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Home My WebLink AboutX2015-3005 - Permitsw,bP City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ii iiiiiiiii 0 0 5 COMB Permit: X2015-3005 Project No : 2876-2013 Issued Date : 10/16/2015 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS !PLUMBING FIXTURES TO BE UPGRADED Job Address: 157 SHORECLIFF RD NB Description: SFR -ADD 150 SF (ADDED SCOPE) TO MECHANICAL AREA AT BASEMENT LEVEL Legal Desc.: N TR 1116 LOT 109 Owner: WANG WILLIAM TRUST Contractor: SEACREST DEVELOPERS INC Address: 6 STRAFFORD Address: 755 W 17TH ST #A NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-499-1381 Applicant: VILLALPANDO ALEX Con State Lic: 803634 Address: 1401 QUAIL ST #120 Lic Expire: 01131/2016 NEWPORT BEACH CA 92660 Bus Lic: BT30032302 Phone: 949-851-8345 Lic Exp Date: 06130/2016 Code Edit : 2013 Type of Construction: V-B-SPR Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Construction Valuation: $26,505.00 Workers Compensation Insurance Carrier: STATE FUND Policy No: 9034366 Expire: 12101/2016 Building Setbacks Rear: / Front: / Left: / Right: I Use Zone: Parking Spa Architect: LIGHT CHRISTIAN R Address: 1401 QUAIL ST #120 NEWPORT BEACH CA 92660 �+ n Phone: 949-851-8345 State Lic:CO22334 Engineer: MOKHTAR TAREK Address: 31646 S COAST HWY LAGUNA BEACH CA 92651 Phone: 949-499-6254 State Lic:S-004189 Designer: Address: Phone: Special Conditions: DELTA 3 - REVIS.1451 - Building Permit Fee: $470.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $338.40 Additional Fee: $0.00 Plan check Fee Overtime Plan Ck: $0.00 Fair Share: Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $26.00 Grading Permit Fee: $34.80 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $23.20 Park Dedication : $0.00 Disabled Access: $0.00 PM/ Plan Check : $37.75 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $964. PROCESSED BY: ZONING APPROVAL: Fire Department $32.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Plan Check Fee : $408.15 Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0,00, '$ro.oa $0.00 $0.00 $0.00 $0.00 $0.00 $556.00 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 items) '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 :he 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 Orofessions 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 legalh sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner 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 Sectigry 7000) o Division 3 of the Business and Pr/lassion Cod and y license is in full force and effect. License Class License No D e 10 ! C Contractor Signatuil INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO jECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USA LLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I' hereby affirm under penalty of perjury one of the following declarations: ❑ i have and ,sill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi ie?crmance of the work for which this permit is issued. Policy No. Yieve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ante carrier and policy number are: ier Policy Number Expiration Date Iie of Agent Phone # certify thatin the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should DEC a subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nnt_ire of AFali6 � uiry l Ireby affirm under pefialtyAf pe'rJ'ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. Goj/ Fih.1+�„v I authorize representatives of this city or c �n/�y to bove-ide tified property for inspection purposes. nature of Property Owner or Authorized Ag nLn ��i6-s ip Print Property Owner's or Authorized Agent's Na ACTNNI AA TF v 1 �� RY DECLARATION OFCOA$PLIANCE INlT�Y COOL Of- �, I -ON OFRLE USE UMT FEDERAL REGUL4TIONS PART 67 OF TITLE46 AND AOUD RI/LC 1401 ❑ 7 SIAiLUTTrn.Ygw-gT(jS W)TfrK 4TInN Tn: ❑ EPA ❑ A42I6D PFR19fT FYPIPFn PLVOIT CANCELLED PERIAIT EXTENVIEC' 13_-&SETS TO NO-lnCA770N6 NOT APPLICASLE TO DEMOLTTAOM PERMIT TRIAL,PROPOSED CER7FICATEC'F OCCJOAIJCYTSSUEO 0 l3V K/ SI;;,YA (t)1{♦=: