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Home My WebLink AboutX2013-0888 - Permits (3)City of Newport Beach Building Division COMB Permit No: X2013-0888 N PROJECT NUMBER: 0725-2013 it PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Combination Type - SFP/ / / / Job Address: 409 COLUMBUS CIR NB Description:SFR - ADD DECK 356 SF Inspector Area: 6 Owner: MCPHERSON SCOTT Address: 409 COLUMBUS CIR CORONA DEL MAR, CA 92625 Phone: Applicant: SMITH BRADFORD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949-631-3682 Code Edit: 2010 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $30,000.00 Building Permit Fee: $491.75 Plan Check Fee: $354.06 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $32.00 Energy Compliance: $0.00 CA Seismic Safety: $3.00 Disabled Access: $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $0.00 Building Green Fee: $2.00 TOTAL FEE: $914.06 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Legal Desc.: N TR 1237 LOT 63 Contractor: CAMMACK'S CONSTRUCTION Address: 34291 VIA LOPEZ CAPISTRANO BEACH CA 92624 Phone: 949.412-9445 Con State Lic: 796006 Lic Expire: 01/3112014 Bus Lic: BT30043304 Lic Exp Date: 05/3112014 Worker's Compensation Insurance Carrier. STATE FUND Policy No: 903112912 Expire: 10/11/2013 Building Setbacks Rear: I Front: / Left: / Right: / Use Zone: Parking Spaces: 0 Solar System PC : $0.00 Excise Tax: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Date : 05/1312013 IN-SPECTOR Architect: SMITH BRADFORD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949-631-3682 State Lic:C014146 Engineer: Address: Phone: State Lic: Designer: Address: , Phone: Special Conditions: " Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 I: Fire Department $31.25 Fire Inspection. $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 Plan Check Fee: $385.31 Fee Due at Permit Issuance : $528.75 PUBLIC WORKS APPROVAL: JILT PLAN CHECK BY: "LSD APPROVAL TO ISSUE: - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 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 (a) 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 ie 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 Irofessions 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 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, iusiness 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 nprovements 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 nproved 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 pply 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: ly 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usiness and Professions Code, and my license is in full force nd effect. ii icense Class License No � �` 63 `k73 Contract r ignature 117RMERS' COMPENSATION DECLARATION 'ARNINU: FAILU.E T3 SE:URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H D ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST 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: 1 nave and A,II m3intain 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 9trio.�mance of the work for which this permit is issued. Policy No. and: wiii 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' carrier and policy number are: Policy Number Expiration Date Ageht I cr rtify thst, in the performance of the work forwhich 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 lat, if I shou'd become subjec to the workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r ignature of Appiic/' / i ate V t3 DECLARATION l+<EGARDING CO RUCTION LENDIN hereby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3197 , Civil Code). Ender's Name Lender's Address y my signature below, I certify toUthe of the following: I am the property owner or autd to act on the property owners behalf. I have read this application annformation I have provided is correct.I agree to comply with all applcity and county 99(dinances and state laws a to building construction. I authorize representatives of this city or G6unty terthe a ve-identified por inspection purposes. A / ignature of Property Owner or Authorized ent /—��R �,�ff•N�(�,��110ddd""' Print Property Owner's or Authorized Agent's N QIN l.^r^(n "-C k D e S_,� ACT70N DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF 7171-E40 AND AQM1I1) RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOHFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ASBESTOS NORFICATIONIS NOT LI E TO OPOS 0DEMOLITION. PERMIT FINAL I _I�- y CERTIFICATE OF DCCUPANCYFSSUED SIGNAT E: