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Home My WebLink AboutX2019-4174 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM III IIIII�IIIII0II�I 4II�III� I4 II COMB Permit: X2019-4174 Project No: 1280-2019 Issued Date : 12/23/2019 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: 2961 CLIFF DR NB Description: DEMO SFR 3042 SF (3 BEDROOMS) Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS LOT BLK Z PARK Owner: HALLER DAVID Contractor: TEAM ULTIMO REAL ESTATE Architect: BRANDON CHRISTOPHER Address: 2961 CLIFF DR Address: 1529 MAXWELL WAY Address: 151 KALMUS DR #G-1 s NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 COSTA MESA CA 92626 Phone: Phone: 949-689.5293 Phone: 714-754-4040 State Lic:C031637 Applicant: BRANDON CHRISTOPHER Con State Lic: 964742 Engineer: MANSHADI FARHAD Address: 161 KALMUS DR #G-1 Lie Expire: 08/31/2021 Address: 1800 E 16TH ST UNIT B COSTA MESA CA 92626 Bus Lie: BT30036733 SANTA ANA CA 92701 Phone: 714.754-4040 Lie Exp Date: 0813112020 Phone: 714.835.2600 State Lic:C-036840 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,041.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9051279 Expire: 04/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Designer: Address: Phone: Special Conditions: FRANCHISED HAULER: PHD DEMO Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 e• e • ouseo • o "0 a eee ® ee o m m memmmo 0 m mo 0 0 0 oeeo Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,041.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: /� mmmoeo m m c ® e 006eCC x o omeo 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) action 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 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 Ifessions 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 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, siness 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 )rovements 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 )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 Ay 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: my signaturg 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 legaIIN I 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 jWjs ns Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. nature of PrOgp,[Py (honer or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION �ebj affirm under gggnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700ADon the Business and PrXess,s and license isin fullforcei effect. License.Class License No Date Contractor Signatur )ARKNV COMPENSATION DECLARATION 1111616: FAILUR;TO.SECBRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE nature SA! DOLLARS ($'ID ,0001, IN ADDITION TO THE IT OF SOMPENEFA110A,LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. eretj affirm under penalty of perjury one of the following declarations: I°have and wiil.raAain 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, jorgVpce of the woreforwhich this permit is issued. Policy No. .pave and wiX.jrlpJrltain 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' compensatior trance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the perf anc k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre iat, if I should bec thew rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C� Iignature of Applican te�Z�2�� 1 IECLARATION RE ARDI G CONSTR TION LENDING AGENCY hereby affirm under penalt of perjury th there is a construction lending agency for the performance of the work for which this permit is issued (Section 77, Civil Code). ender's Name Lender's Address ly 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 informTnt I have provided is correct. I agree to comply with all applicable city aunty ordinances and state laws relating to building construction. I authorize representatives of this city or c t the a ove-identified property for inspection purposes.�1 `v�LU Da lignature of Property Owner or Authorized Ag Print Property Owner's or Authorized A ent's Name SCTION DATE Y I ECLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS ART 61 OF TITLE 40 AND AQMD RULE EXPIRED I I /( L-I I SUBMITTED ASBESTOS PERMIT EXTENDED QMD PERMIT FINAL n� `�/ ASBESTOS NO IFICATION IS NOT APPLICABLE TO CERTIFICATEOF �, �' {"' R OSED DE UTI4r{ 1 OCCUPANCYISSUED SIGNA RE: