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Home My WebLink AboutX2019-4077 - PermitsQitioNprNB�ahBi y lding Division2940771111Jill 0 Center Drive, , CA 92660 % Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM COMB Permit: X2019-4077 Project No : 2808-2019 Issued Date : 10/19/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012012023 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: 2309 SANTIAGO DR NB Description: NEW SFRWIATT GARAGE 6,460/743 SF, MECH. ROOM 64 SF LegaiDeso.: P BK 108 PG 43 PAR 2 Z Owner: TENORE PATRICK Contractor: OWNERIBILDIR Architect: SMITH DAVID B W Address: 2406 TUSTIN AV Address: TENORE PATRICK Address: 324 LOMA TERRACE COSTA MESA CA 92627 LAGUNA BEACH CA 92661 Phone: 949-903-1426 Phone: Phone: 949-433-6020 State Lic:C018181 Applicant: SMITH DAVID B Con State Lie: O/B Engineer: TUCHSCHER JAMES TODD Address: 324 LOMA TER Lie Expire: Address: 6318 E. 2ND ST STE 539 LAGUNA BEACH CA 92661 Bus Lie: BELMONT SHORE CA 90803 Phone: 949-433-6020 Lie Exp Date: Phone: 310-613-9980 State Lic:C-077649 0 Code Edit: 2016 Worker's Compensation Insurance Designer: :XJ ".type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 6460 Expire: Phone: Added /New sq. ft. Garage: 743 No of Stories: I Building Setbacks Rear: 10 Special Conditions: No of Units: I Front: 16 Bldg Height: 0 Left: 10 Bldg Sprinklers: Y Right: 10 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone N Construction Valuation: $1,047,360.00 Building Permit Fee: $6,710.00 Excise Tax: $11,317.12 Planning Department - Fire Department Plan Check Fee: $6',022.50 Additional Fee $0.00 Plan check Fee $462.60 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 $1,899.94 SJH Trans $0.00 Demolition Fee Record Management: $106.00 Grading Permit Fee: $3,296.00 In -lieu Housing Fee $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $417.06 Public Works Department - General Service $0.00 CA Seismic Safety: $136.16 WQ Insp. Fee: $120.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $860.00 Grading Bond: $om Hazardous Mat $0.00 Electrical %: $469.70 San Dist: $994.00 Building Green Fee $42.00 Mechanical %: $268.40 NMUSD Fee: $16.66 $0.00 Plumbing W $603.90 $0.00 TOTAL FEE: $23,544.84 PROCESSED BY: _ZONING APPROVAL: -nROVAL: Plan Check Fee : $6,451.00 Fee Due at Permit Issuance 0 0 0 o 0 0 IALLVICOOGRIKS'-)A PPROVAL: 00 0 0 0 0 0 0 0 0 0 0 PLAN CHECK BY: U 0 Q ARPROVIii- TO ISSUE: 0 Q 0 0 0 0 0 0 3 0 0 O O 0 0 0 0 0 $17,093.84 OWNER -BUILDER DECLARATION 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) !-have placed next to the applicable items) (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, will do (_) all of or (_) 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 it 5 'b ents 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 / Trove for the purpose of sale). / r'm1y 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 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 exempt fromlicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my persopk residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not n constru ted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu iness nd Professions Code, is available upon request whe thi applica I s submit d or t the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am tensed under provisions Of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. - I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 performance Of the work for which this permit is issued. Policy No. ❑I have 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 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 tha , if I should becomes bject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature ofApplicanf Da C DECLARATION REG R NG CO TRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 coun orf�ina. ces and state laws relating to building construction. C� I authorize representatives of this city or coun � enter he above -identified property for inspection purposes. P A (k N 0 /�0 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY IF DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403UOU 00 PERMIT EXPIRED I SUBMITTED ASBESTOO S NOTIFICOATION TO 0 0 `J' PERMIT CANCELLED CIEPA 0 0 0 0 0 0 J Jj J PERMIT EXTENDED IEIAQMD J J O J J J J PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION 0 u o 0 0 0 J o J OCCUPANCYISSUED SIGNATURE: J J ) J J J J