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Home My WebLink AboutX2019-0586 - Permits°•Cit cif Nd*p9rt Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII IIIIIIII COMB Permit: X2019-0586 • °tsenTer Drive„Newport Beach; CA 92660 X 2 0 1 9 0 5 8 s 219J!1�1!zProject No: 1406-2018 >8. - Permd Countar•PhonB (949)644-3288 nInspection Requests Phone (949)644-3255' `r'� ` • Corr"nation Type - SFP ELEC - Issued Date.: 02/25/2019 4'Y+}L '• ° ° ° ® ° • ° • ° Inspection Area: 3 ° • „• PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION: Construction Pours: 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 an Sundays or Holidays Job Address: 4815 LIDO SANDS DR NB Description: ADD'L SCOPE- INCREASE SIZE OF BED/BATH 105 SF (REV19-0314) Legal Desc.:.. N TR 3162 LOT 49 Owner:.. WEISNER ALAN & DEBBY Contractor:. JENKINSCONSTRUCTION Architect:. STEVENS BENJAMIN'i Address: 1817 GLENWIID KB Address: 504 CANAL ST` Address: 25251 VIA PIEDRA BLANCA NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92663 LAGUNA NIGUEL CA 92677 Phone: 949-400.8725 Phone: - 714-345-9371 Phone: 949.680-8616 State Llc:C032310 Applicant: STEVENS BENJAMIN - Con State Lic: 901221 Engineer:. DEIHIMI DAMIR HOSSEIN Address: - 25251 VIA PIEDRA BLANCA Lic Expire: 0713112019 Address:. 23172 PLAZA POINTE DRSTE 145 LAGUNA NIGUEL CA 92677 Bus Lic BT30035239 LAGUNA HILLS CA 92653 Phone:.: 949-680-8616 Lic Exp Date: 0413012019 : Phone: 949.954-7244 State Lic:C-078194 Code Edit: .2016 Worker's Compensation Insurance Designer Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R31U Policy No: 9076367 Added /New sq.ft. Bldg: 105 Expire: 10/2012019 Phone: Added/New sq. ft. Garage:' 0 �d No of Stones: 2 Building Setbacks. Rear:. 10 Special Conditions: No of Units: I Front: 5 P Bldg Height: 29 Left:. 4Y Bldg Sprinklers: Right: 4 Flood Zone: - Use Zone: Parking Spaces: 3 Fire Hazard Zone : N 11 c,;ncrriirn„o VnLiaann ti Ann nn Building Permit Fee: $784.00 Plan Check Fee: $0.00 Excise Tax: Overtime Plan Cki - $0.00 Planning Department.- Investigation Fee: $0.00 Additional Fee : Record Management: $36.00 Plan check Fee : Energy Compliance: $56.00 Grading Bonds Fee: CA Seismic Safety: $2.42 Fair Share : .Disabled Access: $0.00 Grading PC Consultant: Hazardous Mat $0.00 SJH Trans`: Building Green Fee.: $1.00. Excise Tax: $0.00 Planning Department.- $0.00 Additional Fee : $0.00 < Plan check Fee : $0.00 Grading Bonds Fee: $0.00 Fair Share : - $0.00 Grading PC Consultant: $0.00 SJH Trans`: $0.00 Grading Permit Feer - $0.00 In -lieu Housing Fee : $0:00 Grading PC Fee: $0.00 .Public Works Department- WQ Insp. Fee.: $0.00 Park Dedication : $0.00 TOTAL FEE: $1,127 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Electrical %: Mechanical%: Plumbing %: PNV Plan Check: $0.00 $54.88 San Dist: $0.00 $0.00 NMUSD Fee:' $193.20 $0.00 Plan Check Fee: $823.00 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $304.50 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION' 1 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 havepl*ed noxt4q a applicable item(s) ction 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 Is9uafice, also requires the applicant for 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 BUBine%Cand fessions 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 apIi aC i4 pensit0f more than five hundred dollars ($500). •• , • • , • • ' ' . 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intendET.& offered for�sale ($94tion 794$, ^ :iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or lRiRrpve4tire property, provided that the rovements 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 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: Iy, 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 ermit, I cannot 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 704 t Business and professions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent at .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f ivy f the Business and Prof sio s od nd y license is i II+ nd effect. License Class License No Date Contractor Signatu — :RS' COMPENSATION DECLARATION / / ✓✓' 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 ($700,000), IN ADDITION TO THE :OMPENSATION, 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: Id 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 of the work for which this permit is issued. Policy No. _ and will maintain workers' cor carrier and policy number are: ie of Agent certify that, in the pe , if I should become lature of ADDlicaft J Eby affirm under penalty of perjury that t2p<s far's Name iy signature below, I certify to each of the follov I am the property owner or authorized to act on I have read this application and the information I agree to comply with all applicable city and c9 I authorize representatives of this city or courtly of ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Owner or Authorized I DATE I BY as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Number Date this permit is is e I shall notAmpioy any person in any manner so as to become subject to the workers' compensatio laws of California, and agrer ensation prov' ' s of Section 37 0 of the Labor Code, I shall forthwith comply with those provisions. Date NG AGENCY a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address g to building construction. for inspection purposes. OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE TO NOTIFICATION IS NOTAPPLICABLE TO FOR OFFICE USE ONLY Ls �✓4�s