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Home My WebLink AboutX2017-2710 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit X2017-2710 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 7 1 0 - Project No : 1941-2017 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM Issued Date: 10/06/2017 Inspection Area : 1 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: 1236 W OCEAN FRONT NB Description: SFR -NEW DECK 100 SF/REMODEL MASTER BATH 400 SF/NEW FIREPLACE _ Legal Desc.: N TR 234 BLK 12 LOT 10 Owner: CAMPANA ED Contractor: GREGORY LYNN MCCORMICK Architect: KEMMERER MARCUS R -emee® ®meo°o Address: 1236 W OCEAN FRONT Address: 18015 BRIAR STREET Address: 228 CREST AVE „;+ ,, • • ° ° ° NEWPORT BEACH CA 92661 FOUNTAIN VALLEY, CA 92708 HUNTINGTON BEACH CA 92648 `-. • ° ° ° •• U Phone: Phone: 9513151061 Phone: 714-752-0052 State Lic:CO29552 Applicant: NUTT GREG Con State Lic: 1029992 Engineer: MCCORMICK GREGORY LYNN �`-° ° e ° c •f Address: 228 CREST AVE Lic Expire: 08131/2019 Address: 1120 VERSAILLES CIR HUNTINGTON BEACH CA 92648 Bus Lic: BT30060663 RIVERSIDE CA 92606 F� j.� P4C00 Phone: Lic Exp Date: 09/30/2018 Phone: 951-315-1081 State LiaC-065217 Code Edit: 2016 Worker's Compensation Insurance Designer: •., Type of Construction: V-B Carrier: EXEMPT Address: mmmocc ° Occupancy Group: R3/U Policy No: ' ° ° c e ° m • ° ° Added /New sq.ft. Bldg: 0 Expire: Phone: ° Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $367.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $319.29 Additional Fee, $0.00 Plan check Fee : $37.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $36.00 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: $0.00 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 %m: $26.69 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $33.03 $0.00 TOTAL FEE: $819.51 Plan Check Fee: $356.79 Fee Due at Permit Issuance : $462.72 PROCESSED BY: PUBLIC WORKS APPROVAL: f / ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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-itegi(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 )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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or `) 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 Tlprovements 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). I, as owner (;f:4%WrOperty, 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 � isn 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 aniyexempl 41Orfiftensure under the Contractors' State License Law for the following reason: 3y,mysignature below iacknowledge 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 legalll re -a structure tha:l 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 Srofessions Cod„ jivailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. )Ippath of Prep��a�y Owner or Authorized Agent Date ' ICENSED CONTIfACTOR'S DECLARATION 'NLhB194affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) o Division 3 of the Business and/RED � nd my license is in full force urV effect. Lia'ensA Elass License No Dat /6 Contractor Signa NQR4tERS' COMP�E�rrNSATION DECLARATION VARNINOM. FAILURE:r6).SFyURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUUSAND DOLLARS($100,000), IN ADDITION TO THE :j)fjfjF,COMPENSATION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. r2g�DS affirm ndwspenalty of perjury one of the following declarations: 1 have anhfill 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 Ierformance of the work for which this permit is issued. Policy No. :1I have 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' compensation. isurance carrier and policy number are: Arrier Policy Number Expiration Date Jame of Agent Phone # JI certify that, in the pe rmance 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' ompensation laws of California, and agre hat, if.I should become a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da )ECLARATION REG R G CO TRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 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 co my ordinances and state laws relating to building construction. I authorize representatives of this city or county to t eabove-identified property for inspection purposes. signature of Prope Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name U9W Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EMENDED QMD CERTIFICATE J I #� I� � ASBESTOS NOTIF APPLICABLE TO CERTIFICATE OF l l 1 OSED DEMO OCCUPANCY ISSUED SIGNATURE: