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Home My WebLink AboutX2020-1897 - PermitsCity of Newport Beach - Building Division(I�IIIIIII�IIIIIII�IIIIIIIIIIII�IIIIIIIIVIIII II COMB Permit: X2020-1897 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 1 8 9 7 Project No: 2465-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD ELEC PLUM Issued Date : 10106/2020 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010712023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1027 DOLPHIN TER NB Description: SFR - ADD'L SCOPE -DRAINAGE, GAS & ELEC TO FIREPLACE & BBQ, REPL RAILING, T CMU WALL Legal Desc.: N TR 5130 LOT 7 Owner: MEYER HOLDINGS LLC Address: 4320 VON KARMAN AVE NEWPORT BEACH CA 92660 Phone: Applicant: BUCHAN IAIN R Address: 2340 S EL CAMINO REAL SAN CLEMENTE CA 92672 Phone: 949-489-9786 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units.: 0 Bldg Height: 0 Bldg Sprinklers: Contractor: BLACK PETE CONSTRUCTION INC Address: 1788 MONROVIA AVENUE COSTA MESA CA 92627 Phone: 714-612-7678 Con State Lic: 692383 Lic Expire: 0813112022 Bus Lic: BT00003226 Lic Exp Date: 04130120211 2019 Worker's Compensation Insurance VB Carrier: EXEMPT U Policy No: 0 Expire: 0 Building Setbacks Rear: 10 Front: 6 Left: 4 Right: 4 Construction Valuation: 14f Building Permit Fee: $1,537.00 Plan Check Fee: $1,337.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $6.00 TOTAL FEE: $3,666.36 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: State Lic Engineer: BUCHAN IAIN R Address: 2340 S EL CAMINO REAL SAN CLEMENTE CA 92672 Phone: 949-489-9786 State Lic:C-057147 Designer: Address: Phone Special Conditions: LANDSLIDE AREA REV20-1284 - Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $46.25 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $232.00 In -lieu Housing Fee : $0.00 Building Dept Adm Grading PC Fee: $195.00 Public Works Department- General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check: $43.00 Grading Bond: Electrical %: $107.59 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $138.33 _% % Plan Check Fee: $0.00 Fee Due at Permit Issuance 0 o ° ° °„;U;L; l,NCJ2F�S A,�PROVAL: PLAN CHECK BY: APPROVAL TQ ISSUE ° � o v o 0 0 00 0.,0 0 0 �u uo 000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,666.36 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) 1 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 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 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). ❑ 1 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalli 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 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 i i the Business and P d it'2nseis in full force and effect. License Class License No Dat Contractor Signal WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have 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 performance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance a 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 ogre t, if I should become s jec a workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Za CLARATION RE R G CONSTRUCTION LENDING AGENCY weby 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). 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 ed ect. I agree to comply with all applicable city and county ordinanceate laws relating to building construction. I authorize representatives of this city or county tenter t le prope y 'nspection purposes. 1 �- C 11 ''�� IiY�� , signature of Property Owner or At ACTION DATE PERMIT EXPIRED PERM/TCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I I Pdnt Property Owner's or Authorized Ag DECLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 7rION TO • i i APPLICABLE TO DEMOLITION ON. • y • • • • • • 1 •e• es ss • • ses ••