOS ANGELES CA 91780 Phone: 562-861-7900 State Lic:C-067449 Designer: Address: Phone: Special Conditions: Roberts Waste to haul debris Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 WIN Plan Check : $41.25 San Dist: $874.00 NMUSD Fee: $1,613.68 Plan Check Fee : $10,059.45 Fee Due at Permit Issuance: $0.00 PUBLIC WORK o APPROVAIL: • V) • E ` ') `L PLAN CHECK BY: • m' GRADING APPROVAL: APPROVAL TO ISSUE: • • o , • ' ` <. a c e • C pG 9 n OO pE q(rn E . 00 yO Mal Fire Department $195.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $0.00 PUBLIC WORK o APPROVAIL: • V) • E ` ') `L PLAN CHECK BY: • m' GRADING APPROVAL: APPROVAL TO ISSUE: • • o , • ' ` <. a c e • C pG 9 n OO pE q(rn E . 00 yO Mal OWNER -BUILDER DECLARATION 1" 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) (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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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). . ❑ 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pf,Iury that I am licensed under provisions of Chaxtgr 9 (commencing with Section 7080) of ivision 3 of the Business and Pr ode, a�I Ii e i full force and effect. License Class ►5 License No �i0�[ L �O (/,g/aJae�\(.— o2dC Contractor Signa e��/1 `/.(�( l WORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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 ve 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 De ormance of the work 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 nsur nce carrier and policy number are: mar' r Policy Number Expiration Date \lame of Agent Phone # :1I certify that, in the performs ca 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 :hat, if I should be co to thewor rs' omp ion ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Appli nt Date G / — DECLARATION R G CORUCTION LENDING AGENCY hereby affirm under penalty of per that there is a construction lending agency for the performance 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. t^/I %/n A�//_ / r7 I authorize representatives of this city or count a he abov - ti ' ro for inspection purposes. U v f ��'U�-SCS Date 3ignature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Nam ACTION DATE BY DECLARAIWIN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LT REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ••• ••• "93 PERMITEXPIRED • • ISGBQIITTED JSBEST05 NOTIFICATION TO PERMITCANCELLED • • • • °, E�,N PERMITEXTENDED LFQMD PERMIT FINAL q� q�� ASBESTOS I ATION IS NOT APPLICABLE TO CERTIFICATE OF I O, V"� I • • • • • • P0� , N OCCUPANCYISSUED • SIGPIAiU