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Home My WebLink AboutX2020-1096 - PermitsCity of Newport Beech -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t~ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r r,as* Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II� COMB Permit: X2020-1096 x 2 0 2 0 1 0 9 6 Project No : 2671-2019 Issued Date: 05106/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 1025 W BALBOA BLVD NEI Description: NEW SFR & GAR 3700 & 557 SF, COVERED PATIO 133 SF, COVERED ROOF DECK 716 SF & OPEN ROOF DECK 20r#I,fja�t1,?ur Legal Desc.: TR 234 LOTS 17&18 BLK 10 Owner: KEILCH ROBERT Contractor: AMPLE CONSTRUCTION Architect: Address: 227 20TH ST STE 100 Address: 3867 BURCH ST #333 Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92660 Phone: Phone: 714-454-4305 Phone: State Lic: Applicant: GUIDERO BILL Con State Lie: 957060 Engineer: MCCANN MAXWELL Address: 426 30TH ST STE 23 Lie Expire: 0113112021 Address: 1541 W AMERIGE AVE NEWPORT BEACH CA 92663 Bus Lie: BT30057810 FULLERTON AVE CA 92833 Phone: 949-675.2626 Lie Exp Date: 06/30/2020 Phone: 714-803.6964 State Lic:C-077614 Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 3700 Added /New sq. ft. Garage: 557 No of Stories: 3 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Flood Zone: X Worker's Compensation Insurance Carrier: NATIONAL LIABILITY & FIRE Policy No: A9WC067358 Expire: 0711212020 Building Setbacks Rear: 0' Front: 10' Left: 3' Right: 3' Designer: 4UIDERO BILL O NNOISE Address2B10QEA_M-g NEWPl Phone: 949-676-2626 Special Conditions: HIGH DENSITY AREA j.LIrQ�Ur�EFACTI /B °T°9 9Y.°'T'41!° M� W ail��i ai: yr. "i 1 5..,k RDAS Construction Valuation: $740,000.00 - _-- Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee: $5.00 Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $387.04 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: . Energy Compliance: $0.00 Grading PC Fee: $84.96 Public Works Department - CA Seismic Safety: $0.00 - WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $30.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 WOO Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL:n _ PLAN CHECK BY: I! GRADING APPROVAL: APPROVAL TO ISSUE: 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 nextV,� .Ahpplicable 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, a so 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 (_) 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). I 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 legally 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CO,)`iI'RACTOR'S DECLARATION I gereby affirm undei, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 f 'vsi ni3 of the Business and Professions Code and my license is in full force arvd'cfffe=c4. License Clats - License No Date r SATION DECLARATION Contractor Signature �' WQRKPRS' COMPEN� , N4RNfNG' 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 ($10 ,000), IN ADDITION TO THE CAST O' COMPENSATION,QAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 441'Qby'affirm uridgir jfedblty of perjury one of the following declarations: DnhhBye 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 the *prllyaace of the work ifor which this permit is issued. Policy No. ,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' oarrier avid pbllcy number are: 11 Policy Number Expiration Date .» certify that, in t�1a 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 agree If I should become subject to, the or ers' compensation prRMIJ2D&Df.Sectlon 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applican6,K:2 Da�// :LARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under p nalty 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 ordinances and state laws relating to building construction. I authorize representatives of this city or cou..n�"r�oo, fthe above -identified pro ertp y for inspection purposes. nature of Property Owner or Authorized Agen('/i'�_...�- -� Print Property Owner's or Authorized Agent's Name ACTION PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY t, DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO (t)(t3JUI ,Jt, I UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION