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Home My WebLink AboutX2019-2162 - Permitsi= City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2162 .. �; 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 6 2 PIOJ2Ct NO : 2111-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 05/1212021 ai,ax Combination Type- SFP ELEC MECH PLUM GRAD Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511212024 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 JARDEN NB Description: SFR - INT REM 960 SF, ADD 600 SF, CONV 60 SF GAR TO LIVABLE, DECK 439 SF Legal DeSC.: f N S F" L C T 0 1 Owner: OSTERBERG GARY Contractor: 0 C BUILDERS GROUP INC Architect: Address: 1 JARDEN Address: 600 W SANTA ANA BLVD #114A-499 Address: NEWPORT BEACH, CA 92657 SANTA ANA CA 92701 Phone: 949-633-6180 Phone: 714-417-7771 Phone: State Lic: Applicant: ALMENDAREZ OSCAR Con State Lic: 1052090 Engineer: VENTOCILLA JOSE Address: 24361 CONEJO #3 Lic Expire: 06/30/2021 Address: 24636 CRESTA CT LAGUNA HILLS, CA 92656 Bus Lic: BT30071659 LAGUNA HILLS CA 92653 Phone: 951-990-4834 Lic Exp Date: 04/30/2022 Phone: 949-910-0942 State Lic:C-047942 Code Edit : 2019 Worker's Compensation Insurance Designer: ALMENDAREZ OSCAR Type of Construction: V-B Carrier: STATE FUND Address: 24361 CONEJO #3 - Occupancy Group: R3/U Policy No: 9256608 LAGUNA HILLS, CA 92656 Added /New sq.ft. Bldg: 660 Expire: 06/28/2021 Phone: 951-990-4834 Added /New sq. ft. Garage: -60 No of Stories: 2 Building Setbacks Rear: 10 Special Conditions: LANDSLIDE AREA No of Units : 1 Front: 10 IRSD _ - Bldg Height: 0 Left: 5 Bldg Sprinklers: Y Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $210,000.00 Building Permit Fee: $3,094.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,395.63 Additional Fee : $66.00 Plan check Fee : $185.00 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 : $1,516.18 SJH Trans : $0.00 Demolition Fee Record Management: $74.00 Grading Permit Fee: $952.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $147.00 Grading PC Fee: $332.82 Public Works Department - General Service $219.00 CA Seismic Safety: $27.30 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check: $86.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $216.58 San Dist: $0.00 Building Green Fee : $9.00 anical 0/1: $123.76 NMUSD Fee: $1,214.40 $0.00 Plum ing W $278.46 $0.00 TOTAL FEE : $11 (27.13 Plan Check Fee: $2,438.06 Fee Due at Permit Issuance : $9,089.07 PROCESSED BY: PUBLIC WORKS APP VAL: 19 Y ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) 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 1e 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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). 7 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://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CON) tLACTOR'S DECLARATION hereby affirm under penal o e n at I a I censed under rovisiop Q� f r� commencingwith Section 7 of the Business and Prof s ' e, n1m keen�se is in full force no efEct. Lica,lee lass = V License No l� J W tI) ( Date Contractor Signature Ae/l Q k YORKERS' (.ONIFENSATION DECLARATION 77T�� ARNINd: FAILURE Tb 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES hereby affirm uneer p^.nalty of perjury one of the following declarations: and will n,&�ntain 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 e orman e of tLL work for which this permit is issued. Policy No. f he nd 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' compensatioi i3ura ` ,,��c,..,,a,r\\rirre�r and policy number are: ��r-_ i n �n u (9)O o�_�1hviX �t}1r1Q Policy Number ✓..)lY t/ Expiration Date ((/ I Phone # JI certify that, in the performance of the work for w ich 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 .hat, if I should become subject t th Ter cornDensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��(�� 3ignature of Applicant Date /U� DECLARATION REG DING CO STRUdTIVN L ING AGENCY hereby affirm under p nalty of perjury that there is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 ianlate ect. e� I agree to comply with all applicable city and coun or I nc laprperty ing to building construction.I authorize representatives of this city or county to t e a ti efor inspection purposes. 3ignature of Property Owner or Authorized AgE Print Property Owner's or Authorized Agent's Name � l�'1 W\ �` Da ACTION DATE BY DECLARATION OF COMPLIA WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND, RULE II PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF —41-21 DA-4`, OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO