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Home My WebLink AboutX2017-2763 - Permits (3)UG". VwroCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-3763 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 3 7 6 3 Project No : 2631-2017 Permit Counter Phone (949)644-3288Inspectlp^ F ,quests Phone (949)644-3255Combination Type - SFP ELEC MECH PLUM GRAD Issued Date : Area : 2018 Inspection Area : 8 PERMITS EXPIRE 180 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: 2501 BLACKTHORN ST NB Description: SFR ADD/REM 1,683 SF & 2,282 SF & PATIO COVER 994 SF Legal Desc.: N TR 4893 LOT 84 Owner: ANTOYAN ALLEN & TON] Address: 2501 BLACKTHORN ST NEWPORT BEACH, CA 92660 Phone: 714-325-6757 Applicant: ANTOYAN ALLEN & TONI TRUST Address: 2501 BLACKTHORN ST NEWPORT BEACH, CA 92660 Phone: 714-325-6757 Code Edit : 2016 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 1683 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Y Flood Zone: X Construction Building Permit Fee: $4,329.00 Plan Check Fee: $3,359.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $48.00 Energy Compliance: $268.00 CA Seismic Safety: $66.88 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $21.00 TOTAL FEE: $15,873.40 PROCESSED BY: ZONING APPROVAL: Contractor: Address: Phone Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: OWNER/BLDR ANTOYAN ALLEN O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 6 Front: 20 Left: 6 Right: 6 Use Architect Address: Phone: State Lic: Engineer: HUSZCZ MARIAN JOHN Address: 8 CORNWALLIS F-4 IRVINE CA 92620 -I Phone: 949-551-3316 State Lic:S-003555 Designer: JAVERT DENNIS Address: 1750E WINDGREEK CIR REIVERSIDE CA 9250303 Phone: 951-688-5421 Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee : $276.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $820.00 In -lieu Housing Fee Grading PC Fee: $713.40 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check : $304.00 Electrical %: $303.03 San Dist: $770.00 Mechanical %: $173.16 NMUSD Fee: $3,096.72 Plumbing %: $389.61 Zone: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $3,905.70 Fee Due at Permit Issuance : $11,967.70 POBLIG WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: AFPFU"AL 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 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 applicapt for is 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) di Divisiun 3 of the Business and Irofessions Code) or that he or she is exempt from Iicensure 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 of 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, IrmoRess 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 nprbveNnts 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 roved fOf the purpose of sale). I, as o ner 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 ppl n 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 Iicensure under the Contractors' State License Law for the following reason: ly 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 legalit ell 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 'rofessions Code, is available upon request when thi Sop n is s i d or at the following Web site:http://www,leginfo.ca.gov/calaw.html. e^ signature of Property Owner or Authorized Agent D J �j .ICENSED CONTRACTOR'S DECLARATI N ry hereby affirm under penalty of perjuthat I am icensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date �' Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 th1 erformance of the work for which this permit is issued. Policy No. 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' rance carder and policy number are: Policy Number of Agent Date 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 Ia , if I should become subject to the workers' ��pppm ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant D S-,�1II -/8 DECLARATION REG G CONSTRUCTION LEN G AGENCY ""TT�� 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 y 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 coun t e,Mp/r tthe-abr7 � Identified property for inspection purposes. / A., /tI Imo, �nn� iqnature of Property Owner or Authorized Agent M 70 1NM hAhr, Print Prooertv Owners or Authorized Agent's Name/ AvW f7N,t TN1t/ ant\ 1044V PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED BY DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GU TIONS PART 61 OF TITLE 40 ANDAQMD RULE 403 _ SUBMITI ASBESTOS NOTIF,CATION TO EPA I.JAQMD j iryiz0 / - 7-0,"L ISNOTAPPLICABLE TO