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Home My WebLink AboutX2015-3753 - Permits�E.wao", City of Newport Beach II ��IIII��I I�I�� II oF� .,� Community Development Department -Building Division COMB Permit:X2�15-3753 q y 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 3 7 5 3 Permit Counter Phone: (949) 718-1888newporPlan Check No : 2823-2015 Issued Date : 10/0412016 e.Combination Type civic Final Date: 02127/2025 Combination Type - SFP Permit Status: Final Work Class - New Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 4615 BRIGHTON RD Legal Desc : N TR 3357 BILK LOT 147 TR NO 3357 LOT 147 & 148 Description: NEW SFR OVER TWO LEVELS OF BASEMENT 19322 SF LIV, 2514 SF STORAGE & MEP, 2,241 SF OPEN COVERED SPACE & GARAGE 1101 SF Owner: SHILOH LLC Contractor: DYER J C COMPANY INC Architect : STEPHEN LEE BALL Address : 4615 BRIGHTON RD Address : 1540 S COAST HWY #205 Address: 38 N STONINGTON LAGUNA BEACH, CA NEWPORT BEACH, CA 92625 LAGUNA BEACH, CA 92651 92651 Phone: Phone: (714)809-3258 Phone: (949)338-2679 Con State Lic : 586784 State Lic : C019781 Applicant Address Phone: Owner/Builder Address Phone : Bus Lic: BT98042174 Bus Lic Expire : 02/28/2025 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No: 7600012640241 W. C. Expire : 1/1/2026 Engineer: REZAEI HORMOZ Address : 4164 PORTILLA PL SAN DIEGO, CA 92130 Phone: (858)455-0318 Designer: Address : Phone : Code Edition : 2013 Fire Sprinklers : YES Construction Valuation : $6,000,000.00 Type of Construction : V-B Fire Hazard Zone: NO Added/NewlTI sq. ft. Bldg : 19,322 Occupancy Groups : U,R-3 Fire Alarms : NO Alteration sq. ft. Bldg : 0 Bldg Height: No of Units : 1 Add/New sq. ft. Garage: 1,101 No of Stories : 1 TOTAL sq. ft.: 20,423 No of Basement Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : VE, 17 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally 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, poor 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 not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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 properly, 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.govlcalaw.htmi. 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) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 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 thl performance 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 carrier and policy number are: Policy Number Dale IS of Agent -rnone Ir 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 if I should become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Uare_ _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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). Iders Name Lenders 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 1 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 enter the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized AGenl Pont Property Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED - U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED UAQMD PERMITRAIAL CERTIFICATE OF OCCUPANCY ISSUED Z-Z"1•Z tiR ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: