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Home My WebLink AboutX2021-0787 - Permitsr City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 '2 Inspection Requests Phone (949)644-3255 vl sire Combination Type - SFP III IIIII� ILII 0�ul llul ll�I 0�III I��I 8� II7 II - 07� 1 COMB Permit: X2021-0787 Project No: 0727-2021 Issued Date : 04/05/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410512024 OR PERMIT WILL BE INV, 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: 1506 DOROTHY LN NB Description: SFR REMOVE/REPLACE FRENCH DOORS WINEW BEAM, DOORS & BI -FOLD Legal Desc.: N TR 1973 LOT 37 Owner: ONEIL TIMOTHYIRORY Address: 1506 DOROTHY LN Record Management : NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: DENMARK STEPHEN Address: 6500 AMBROSIA LN #1712 Hazardous Mat CARLSBAD CA 92011 Phone: 413-545-1969 Code Edit: 2019 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: N Valuation: Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,550.38 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HAWKER CONSTRUCTION Address: 1531 LOWER LAKE CT Designer: CARDIFF BY THE SEA, CA 92007 Phone: 714-743-7110 Con State Lie: 930312 Lie Expire: 0113112023 Bus Lie: ST30063937 Lie Exp Date: 07/31/2021 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSA505347801 Expire: 0112712022 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC. Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / Architect Address: Phone: State Lie: ` Engineer: FORBES DALE L Address: 1800 E 16TH ST #B Special Conditions Fire Hazard Zone : N $0.00 SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: DENMARK STEPHEN Address: 6500 AMBROSIA LN #1712 $0.00 CARLSBAD CA 92011 Phone: 413-575-1969 Special Conditions Fire Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee, $46.25 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans: $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PIW Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 - $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,550.38 " PYIB;UI`, WOI j" A,OrAOVAL: GY V Qui 9 4 4 i C fi 9 U 4 C G p} -AN -CHECK &Y: APPROVAL TO ISSUE: ac e 0 I Oq a o oee n n r o 0 C OIP O f. bG r4P gAfJ 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)I. 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 '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 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, lusiness 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 n roved for the purpose of sale). 1, 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 1 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 legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions qof Ch pier 9 (commencing with Section 7 of D' i ion 3 of the Business and Prof s ions e, a in icense is in full force nd effect. License Class R License No ! 36 51'2 Date Contractor Signatu 4Z IIORKERS' COMPENSATION DECLARATION iii 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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( erformance of the work for which this permit is issued. Policy No. have and willa fain workers' compensation insurance, a equired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier an p icy numbsro—re-) Date lame of Agent ems-- 3"� v r l To / Phone # ]I 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 agref rat, if I should become su ject t the workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiona. t1 ignature of Applicant 'ECLARATION REG CONSTRUCTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section- 097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 ntt he �aylh•�7�)/�d ratified property for inspection purposes. innahrre of Pmnerty Owner nr Authorized Aaent7 �W/N IN �I ,.,� Print Prooertv Owner's or Authorized Aaent's N ACTION DATE BY C.403 TIONS PART 61 OF RATION OF WIT E 40 AND QMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY " \ PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO •+• •• PERMITCANCELLED OEPA PERMITEXTENDED QMD • • • • • • ` ` PERMITFINAL CERTIFICATEOF ��-� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO /A///v PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: •+• • ••• •"