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Home My WebLink AboutX2018-3498 - Permitsa Cittaof niewport Beach - ErUilding" Division *X2018-3498*COMB Permit: X2018-3498 100 Civic Center Drive, NewportBeach, CA 92660 Project No : 2709-2018 Permit Counter Phone (949)644-3286 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date: 0612612019 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 NB Description: SFR - ADD 325 SF LIV 8 REMODEL 1226 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 29 LOT 2 Owner: KEELING GREG Address: 404 FULLERTON AVE Record Management: NEWPORT BEACH, CA 92663 Phone: 949-278.6643 Applicant: FLORES KATIE Address: 2152 DUPONT DR STE 240 Hazardous Mat IRVINE CA 92612 Phone: 213.509.4249 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3 Added /New sq.ft. Bldg: 325 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $156.580.00 Building Permit Fee: $2,361.00 Plan Check Fee: $1,934.22 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $68.00 Energy Compliance: $109.61 CA Seismic Safety: $20.36 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $7.00 TOTAL FEE: $5,999.89 PROCESSED BY: ZONING APPROVAL: Contractor: TRI -POINTE CONSTRUCTION INC Address: 1603 LONGHORN WAY NORCO CA 92860 Phone: 951-232-5604. Con State Lic: 1026781 Lic Expire: 05131/2021 Bus Lic: BT30063799 Lic Exp Date:.. 07/3112019 Worker's Compensation Insurance Carrier: NORGUARD Policy No: TRWC913600 Expire: 0 7/1 012 01 9 Building Setbacks Use Zone: R-1 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 $165.27 $94.44 $212.49 Plan Check Fee: Architect: EDJOURIAN ARLENE II Address: 2162 DUPONE DR, STE 240 IRVINE CA 92612 Phone: 818-681-0777 State Lic:C033619 Engineer: MORRIS KYLE Address: 1401 DOVE ST #520 NEWPORT BEACH CA 92660 Phone: 949-502-5323 State Lic:C-072911 Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $82.50 San Dist: $0.00 NMUSD Fee: $0.00 $2,174.88 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o m ra.oco c o $0100 .40.0(1` $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $3,825.01 o camooc f c 000su G GCPO11 mm oGo�: 0 0 0 omseof omen Fire Department $160.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $2,174.88 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o m ra.oco c o $0100 .40.0(1` $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $3,825.01 o camooc f c 000su G GCPO11 mm oGo�: 0 0 0 omseof omen OWNER -BUILDER DECLARATION 4 " 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) 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). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 nproved for the purpose of sale). 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 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). 1 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION FARNING: FAILURE TP"QURE 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 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undergenalty of perjury one of the following declarations: I have and Will'rygikain 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 th1 pPfgrrr?V ce of the work for which this permit is issued. Policy No. I hav•e and will•mailatoin 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' compensatlor $$usanup carrie?@r0pd1cy number are: Policy Number Date GBdifv that, in Me 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 !if 11hould bei prrebubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Failure of Applicant * Date_ 136GI•AKATIONAEGAQDING CONSTRUCTION LENDING AGENCY hereby affirm unflVipenalty 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). -ender's Name - Lender's Address By 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. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED 1❑ SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT FINAL /'/� /t ❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF 's'� (/✓"JI PROPOSED DEMOLITION OCCUPANCYISSUED _SIGNATURE: