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Home My WebLink AboutX2021-2590 - PermitsCity of Newport Beach - Building Division IIIIIIIIII�IIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2590 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 5 9 04 t - p Project No : 0581-2021 �. n; ', Permit Counter Phone (949)644-3288 u. �+ Inspection Requests Phone (949)644-3255 ``'+z4rr, a+'' Combination Type - SFP ELEC PLUM MECH Issued Date : 09/28/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/28/2024 OR PERMIT WILL BE INVALID 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: 1 GENEVE NB Description: SFR ADDL SCOPE OF WORK POWDER ROOM @ GAMEROOM 25 SF Legal Desc.: N TR 9862 LOT 10 Owner: BOOTH MICHEAL Contractor: HOBSON HOMES Architect: Address: 1 GENEVE Address: 6462 ACACIA LN Address: NEWPORT BEACH, CA 92660 YORBA LINDA CA 92886 Phone: Phone: 714-225-6365 ...... Phone: State Lic: Z ° ° ° ° Applicant: CHERSON ERIN Con State Lic: 930528 Engineer: CHOI DAVID `•� ° Address: 606 CENTRAL AVE Lic Expire: 10131/2022 Address: 1327 LOMA AVE SEAL BEACH CA 90740 Bus Lic: BT30045866 LONG BEACH CA 90804 rT9 Phone: 562-596-0495 Lic Exp Date: 01/31/2022 Phone: 562-961-5600 State LIA-004784 Code Edit, 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: INS. CO. OF THE WEST Address: Occupancy Group: R3/U Policy No: WSD505598801 Added /New sq.ft. Bidg: 0 Expire: 06/1412022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / ° Bldg Height: 0 Left: / Bldg Sprinklers: _ Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $52.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $11.27 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $6.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $14.49 $0.00 TOTAL FEE: $437.02 Plan Check Fee: $242.82 Fee Due at Permit Issuance : $194.20 PROCESSED BY: f PUBLIC WORKS APPROVAL: ZONING APPROVAL: �.%� v PLAN CHECK BY: ✓ V GRADING APPROVAL: 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 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 applicant for he 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 'rofessions 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 lot more than five hundred dollars ($500). I, 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, 3usiness 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 mprovements 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 mproved 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 Ipply 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 Iicensure 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 legall, ;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 Irofessions Co*-, iaavailable upon request when this application is submitted or at the following Web site:http://www. leg info.ca.gov/calaw, html. signature of P%pesty owner or Authorized Agent Date •ICFdiiSED CQDITP•ACTOR'S DECLARATION here* affirrr%Vg60enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70,00) of Divisjon 3 of the Business and Profession ode, and my license is in full force % effect. License Class License No Date Contractor Signature) NORKERS' CpMe�NSATION DECLARATION ?Aj204 FAILU%TOSEDURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE :O�j QKOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. bv"y affirm un0eer'penalty of perjury one of the following declarations: 3hMave and wjjl maintain a certificate of consent to self -insure for workers' compensation, issued by the *Asfs nce of the work for which this permit is issued. Policy No. 4raa0e and Qvyl,rl`aijtain workers' compensation insurance, as required by Section 3700 of the Labor Code, n a carri%and policy number are: ;2TrTEt '•'••' Policy Number of Agent Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date ]I certify that, in the performance 9f 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 iat, if I should become subjec/Y��o a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant 11 � Date��/J?�/2-� IECLARATION REGARDIN NSTRUCTION LENDING AGENCY 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 iy 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 he ab-identifi auUspection purposes. 1��(� , 1� 2 8nnnfure of Prnnerty Owner or Authorized Anent / / Pri t. rooertv Owner's or Authorized Agent's Name 1 l Jv� Date Y ACTION I DATE I BY PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL I�OR OFFICE USE ONLY PART 61 OF TITLE 40 AND A( RU E I SUBMITTED ASBESTOS NOTIFICATION TO NOT APPLICABLE