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Home My WebLink AboutX2021-3278 - Permits+r•rar City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i� Inspection Requests Phone (949)644-3255 Combination Type - SFP GRAD MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3278 x 2 0 2 1 3 2 7 8 Project No : 2840-2021 Issued Date : 05/12/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL 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: 900 CHESTNUT PL NB Description: NEW SFR W/ATT GARAGE 4,00511062 SF, BALCONY 110 SF, PATIO 282 SF Legal Desc.: N TR 4892 LOT 22 Owner: SUN JOHNNY Address: PO BOB 3146 REWOND WA 98073 Phone: Applicant: DAHL JEFFREY ALAN Address: 1102 MAIN ST HUNTINGTON BEACH CA 92648 Phone: 714-847-8480 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4005 Added /New sq. ft. Garage: 1062 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $6,431.00 Plan Check Fee: $4,416.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $78.00 Energy Compliance: $303.00 CA Seismic Safety: $106.11 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $33.00 TOTAL FEE : $20,795.65 PROCESSED BY: ZONING APPROVAL: C& Contractor: GONTERMAN CONSTRUCTION Address: 1842 PARK ST HUNTINGTON BEACH CA 92648 Phone: 949-697-0746 Con State Lic: 858073 Lic Expire: 0413012023 Bus Lic: BT30048414 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9259518 Expire: 08/22/2022 Building Setbacks Rear: 6' Front: 15' Left: 6' Right: 6' Zone: R-1-6000 Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: GRADING APPROVAL: QQKT " -?M 0 Architect: DAHL JEFFREY ALAN Address: 1102 MAIN ST HUNTINGTON BEACH CA 92648 Phone: 714-847-8480 State Lic:C017810 Engineer: BAYANI-RAD PADRA Address: 18119 S PRAIRIE AVE, STE 102 TORRANCE CA 90504 Phone: --- State Lic:C-086320 Designer: Address: Phone Special Conditions: NO SANITATION FEES DUE fl I_`C° Fire Hazard Zone : N $1,064.07 Planning Department - $291.00 Plan check Fee $0.00 Fair Share $0.00 SJH Trans $973.00 In -lieu Housing Fee $846.51 Public Works Department - $152.00 Park Dedication : $0.00 PAN Plan Check : $406.00 $450.17 San Dist: $0.00 $257.24 NMUSD Fee: $3,889.76 $578.79 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: Plan Check Fee : $6,376.51 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: !'102V1 DI PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14,419.14 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 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 .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 '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 iot more than five hundred dollars ($500). ❑ 1, 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 legally 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 Section 7000) f Division 3 of the Business and ProfessionCod my license i, n full force and effect. License Class License No Date T'- �a-� Contractor Signature i S — - 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 15700,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 pfflfprmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date ]I certify that, in the performance of the work forwhich 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 let, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant / Date IECLARATION REGARDI G CONSTRUCTION L NDING AGENCY hereby 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). ender's Name Lender's Address Iy 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 county t9 enter trig above -identified property for inspection purposes. 1 /7 Jonature of Pronertv Owner or Authorized Agent Print Property Owners or Authorized Agent's Name /� I "^ `"Y-"��^ Date 5 �� ACTION DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA - PERMIT EXTENDED qM D PERMITFINAL TOW U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: