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Home My WebLink AboutX2015-3666 - PermitsI City of Newport Beach - Building Divisiont 100 Civic Center Drive, Newport Beach, CA 92660 - .N. Permit Counter Phone (949)644-3288 i Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM - I INSTALL OR VERIFY SMOKE/G Job Address: 1724 ANTIGUA WAY NB Description: SFR -ADD 1058 SF, REMODEL 398 SF, NEW LOGGIA 758 SF Legal Desc.: N TR 4224 LOT 282 Owner: NETHERTON DREW & LAUREEN Address: 1724 ANTIGUA NEWPORT BEACH CA 92660 Phone Applicant: BARTLO RON Address: 19522 JASPER HILL RD TRACUBO CANYON CA 92679 Phone: 949-459-9494 Code Edit : 2013 Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 1058 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $400 Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: III IX��I�III01�Al5lll�l��36lul6l� II COMB Permit: X2015-3666 Project No: 2761-2015 Issued Date : 04128/2016 • • ° ° • ° Inspection Area : 3 �°••' °•o°°° . • I YS AFTER ISSUANCE OR LAST VALID INSPECTION. MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED i OWNER/BLDR NETHERTON LAUREEN O/B Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rest: 12 Front: 20 Left: 6 Right: 6 Use Zone: R-1-6000 Parkinc Soe Building Permit Fee: $2,574.00 Excise Tax: $0.00 Plan Check Fee: $2,239.38 Additional Fee : $0.00 Overtime Plan Ck: $0.00 - Grading Bonds Fee: $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $30.00 Grading Permit Fee: $0.00 Energy Compliance: $268.00 Grading PC Fee: $0.00 CA Seismic Safety: $52.00 WQ Insp. Fee: $106.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $180'.18 Building Green Fee : $16.00 Mechanical %: $102.96 Plumbing %: $231.66 TOTAL FEE : $8,804.40 Plan,Ch PROCESSED BY: Architect: Address: Phone: - - - S T OR P E, C • ®.•. o• o BARTLO RON • °B°° ° 19622 JASPER HILL RD TRACUBO CANYON CA 92679 0°°°°° • ° 949-459-9494 State LiaC013166 Engineer: MUNENO DONALD K Address: 19162 REDFORD LN HUNTINGTON BEACH CA 92648 Phone: 714-374-5042 State Lic:C-036935 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $304.00 San Dist: $716.00 NMUSD Fee: $1,946.72 Fire Department $37.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee : $2,582.38 Fee Due at Permit Issuance : $6,222.02 gtI PUBLIC WORKS APPROVAL: r�J rJ ZONING APPROVAL: I yI/�/y PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Ltl JR2 H/LG/rg 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) '>ection 7031.5, 9usiness 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 le perk it to fileVAgned 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 lofeasions 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 mo`e than five.164dred dollars ($500). 5.1, as owner of4he 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, usMss 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 %rofPfnents 9ipAt:Mended 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 �red for the purpose of sale). �)1! 9s ownerbt iFT,droperty, am exclusively contracting with licensed Contractors to construct the project (Section 7C44, Business and Professions Code: The Contractors' State License Law does not 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). 3 •I1 exempt jrom Ijpensure under the Contractors' State License Law for the following reason: ry my sgnatura belew� 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 legall, P�"Wiiucture that I have built as an owner -builder if it has not been cons ructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi ess and 'rote�sy lbns Cogd,:g %ailable upon request wh t :a appli a "o is yJb f 4 tl a fo wing Web site:http://www.leginfo.ca.govi�law.html. 'ignature of PropegOwner or Authorized Agents 'I Da t Gc� .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00)of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Dat Contractor Signature PORKERS' COMPENSATION DECLARATION DARNING: 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 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: 7 I 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 erformance 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 Date e of Agent rllulle n ertify that, in the performance 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' compensation laws of California, and t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY ;reby 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). rder'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 is come t. I agree to comply with all applicable city and county ordinances anc laws relating to building construction. I authorize representatives of this city or county o nter h a d property for inspection purposes. �1 n ,/ (�( Ie r.� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name LO U I &M ' t/ (7j Date e Ai7HN/ OAIF BY PFrr3M1T FXPfRF1) j=EA1kffTCAP1Cf D PEr'i WT EXTENrZD PEPJWTF1NAL n CERM17CATE OF Q� KO • G OCCUPANCYISSUal f FEDER4L REGULATIONS PART 67 OF IITLE40A AtIIRUR'1KL440J. ❑ FS(NJi8TTF7S.ASfYSTlIS NfiFfTM.ATK1N 7t7: ❑ EPA I� ❑ AQmD SIGIt'JliWtt:/ X LU��ANI� 1. P.+R