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Home My WebLink AboutX2015-1689 - PermitsCity of Newport Bea wilding Division IIIIIIIII III IIII II IIIIII IIIIIIII IIIIII II COMB Permit: X2015-1689 100 Civic Center Drive, Newpo, :A 92660 x 2 0 1 5 1 6 8 9 Project No : 1264-2015 ti Permit Counter Phone (949)644 Inspection Requests Phone (94 .c naS�roYp�T Combination Type - SFP ELEC MECH PLUM Issued Date : 15 _ Inspection Arearea : 44 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 12 OLD COURSE 6.NB Description: SFR -CONVERT 419 SF GARAGE TO LIVABLE, ADD 325 SF @GARAGE /q Legal Desc.: N TR 15388 LOT 43 C� Owner: MURPHY BRIAN Contractor: DRAKE CONSTRUCTION INC Architect: Address: 12 OLD COURSE DR Address: 7422 MOUNTJOY DR Address: NEWPORT BEACH, CA 92660 HUNTINGTON BCH CA 92648 - Phone: Phone: 714-369-5550 Phone: State Lic: , . Applicant: SMITH DRAKE Con State Lic: 881821 Engineer: XIAO QIANG Address: 7422 MOUNT JOY DR Lic Expire: 07/3112016 Address: 1520 BROOKHOLLOW DR #45 HUNTINGTON BEACH CA 92648 Bus Lic: BT30051436 SANTA ANA CA 92705 , Phone: 714-369-5550 Lic Exp Date: 06130120116 Phone: 714-662-0510 State Lic:S-005289 Code Edit: 2013 Worker's Compensation Insurance Designer: MICHAEL DAVID = Type of Construction: Carrier: STATE COMP FUND Address: 712 CENTER AVE Occupancy Group: R3/U Policy No: 9022425 COSTA MESA CA 92627 Added /New sq.ft. Bldg: 419 Expire: 08/30/2015 Phone: 949-701-9539 Added /New sq. ft. Garage: 325 -. . No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldq Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $46,000.00 Building Permit Fee: $668.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $480.96 Additional Fee : $0.00 Plan check Fee : $32.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $55.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $5.85 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PNV Plan Check: $37.75 Hazardous Mat $0.00 Electrical W $46.76 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $33.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $66.80 $0.00 TOTAL FEE : $1,458.52 Plan Check Fee : $567.96 Fee Due at Permit Issuance : $890.56 PROCESSED BY: PUBLIC WORKS APPROVAL: PLAN CHECK BY: Q� APPROVAL TO ISSUE: - `0C 4n ZONING APPROVAL: GRADING APPROVAL: 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 1 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 s_ drior 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 apermit 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: 3y 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 3e1' . ^,tructure •.hat I nave 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 3�vfessmns 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 LICEN3ED CCNTR.%CTOR'S DECLARATION hereby affirm unc'er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Di Sion 3 of Business and Profes s Code and my license is in full force and effect. License rlass License No Date �/Z Contractor Signature � NORKERS' COMPENSATION DECLARATION r VA :NINC: FAILURE T7 S7CURE 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 :JST OF COMPENSATION, ]AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. helaav 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 tht R"I"fmance o1 the work for which this permit is issued. Policy No. and w::l 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,nrd 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 t, if I should become sued to th workers satlnntvisions 0 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Date �7� ZZ CLARATION REGARDING CONSTRUCTION LENDING AGENCY -reby 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). 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. I authorize representatives of this city or county to a er the oveove-identifies r�,psrtr inspection purposes. r nature of Property Owner orAuthorized Agent �� Print Property Owner's or Authorized Agent's Namey _ >/ziii`li Dat y /3 CTNN7JI DA TF I BY I PFRMFr FNP1PF/) I I PERVT CdPJCmm I FEDERAL REGULATIONS PART61 OF TITLE& AND AQMOROLE 1403. ❑ f SIAIMITIrrn ASWSTOS N0T r1r4TION Tn ❑ EPA AQmD PLAM/T f"RTAL A TO5 NOTIACADONISNOT APPLICABLE TO I Z (y- L617 fL it ORQ P SEODEMOurON. CEATiF CATEC'F 0CCUOA1JCYi55d+EC .TI'JTi�I4'�"iil