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Home My WebLink AboutX2021-1104 - Permitsawva'„{,A City of Newport Beach - Building Division *X2021-1104* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 O .P ECTO R Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM MECH GRAD COMB Permit: X2021-1104 Project No : 1025-2021 Issued Date: 0911512021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911512024 OR PERMIT WILL BE INVA' 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 Holida� Job Address: 2304 CLIFF DR NB Description: NEW SFR W/ATT GARAGE 5038 SF 8 709 SF Legal Desc.: N TR 919 BLK 4 LOT 5 Owner: GONTERMAN JASON Contractor: GONTERMAN CONSTRUCTION Architect: VAN VOORHIS JEFFREY A Address: 2043 WESTYCLIFF Address: 1842 PARK ST Address: 151 KALMUS DR. STE GA " NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92648 COSTA MESA, CA 92626 Phone: Phone: 949-697-0746 Phone: 714-754-4040 State Lic:C037065 Applicant: VAN VOORHIS JEFFREY A Address: 151 KALMUS DR. STE G-1 COSTA MESA, CA 92626 Phone: 714-754-4040 Code Edit, 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 5038 Added /New sq. ft. Garage: 709 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X 11 Construction Valuation: $948,000.00 Building Permit Fee: $7,371.00 Plan Check Fee: $5,528.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $108.00 Energy Compliance: $303.00 CA Seismic Safety : $123.24 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $38.00 TOTAL FEE: $30,640.68 PROCESSED BY: ZONING APPROVAL: Con State Lic: 858073 Engineer: Lic Expire: 04/30/2023 Address: Bus Lic: BT30048414 Lic Exp Date: 09130/2021 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9259518 Expire: 0812212022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 20 Left: 4 Right: 4 $1,206.87 $270.00 $0.00 $1,239.84 $1,304.00 $1,159.56 $1,220.00 $515.97 $294.84 $663.39 MANSHADIFARHAD 1800 E 16TH ST UNIT B SANTA ANA CA 92701 714-835.2800 State Lic:C-036840 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $558.25 San Dist: $2,084.00 NMUSD Fee: $6,132.72 Fire Department $520.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $7,382.01 Fee Due at Permit Issuance : $23,258.67 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: &Oal OWNER -BUILDER DECLARATION 1 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 thA 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'pe.;;alty of not 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, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell a structure ;:iat I ha.re 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. hiyl latwe of Property Gwner or Authorized Agent Date LICENSED CO'ATRACTOR'S DECLARATION I he,eby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 0) f Div Sion 3 of the Business and Prof Mons Cod dnd my license is in full force and effect. Licerse CI ss License No Date Contractor Signature k-✓CRK7_RS' COMPENSATION DECLARATION WARNING: FAILURL O SE-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE GGS r Or COMPENNATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. the, ecy affirm under penalty of perjury one of the following declarations: ' he%a and w:11 miiatain 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. ', ave and will main.ain 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 Insurance carrier and pclicy number are: Policy Number Date ame of Agent 1"D"C 1 I certify 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 agre lat, if I should beGOMeVbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /q,�• ignature of Applicant / Datel/\ iECLARATION REG DING CONSTRUC N ENDING AGENCY I/' �\ hereby affirm under penalty of perjury thafthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address q 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. ^%r�p�r j� r£,-yR'-kv I agree to comply with all applicable city and county ordinances and state laws relating to building construction. c� I authorize representatives of this city or count enter the Bo/bpe-identified property for inspection purposes. / / / 9�s 2 ignature of ProDertV Owner or Authorized Agent � 71' ' Print Property Owner's or Authorized Agent's Name IX !� /. Da� l DATE BY DECIU�C ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL ,2 Z-23 SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED PROPOSED OLITION SIGNATUR, L/