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Home My WebLink AboutX2016-1177 - PermitsCity of Newport Beach - Building Division 4' ¢ 100 Civic Center Drive, Newport Beach, CA 92660 x Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 n Combination Type - SFP ELEC MECH PLUM Illlllllll�lll�lllllllllllllllllllul� II COMB Permit: X2016-1177 x 2 0 1 6 1 1 7 7 Project No : 0757-2016 Issued Date : 08/1712016 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 1500 CUMBERLAND LN NB Description: SFR -ADD 700 SF LIVING, 115 SF PORCH, 107 SF PATIO COVER AND REMODEL 861 SIF Legal Desc.: N TR 1896 LOT 34 .i Owner: HERRINGTON MATTHEW Contractor: KEYSTONE D C S INC Architect: S C T 0o,; Address: 1500 CUMBERLAND LN Address: 38 ARBUSTO STREET Address: NEWPORT BEACH, CA 92660 IRVINE, CA 92606 Phone: 949-375-4309 Phone: 714-791-3771 Phone: State Lic: Applicant: HA AN Con State Lic: 1013293 Engineer: DOING TRUONG Address: 13472 JESSICA DR Lic Expire: 04/30/2018 Address: 10692 SILVER CIR GARDEN GROVE CA 92843 Bus Lic: . BT30056212 GARDEN GROVE CA 92843 Phone: 714-200.4122 Lic Exp Date: 08/31/2017 Phone: 714-204-2874 State Lic:C-075466 .a. Code Edit : 2013 Worker's Compensation Insurance Designer: HA AN ...... Type of Construction: VB Carrier: STATE FUND Address: 1500 CUMBERLAND LN Occupancy Group: R3/U Policy No: 915753816 NEWPORT BEACH CA 92660 Added /New sq.ft. Bldg: 700 Expire: 04/21/2017 Phone: 714-200-4122 Added /New sq. ft. Garage: 0 ° No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: ... �. No of Units : 1 Front: 20 ° Bldg Height: 29 Left: 4 Bldg Sprinklers: Right: 4 ° Flood Zone: Use Zone: Parlung Spaces: 0 Fire Hazard Zone : N Construction Valuation: $200,000.00 +.Building Permit Fee: $1,574.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,369.38 Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection: ®® 0.09 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: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $140.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $26.00 WQ Insp. Fee: $106.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PM Plan Check: $152.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $110.18 San Dist : $681.00 Building Green Fee : $8.00 Mechanical %: $62.96 NMUSD Fee: $1,288.00 $0.00 Plumbing %: $141.66 $0.00 TOTAL F E : $5,726. 8 Plan Check Fee: $1,698.88 Fee Due at Permit Issuaruf : $4,027.80 / PROCESSED BY: PUBLIC WORKS APPRO ZONING APPROVAL: Z PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSU 0 °°000 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 ie 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). 11. 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 legal) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 Hof ivi ion f the Business and Professions o tl m fir I In I orc nd effect. License Class License No Date 7 Contractor Signature WORKERS' GUdANSATION DECLARATION .. 'ARNINC6 FAILURE .TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THOUS D DOLLARS ($100,000), IN ADDITION TOTHE 39TCFCOMPENSAIQfJ SAMAGES 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: 1 Me 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 a nce of leeWGrt for which this permit is issued. Policy No. 4IIhav' 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' compensatioi aw carriers acts policy number are: .aroar.* Policy Number Expiration Date &.arrrt&% nf.4gent Phone # JI certify that, 'niFe performance of the work for w Ch this permit i sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Mat!i3 Pghould beFgryil; subject to the wo a pensation pro v' n1 of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. signature of Applicarft Date )ECLARATION RE RIDING CONSTRUCTION LENDING AG hereby affirm unde penalty of perjury tha 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 I 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan s and state la relating to building construction. I authorize representatives of this city or cc ty to ab ve= ntifi rty f r inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na D ACTION DATE BY \ CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ht GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED PERMIT EXTENDED PERMITFINAL Q CERTIFICATE OF 1 OCCUPANCYISSUED PROPOSED SIGNATURE: NOTIFICATION TO NOTIFICATION It NOT APPLICAB4 I TO