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Home My WebLink AboutX2019-2021 - Permits0 �t C t� of Newport Beach - Buildirig Division *X2019-2021* COMB Permit: X2019-2021 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2709-2018 - H ';, Permit Counter Phone (949)644-3288 ar Inspection Requests Phone (949)644-3255 n -x �,41� Combination Type - SFP ELEC Issued Date : 06/26/2019 - 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: 404 FULLERTON AVE NIS Description: SFR GARAGE ADD 30 SF ss Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 29 LOT 2 e Owner: KEELING GREG Contractor: TRI -POINTE CONSTRUCTION INC Architect: EDJOURIAN ARLENE Address: 404 FULLERTON AVE Address: 1603 LONGHORN WAY Address: 2152 DUPONE DR, STE 240 NEWPORT BEACH, CA 92663 NORCO CA 92860 IRVINE CA 92612 Phone: 949-278.6643 Phone: 951-232-5804 Phone: 818.681-0777 State Lic:C033619 Applicant: FLORES KATIE Con State Lic: 1026781 Engineer: MORRIS KYLE Address: 2152 DUPONT DR STE 240 Lic Expire: 05/3112021 Address: 1401 DOVE ST #520 IRVINE CA 92612 Bus Lia BT30063799 NEWPORT BEACH CA 92660 Phone: 213-509-4249 Lic Exp Date: 0713112019 Phone: 949.502-5323 State Lic:C-072911 Code Edit : 2016 Worker's Compensation Insurance Designer. ...... Type of Construction: V -B Carrier: NORGUARD Address: Occupancy Group: U Policy No: TRWC913600 oceo e0000c Added /New sq.ft. Bldg: 0 Expire: 07110/2019 Phone: 0 o m m Added /New sq. ft. Garage: 30 No of Stories: 1 Building Setbacks Rear: 5 Special Conditions: No of Units : 1 Front: 20 Bldg Height: 0 Left: 4 oa ° Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: R-1 Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: 92.400.00 ...... Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department C°°Om 00 G t' Plan Check Fee: $104.40 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: m $080 ° ...... 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 - $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond:. $0.00 Hazardous Mat $0.00 Electrical %: $8.40 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $234.3 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $234.30 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: _ 01_ 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) 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 he 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 Irofessions 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 lot more than five hundred dollars ($500). 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, 3usiness 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 mprovements 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 mproved for the purpose of sale). 7 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 Ipply 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: 3y 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, 1 cannot legall} :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 5rofessions 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 Sectio 000 o Di isi of the B iness and Professiol de, my license is in full force Ind effect. License Class License No �,tj to 21T �Dtl(e LU Con ctor Signature NORKERS' COMPENSATION DECLARATION �(\N YARNING: FAILURE TV Sif.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL 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. (iereby affirm unser penalty of perjury one of the following declarations: I..... .... I hav4 and %'i11%I ilttain 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, rrrance of the work for which this permit is issued. Policy No. I and will.maiotain 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 'Ls n0e carrief grepclicy number are: Policy Number Date W of.Agent ' Phone # ... pgrjify that, in the pertormance of the wo h this permit is issued, I shall not employ any person in any manner so as to become subject to the worke 'compensation laws of California, and agree t,.if I ghoul omecubject to th 6r car ' mpe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I rreiuro of DDlica ' / C.L,gRATI N DING CONSTRUCTION LEND G AGENCY areby affirm untler•penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ivil 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan g9-Rstate laws relating to building construction. //,� A I(�� I authorize representatives 's city or county to enter the a -i ntified property for inspection purposes. ' O�tft � V N � /-/u,'', nature of Property Owne or razed Alien Print Property Owner's or Authorized Age�Nam Date_u ACTION D F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED D PERMITFINAL CERTIFICATEOF OSNOTIFICATION IS NOTAPPLICABLE TO ZAS ''DLMOLITIOCCUPANCVISSUED E /