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HomeMy WebLinkAboutX2019-2819 - PermitsCity of Newport Beach - Building Division III II IIIIIIIIIIIIIIIIIIII IIIIIIIIII IIIIIIII� II COMB Permit: X2019-2819 100 Civic Center Drive, Newport Beach, CA 92660 w , - X 2 0 1 9 2 6 1 9 Project No :.2009-2019 F, rs Permit Counter Phone (949)e44-3288 'y v .inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM Issued Date : 0912612019 E - - Inspection Area : 3 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: 1823 COMMODORE RD NB Description: SFR ADD 408 SF (MUD & GAME RM, COVERT GARAGE TO LIVABLE) REMODEL 650 SF Legal Desc.: N TR 3763 LOT 8 Owner: `. GOODING BRIAN/KRISTEN Contractor:. HAWKER CONSTRUCTION Architect: SHINDELUS BRUCE Address: 1823 COMMODORE RD Address: 1531 LOWER LAKE CT Address: 2623 ANTONIO OR #206 - NEWPORT BEACH, CA 92660 CARDIFF BY THE SEA, CA 92007 CAMARILLO CA 93010 Phone; Phone: - 714-743-7110 Phone: 805-404-8216 State Lic:C015918 Applicant: HAWKER IVAN Con State Lic:. 930312 Engineer: FORBES DALE L Address: 1531 LOWER LAKE CT Lic Expire: 01/31/2021 Address: 1800 E 16TH ST #B CARDIFF CA 92007 Bus Lic: BT30063937 - - SANTA ANA CA 92701 Phone:..: 714-473-7110 Lic Exp Date:.. 07/3112020 Phone: 714-835-2800 State Lic:C-030407 Code Edit 2016 Worker's Compensation Insurance Designer. Type of Construction:- V-B .Carrier: STATE FUND Address: Occupancy Group:. R31U Policy No:: 9123340 Added /New sq.ft. Bldg: 408 Expire: '. 0112712020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1. Building Setbacks. Rear: 6 Special Conditions: ROBERTS WASTE No of Units : 1 Bldg Height: 0 Front 20 - Left: fi TO HAUL DEBRIS wY� 1p 'FOR Ii SPECI"®1 Bldg Sprinklers: Right: 6 - l Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N ' Construction Valuation: - $150,000.00 -Building Permit Fee: $2,207.00.. Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,739.24 Additional Fee : $0.00 Plan check Fee: $240.00 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 : $0.00 - Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 Energy Compliance: - $105.00 - Grading PC Fee: $0.00 Public Works Department - General Service $197.00. CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00" Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $0.00 - Grading Bond: $0.00 Hazardous Mat -Building $0.00 Electrical %: $164.49 San Dist: $0.00 Green Fee: $6.00 Mechanical %: $88.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $198.63 . $0.00 TOTAL FEE : $5,523 4 Plan Check Fee : $2,004.24 Fee Due at Permit Issuance : $3,519.40 PROCESSED BY: s°° "` G_°°° ° b PUBLIC WORKS APPROVAL: m l0 ZONING APPROVAL: o m <° °, ° PLAN CHECK BY: C uy GRADING APPROVAL: - a o APPROVAL TO ISSUE: - J9 Oc: 006 ©O G 4 O 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 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 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). 7 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 legalh ell astructure 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 ate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectla 000 of Division 3 of the Business and P sio e, and my lit 'a-fal�fersa— nd effect. License Class License No D O Contractor Signs VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: yn h 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 th P ante of the work for which this permit is issued. Policy No. I h e a d 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' compensatiol lsur c carrier and policy number are: ri Policy Number Expiration Date e of Agent Phone # I certify that, in he p 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' compen t ion laws of California, and agre eh t, if I should become s act the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7, 12 signature of Applica D )ECLARATION REGAl2Dff4G CONSTRUCTION LENDING AGENCY hereby affirm under penalty 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 3y my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the gprovis behalf. I have read this application and the information I hacorrectI agree to comply with all applicable city and countynd state laws rela 'ng to building construction.I authorize representatives of this city or cou ty t -ide 'f operty for inspection purposes. 3i nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date C 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 I SUBMITTED ASBESTOS NOTIFICATION TO ••• • • ••� PERMIT CANCELLED OEPA • . • • • ,•, PERMIT EXTENDED 11AQMD • '• PERMITFINAL ASBESTOS IF 1 IS NOT APPLICABLE TO • •• •• .•• CERTIFICATE OF �%•I �•aO PR OSED O —� OCCUPANCYISSUED _14v SIGNATU ••• Y • • y J