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Home My WebLink AboutX2021-0670 - PermitsctF�� City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII�Iu II COMB Permit: X2021-0670 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 7 0 Project No : 0612-2021 4 ,.. Permit Counter Phone (949)644-3288 Inspection Requests Phone(949)644-3255 `'ie rcw'a Combination Type - MFP ELEC MECH PLUM Issued Date : 09/22/2021 0 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/22/2024 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: 3520 DAFFODIL NB Description: MFR INTERIOR REMODEL (KITCHEN, LAUNDRY RM AND BATHROOM) 390 SF Legal Desc.: TR 11949 LOT 1 UNIT 21 OF PROJECT LOCATED ON AP 458-652-11 TOGETHER Owner: GRAASS JEFFREY Contractor: HOBSON HOMES Architect: Address: 3520 DAFFODIL AVE Address: 6462 ACACIA LN Address: - NEWPORT BEACH, CA 92625 YORBA LINDA CA 92886 ...... U. Phone: Phone: 714-225-6365 Phone: State Lic: Applicant: COBOS FERNANDO Con State Lic: ' 930528 Engineer: NIKJOO SHAHRAM ° Address: 4571 DELANCY OR Lic Expire: 10/31/2022 Address: 6011 E BRIGHTON LANE YORBA LINDA, CA 92886 Bus Lic: BT30045866 ANAHEIM CA 92807 UJ Phone: 714-932-3297 Lic Exp Date: 01/31/2022 Phone: 714-777-7200 State Lic:C-036U Code Edit : 2019 Workers Compensation Insurance Designer: o mm Type of Construction: V-B Carrier: INS. CO. OF THE WEST Address: 4) J Occupancy Group: R2IU Policy No: WSD605598801 o'm°am Added /New sq.ft. Bldg: 0 Expire: 06/14/2022 Phone: Added /New sq. ft. Garage: 0 Imo No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: I " Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $110,000.00 " Building Permit Fee: $1,297.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,196.39 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: $20.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00. PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $90.79 San Dist: $0.00 Building Green Fee : $5.00 Mechanical %: $51.88 NMUSD Fee: $0.00 $0.00 Plumbing %: $116.73 $0.00 TOTAL FEE : $2,829.79 Plan Check Fee : $1,174.64 Fee Due at Permit Issuance : $1,655.15 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: G" GRADING APPROVAL: APPROVAL TO ISSUE: 0 Q000•• 0 oomo• 0 mm°o• 0 om000 0 o • o°mo•• o oomo 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 applicable item(s) action 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 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 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 applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, a structure jMat1 %ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ifessions Code! is -available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Assure of Property Owner or Authorized Agent Date :EN$ED CUNTACTOR'S DECLARATION ^reUy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of 4visiop 3 of the Business and Professi Code, and my license is in full force f2}feGt. Licedlse�R.Iass License No Date t / Contractor Signaturrl )R4SERS' C(.fMPIiNSATION DECLARATION uAIRG: FAILUREJO Sg.JURE 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 MOF COMPENSATIpN,AAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I"; affirm uMar penalty of perjury one of the following declarations: ;[*Rove and )Will rrd�intaln 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 foqmnce offhework forwhich this pemrit is issued. Policy No. and wjll maiptain 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' compensatio ce carritPe1liPpolicy number are: Tier Policy Number Expiration Date of Agent 5 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 iat, if I should become /�ubj/�//t�/jo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant / '//� Da/JC )ECLARATION REGARD) G CONSTRUCTION LENDING AGENCY hereby affirm under penafty 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 ordin4jes and state laws relating to building construction. I authorize representatives of this city or county to grater ab I led property 'on purposes. ACTION DATE BY D CARATION OF COMPLIANCE WITH CODE OF FEDERAL EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EMENDED QMD PERMITFINAL CERTIFICATE OF _ �� I—+ SBESTOS NOTI IN IS NOT APPLICABLE TO PROPOSED DE I OCCUPANCY ISSUED SIGNATURE: or Authorized Agent's Name` OFFICE USE ONLY