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X2020-2588 - Permits
City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, C_A 92660 - Permit Counter Phone (949)644-3288 -. u Inspection Requests Phone (949)644-3255 `+ciase'A'a Combination Type - SFP ELEC MECH PLUM GRAD IIPI�IIH��II�I�Iu�I�p���I1I�l��l111 COMB PerProject No: mit: X 020-2588 Issued Date: 04/2612021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/26/2024 OR PERMIT tMLL BE INVALID 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: 1221 BERKSHIRE-LN NB Description: NEW SFR & GARAGE 3321/604 SF - Legal Desc.: N TR 3031 LOT 18 Owner: PHAN PHUOC Address: 3 GRASS VALLEY IRVINE CA 92602 Phone: 714-478-7334 Applicant: NIELSEN PHIL Address: 6131 ANACAPA DR HUNTINGTON BEACH CA 92647 Phone: 714-717-1418 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3IU Added /New sq.ft. Bldg: 3321 Added /New sq. ft. Garage: 604 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Contractor: CARNEY CRAIG BUILDERS Address: 302 CALLE RICA SAN CLEMENTE CA 92672 Phone: 949-683-0220 Con State Lic: 499864 Lic Expire: 12/3112021 Bus Lic: BT30041098 Lic Exp Date: 1113012021 Worker's Compensation Insurance Cartier: EXEMPT Policy No: No employees Expire: Building Setbacks Rear: 6' Front: 20' Left: 6' Right: 6' Architect Address: Phone: State Lic Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-836-2800 State Lic:C-036840 Designer: Address: Phone: Special Conditions: 4BR-->4BR nwu moue. A use cone: KI-6noo varKIng ti aces: u Fire Hazard Zone : N Construction Valuation: $650,000.00 Building Permit Fee: $5,840.00 Excise Tax: $824.26 Planning Department- Fire Department Plan Check Fee: $3,272.60 Additional Fee : $0.00 Plan check Fee: $462.60 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: $964.32 SJH Trans : $0.00 Demolition Fee Record Management: $74.00 Grading Permit Fee: $952.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $1,039.92 Public Works Department - General Service $0.00 CA Seismic Safety: $84.50 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $344.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $408.80 San Dist: $0.00 Building Green Fee: $26.00 Mechanical %: $233.60 NMUSD Fee: $2,171.20 $0.00 Plumbing %: $525.60 $0.00 TOTAL FEE : $17,526.19 Plan Check Fee: $4,866.24 Fee Due at Permit Issuance : $12,659.95 rKucrastu nr: V t o E �Li o0 0 0 0 ZONING APPROVAL: Yyyr GRADING APPROVAL: o° o0 Leo oo� o o seo ue oe© PUBLIC WORKS APPROVAL: PLAN CHECK BY: 1 ` APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 4, *t 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). 11, 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, 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 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). 1 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). I 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 legally 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.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peon ury that I am licensed under provisionmencing with Section 7000 f Divi on 3 of the Business and Professi rl} Code,eand rt!cerise is in full force red effect. License Class License No ri r'1 `C hi Dat 2 <l Contractor Signature PORKERS' 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 HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the erfonnance 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 carder and policy number are: of Agent Policy Number Expiration Date Phone # odltify, 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 agree It, i I should become subject to workers' conjpIensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % nature of Applicant Date�� CLARATION REGARDD G�CONSTR IOTENDING A Y Ireby affirm under penalty of perjury that there is a constructIrn 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 is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couq(y jo goer th&abovPzoentmed property for inspection purposes. -A r L, L of Prooertv Owner or Authorized Agent! X ltid5 L \ Print Property Owners or Authorized Agents Name A ,<014; [ _AAV.iIE_-V 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 _ ___ _ ... PERMITC4NCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION • • ••• •• • • • • • • • • • •• • • e • o . e • oe o0 0 0 000 00