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Home My WebLink AboutX2019-0112 - Permitswnr City of Newport Beach - Building Division IIIIuIIIIIIII�IIIIIII�IIIIIIIIUIIIIIIIIIIIIIIIII,� II COMB Permit: X2019-0112 100 Civic Center Drive, Newport Beach, CA 92660 f Project No: 0084-2019 h Permit Counter Phone (949)644-3288. v Inspection Requests Phone (949)644-3255 Issued Date :-04/08/2019 Combination Type - SFP MECH ELEC PLUM 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: 1906 SANTIAGO DR NB - Description: SFR ADD 142 SF (MST.BED RM) REMODEL 230 SF Legal Desc.: N TR.4224 LOT 299 Owner: HOUCK DARREN M Contractor OWNERIBLDR Architect: MA JONATHON Address: 1906. SANTIAGO DR Address: HOUCK DARREN M Address: 265 WICKER NEWPORT BEACH, CA 92660 IRVINE CA92615 Phone: 562-652-0846 Phone: Phone: 949-294-1988 State Lic:C031039. Applicant: HOUCK DARREN M Con State Lie: OIB Engineer: CHU TIEN MANH Address: 1906 SANTIAGO DR Lie Expire: Address: 9542 PACIFIC AVE NEWPORT BEACH, CA 92660 Bus Lie: ANAHEIM CA 92804 _ Phone: 562-652-0846 Lie Exp Date: Phone: 714-829-6053 State Lic:C-072324 Code Edit: 2016 Workers Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 142 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: front(20 Special Conditions: OWNER/BLDR AUTH ATTACHED No of Units : 1 Front:.6 Bldg Height: 0 Left: 6 Bldg Sprinklers: N - Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $179,560.00 - Building Permit Fee: $2,276.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,905.04 Additional Fee : $0.00 Plan check Fee : $160.00 Fire Inspection: 060 Overtime Plan Ck $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 ' Fire Plan Rev ° 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 $24-00 Energy Compliance: $125.69 Grading PC Fee: $0.00 Public Works Department - General Service $W9 w CA Seismic Safety: $23.34 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $SSd.m Disabled Access: $0.00 - PAN Plan Check: $41.25 Grading Bond: $9.0:9 Hazardous Mat $0.00 Electrical %: $159.32 San Dist: $0.00 Building Green Fee: $8.00 Mechanical%: $91.04 NMUSD Fee: $0.00 $0,00 Plumbing%: $204.84 .$0.00 Q TOTAL FEE `. $5,809.52 Plan Check Fee : $1,858.66 Fee Due at Permit Issuance : $3,950.86 a, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: W PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: i I hereby affirm under penalty of perjurythat 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 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 r dns Code) or that he or she is exempt from liceneure 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 re than five hundred dollars "500). I, as own f the property, or my employees with wages as their sole compensation, will do (� all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Busin 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). ❑ y to 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, exc -t for my personal resid nce in which I must have resided for at least one year prior to completion of the improv ents cover by this permit, I cannot legall, sell a structure that I have built as an owner -builder if of construct d in its a rety by licensed contractors. I understand that a copy of the applicable la , S ' 7044 of the Business and Professions Code, is available upon equ t when this '"a n is submitt at t (lowing Web site:http:/tw '.leginfo.ca.gov/calaw.html. /j _eV-/� Signature of Property Owner or Auth razed A at `-Z -u LICENSED CONTRACTOR'S DE TION r I hereby affirm under penalty of perjury that am license er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING 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 (E700,000), IN ADDITION TO THE COST 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: 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 'ormance 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 vance carrier and policy number are: the I performance of the work for which this permit is issued. My workers' compensatiol - der Policy Number Expiration Date bEUN that, in the perfQpprIce 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' if I s .... ould become subj t he workers' cor ion pr30ions of ection 3700 of the Labor Code, I shall forthwith comply with those proV1 iENiFA-MArIOPLBE6 BA� LMrrCONSTRUCTION LENDING AGENCY hereby'affirm uncLej 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). 2r((iefl%Name Lender's Address y myeignature below, I certify to each of the following: • •I arL� the properly owner or authorized to act on. the property owner's behalf. Fheve read tfI s 4plication and the information I have provided is correct. • • Lagree to GOWT)%jith all applicable city anec—ou54rdinances and stat aws relating to building construction. / •. Laulhorize r€pr8Sentatives of t y or County o e er the i led pro pesrDi ction purposes. 1 igneWre of Property Qwaeher-Authonzed A� Print Property Owner's or Auttd Ace me C .,aIUIM •....• DATE Imo/ 9y% DECLARATION OF COMPLIANCE WITH CODE OFFEDEI ceece ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE <cccC CC• ° 1403 'ERMITEXPIRED""• I Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL '/�/'['�5j�' ASB SN ATION IS dOT APPLICABLE TO CERTIFICAED OCCUPANCY OF `'" d" slcN 71R D .r OCCUPANCY ISSUED ISSUED I laws of California, and —(57