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a4 a'1 r1� 100 Cmc Center Drive, Newport Beach, CA 92650
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
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Project No : 2884-2021
Issued Date : 0311612022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/16/2025 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: 1615 LINCOLN LN NB
Description: SFR ADD 615 SF, REMODEL 2,270 SF
Legal Desc.: N TR 3702 LOT 1
Owner: KOSICH WALTER
Address: 1615 LINCOLN LN
NEWPORT BEACH CA 92660
Phone:
Applicant:
RUNYAN MICHELLE
Address:
962 N HARWOOD ST
ORANGE A 92867
Phone:
951-520-7601
Code Edit:
2019
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
615
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
11 Construction Valuation:
$292.300.00
Building Permit Fee: $3,774.00
Plan Check Fee: $2,933.23
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$48.00
Energy Compliance:
$204.61
CA Seismic Safety :
$38.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$12.00
TOTAL FEE: $11,229.99
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
�*wk
Contractor:
LEE B MARSTON CONSTRUCTION Architect:
Address:
713 115 LARKSPUR
Address:
NEWPORT BEACH, CA 92625
Phone:
949-233-3280
Phone:
State Lic:
Con State Lic: 481631
Engineer:
KHANSA EYASS
Lic Expire:
10/31/2023
Address:
2252 JOSIE AV
Bus Lic:
BT00009009
LONG BEACH CA 90815
Lic Exp Date:
1113012022
Phone:
State Lic:C-091758
Worker's Compensation Insurance
Designer:
SCOTT BRIAN
Carrier:
STATE COMP
Address:
962 N HARWOOD ST
Policy No:
9138444
ORANGE CA 92867
Expire:
07/26/2022
Phone:
Building Setbacks
Rear: 6'
Special Conditions: TIGHT QUARTERS TO
Front: 20'
HAUL DEBRIS
Left: 6'
Right:
Use Zone:
Spaces:
Parkin S aces:
0
Fire Hazard Zone : N
!�
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$208.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$27.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$265.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$564.00
PAN Plan Check :
$253.75
Grading Bond:
$0.00
Electrical %:
$264.18
San Dist:
$1,016.00
Mechanical W
$150.96
NMUSD Fee:
$1,131.60
$0.00
Plumbing %:
$339.66
$0.00
Plan Check Fee :
$11,229.99
Fee
Due at Permit Issuance :
$0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 reasons) indica ad 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, demo ish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any Violation of Sectio 17031.5 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 U all of or U portions of th 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 er iployees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of COMPIE lion, the Owner -Builder will have the burden of proving that it was not built or
improved 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
apply 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).
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
By 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,.
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I untlerstand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of !vision 3 of the Business and Profes ions de, d m license is in full force
and effect. License Class License No Date �- 1, Contractor Signatu�
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL"
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:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
Eor
mance of the work for which this permit is issued. Policy No.
eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
nce carrier and policy number are:
Policy Number
of Agent
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 370C of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s� as to become subject to the workers' compensation laws of California, and agre
, if I should become subject to the workers' _Cp�nsation provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions.
ignature of Applicant TRUv
ECLARATION REGARDING CON CTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
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 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ent�bove-i e�d property for inspection purposes.
lonature of Prooertv Owner or Authorized ADen Print Property Owner's or Aut
ACTION
PERMIT EXPIRED
PERMIT C4NCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATEI DECLARATION OF BY REGULATIONS PART O630F TITLE 40 AND AQMD RULE
MPLIANCE WITH CODE OF �L FOR OFFICE
713,
ASBESTOS
IS NCT APPLIEABLr TO
permit is issued (Section 3097, Civil Code).
ONLY