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Home My WebLink AboutX2019-1517 - Permitsew1 City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1517 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 1 7 Project No : 1080-2019 t~ " Permit Counter Phone (949)644-3288 ci Inspection Requests Phone (949)644-3255 xa' Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 08114/2019 Inspection Area : 4 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: 915 TILLER WAY NB Description: SFR ADD 386 SF & REMODEL 2,000 & GARAGE ADD 38 SF WIYARD DRAINAGE Legal Desc.: N TR 6228 LOT 89 Owner: BEARD LESLIE & JAY Contractor: HOBSON'S J REMODELING Architect: CHERSON ERIN JUSTINE Address: 915 TILLER WAY Address: 6462 ACACIA LN Address: 606 CENTRAL AVE - Planning Department - CORONA DEL MAR, CA 92625 YORBA LINDA CA 92886 SEAL BEACH CA 90740 $294.00 Phone: 714-529-9495 Phone: 714-225-6365 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Phone: 562-596-0495 State Lic:C032745 Demolition Fee Record Management: $72.00 Grading Permit Fee: $312.00 In -lieu Housing Fee: $0.00 Building Dept Adm. �rZ�`%%^^�� Applicant: CHERSON ERIN Con State Lic: 930528 Engineer: CHOI.DAVID CD Address: 606 CENTRAL AVE Lie Expire: 10/31/2020 Address: 1327 LOMA AVE Park Dedication : $0.00 SEAL BEACH, CA 90740 Bus Lie: BT30045866 $0.00 LONG BEACH CA 90804 Phone:. 562-596-0495 Lie Exp Date: 01/3112020 Phone: 562-961.5600 .State Lic:S-004784 Electrical %: $206.57 San Dist: $0.00 Building Green Fee : $11.00 Code Edit: 2016 Worker's Compensation Insurance Designer: $0.00 Type of Construction: V -B Carrier: EVEREST Address: Occupancy Group: R3/U Policy No: 7600017748181 Plan Check Fue : F3,021 12 Fee Due at Permit Issuance : $5,396.74 Added /New sq.ft. Bldg: 386 Expire: 06/14/2020 Phone: Added /New sq. ft. Garage: 38 PROCESSED BY: ` PUBLIC WORKS APPROVAL: No of Stories: 1 Building Setbacks Rear: 6 Special Conditions: No of Units : 1 Front: 10 ZONING APPROVAL: Bldg Height: 29 " PLAN CHECK BY: Left: 6 GRADING APPROVAL: Bldg Sprinklers: N o Right: 6 Construction Valuation: $258.000.00 Building Permit Fee: $2,951.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,386.52 Additional Fee : $294.00 Plan check Fee : $160.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $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: $72.00 Grading Permit Fee: $312.00 In -lieu Housing Fee: $0.00 Building Dept Adm. $24.00 Energy Compliance: $180.60 Grading PC Feer $312.00 Public Works Department - General Service $197.00 CA Seismic Safety: $33.54 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check: $330.00 Grading Bond: $0.00 Hazardous Mac $0.00 Electrical %: $206.57 San Dist: $0.00 Building Green Fee : $11.00 Mechanical %: $118.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $265.59 $0.00 TOTAL FEE: $6,417.86 _,... Plan Check Fue : F3,021 12 Fee Due at Permit Issuance : $5,396.74 PROCESSED BY: ` PUBLIC WORKS APPROVAL: ZONING APPROVAL: o " PLAN CHECK BY: GRADING APPROVAL: o ;. :APPROVAL TO ISSUE: eon cu o� 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 applica0e iterA(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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation,W111 do L) all of or L) 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: 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 legalll 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.gov/calaw.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 Section00 isi n 3 of the Business and P o ssio Code sand my license is in full force and effect. License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: 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. hereby affirm under penalty of perjury one of the following declarations: :11 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 th iermance of the work for which this permit is issued. Policy No. ave 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 ftd policy numbeXW0% ie of Agent — ' � — " certify that, in the pert99rmance''ofthe work for if I should becom�sibject to, w wocicars-60 Iature of Applicant Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. al/I 9 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 ly 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 ordin rices and state laws relating to building construction. I authorize representatives of this city or county ty/ant e a eidentified property for inspection purposes. a j :innafure of Prnnerfv Owner or Authorized Aaent V Print Pronertv Owner's or Authorized Agent's Nam ®Lkm� ACTION DATE BY DEM ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED Ul SUBMITTED ASBESTOS NOTIFICATION iQ • •:• •'• ••• ••e PERMITC4NCELLED EPA i a • • ;• • ••• s PERMIT EXTENDED E1AQMD _ PERMITFINAL_ lI lg 5 ESTOS NOT I TIO N.I OTAPPLICABLE TO CERTIFIC4TEOF p 05 DE!>Q01 •• ••e OCCUPANCY ISSUED 51GNATU . : e • • • • • • � •