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Home My WebLink AboutX2012-0120 - PermitsW ly�Q� o� o City of Newport Beach Building Division COMB Permit No: X2012-0120 PROJECT NUMBER: 0087.2012 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 nA4jpy�e Combination Type - SFP/ ELEC/ MECH/ / Job Address: 22 TROUVILLE NB Description:INFILL"E" DOUBLE -VOLUME RES/ADDITION 261 SF (BEDROOM) Inspector Area: 6 Owner: TARVER JOHN/DEE Address: 22 TROUVILLE NEWPORT COAST CA 92657 Phone: 949-706-9250 Applicant: SANTILLAN MICHAEL Address: 18 TECHNOLOGY, STE 120 IRVINE CA 92618 Phone: 949-629-6880 Code Edit: 2010 Type of Construction: V - B Occupancy Group: R3/U Added /New sq.ft. Bldg: 261 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: Issued Date: 01 /201201 2 Building Permit Fee: $238.70 Plan Check Fee: $171.86 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $25.00 Energy Compliance: $53.00 CA Seismic Safety: $1.20 Disabled Access: $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee: $1. TOTALFEr= PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Legal Desc.: Contractor: HOMECRAFT BUILDERS Address: 12531 ARISTOCRAT AVE GARDEN GROVE CA 92841 Phone:, 714-514-3900 Con State Lic: 905781 Lic Expire: 08/31/2012 Bus Lic Lic Exp Date: X v�7J Va�2 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: / Front: I Lek: / Right: / Use Zone: 0 Architect: SANTILLAN MICHAEL Address: 1981 BEACH BLVD #239 HUNTINGTON BEACH CA 92648 Phone: 714-803-8458 State Lic:CO23337 - Engineer: LEE SHIUH-GUANG Address: 157 KINGSWOOD IRVINE CA 92620 Phone: 949-468-9702 State Lic:C-061054 Designer: Address: Phone Special Conditions: INSTALL OR VERIFY SMOKE ANr C.IRBON MONOXIDE DETECTORS ARE EXIST LNG PER CRCR 314.1 & 3152 Fire Hazard Zone : N Solar System PC : $0.00 Planning Department - Fire Department Excise Tax: $54.81 Plan check Fee : $30.25 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Electrical %: $16.71 San Dist : $0.00 Mechanical %: $11.94 NMUSD Fee: $0.00 $0.00 I bing %: $0.00 $0.00 Plan Check Fee: $268.95 Fee Due at Permit Issuance : $335.52 TC� J� UBLIC WORKS APPROVAL: JAN PLAjN CHECK BY: 2 0 2012 PERMITS EXPIRE lh&*A.YS AFTER OVAL TO ISSUE: LAST VALID INSPECTION. DWNER-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) (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 ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature oelow.I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally Sell a structure that , ;lave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and �rufebs,ons Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfc.ca.gov/calaw.html. Signature of Property I Avner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect c�o$-7�j ---�� License Class Jj License No ont actor Signature WOkKERS' COMPENSATION DECLARATION $ 311a01 NARN�NG: 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 ($100,0D0(, IN ADDITION TO THE CCET O' COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herehy 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 per.crmance rf the wnrk forwhich this permit is issued. Policy No. ❑I have and will maintain walkers' 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' compensatic urance carrier ann6lic1'riumber are: r 'er Policy Number Expiration Date Na of gent Phone # I ce that, in the pertormance of the work for which this permit is issued, I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and ogre tha I should become subject �to t1he workers' comp/ do/ng/rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant�i CLARATION REGARDING CONSTRUCTION LENDING AGENCY V Ireby 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 is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. +authorize representatives of this city or county to enter the abyye-identified property for insp�ction purposes. of Property Owner or Authorized Agent ACTION I DATE PERMITEXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED Owner's or Authorized Agent's Name BY vcuc nvm yr wmrusvvi . , FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO F0� PROPOSED DEMOLITION. SIGNATURE: