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Home My WebLink AboutX2019-0148 - PermitsCity of Newport Beach Building Division llillillllllllllllllllllllll O� COMB Permit: X2019-0148 100 Civic Center Drive, Newport Beach, CA 92660 II X 2 0 1 9 0 1 4 8 Project No : 1608-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : Inspection Arearea :2019 2 PERMITS EXPIRE 100 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: 313 FULLERTON AVE NB , Description: SFR GARAGE CONVERSION TO LIV 816 SF TO CREATE ACCESSORY DWELLING UNIT -TOTAL A.D.U.1486 SF ; Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 18 LOT 17 " Owner: HARDEN GUYITERRY Contractor: OWNERIBLDR Architect: SCHULTZ CRAIG .. ' Address: 313 FULLERTON AVE Address: HARDEN GUYITERRY Address: 3111 SECOND AVE NEWPORT BEACH, CA 92663 CORONA DEL MAR CA 92625 Phone: 949-929-6770 Phone: 949-929.06770 Phone: 949-645-9982 State Lic:CO22287 Applicant: SCHULTZ CRAIG Con State Lic: Ole Engineer: GABRIEL MICHAEL R Address: 3111 SECOND AVE Lic Expire: Address: 483 E 20TH STREET +�+' CORONA DEL MAR CA 92625 Bus Lic: COSTA MESA CA 92627� Phone: 949-645-9982 Lic Exp Date: Phone: 949-646-6596 State Lic:S-002939 Code Edit : 2016 Workers Compensation Insurance Designer:" Type of Construction: V-B Carrier: Address: w Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 816 Expire: Phone: Added /New sq. ft. Garage:-816 No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: REFER TO X2017-2274 FOR No of Units : 1 Front: 20 FAIR SHARE FEE Bldg Height: 29 Left: 4 Bldg Sprinklers: N Right: 4 Flood Zone: X Use Zone: R1 Parking Spaces, 3 Fire Hazard Zone : N Construction Valuation: $200,000.00 Building Permit Fee: $3,171.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,435.56 Additional Fee : $0.00 Plan check Fee : $160.00 Fire Inspection: $0,00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Sham: $0.00 Fire Plan Rev F $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $52.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm .l $24.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service _.$197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $221.97 San Dist: $846.00 Building Green Fee : $8.00 Mechanical %: $126.84 NMUSD Fee: $1,501.44 $0.00 Plumbing %: $285.39 $0.00 TOTAL FEE : $9,593.20 C Plan Check Fee : $0.00 Fee Due at Permit Issuance : $9,593.20 PROCESSED BY: S PUBLIC WORKS APPROVAL: ( ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:..' " `�� 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 applicabl:. i z-m(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 no 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, use s 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 Improvement:, are nci 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). 0 I, as owner ofche 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). e ❑. 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature oelo'v I acknowledge thatPN sonal residence in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legalll sE-II a :,tructure.tea� have built as an ownt b c strutted in it tirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of he Bu 'ness and Professions Oo&, L available upon requeEd r at t e f Ilowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Date CJGENSED CONTRACTOR'S DECLA„I 6ertrby affirm Under penalty of perjury thaderprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force and effact. Liool,sa GlassLicense No Date Contractor Signature ,VJZ;KKERS' COMPENSATION DECLARATION V.0.e,LAG: FAILUkE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 the performance of the work for which this permit is issued. Policy No. JI have 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' compensatiol nsurance carrier and policy number are: ;arrier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the o k forVich s 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 agreehat, if I should beco e u o h s' oon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i 31gnature of Applica D e L� )ECLARATION REG DING CO hp CTION L NDING AGENCY hereby affirm under enalty of perl ry that there is a construction lending agency forthe performance of the work forwhich this permit is issued (Section 47. Civil Code). .ender's Name ! Lender's Address 3y 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 h provided is correct. I agree to comply with all applicable city and co i anc s nd state la 2sre ting to building construction. I authorize representatives of this city or coun r a e-i tified for inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Ili-' 1 Q e-yi D /eLl rD ACTION DATE BY A DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REyklLATIONS PART 61 OF TITLE 40 AND A, RULE PERMITCANCELLED PERMIT EMENDED NAL CERTIFICATE TE OF II_ I Z OG l SIGNATURE: EAIBEITOS N OU 11 ICAB TO OCCUPANCY ISSUED ll// /jU' is