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Home My WebLink AboutX2017-0655 - Permitsa wLa, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 0 6 5 5 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM COMB Permit: X2017-0655 Project No : 0532-2016 Issued Date : 03/14/2017 Inspection Area : 4 Applicant: CHERSON ERIN JUSTINE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.:; 606 CENTRAL AVE INSTALL OR VERIFY SMOKEICARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 1973 PORT PROVENCE PL NB s' Description: SFR DELTA 3, ADD 226 SF (BEDROOM) t Legal Desc.: N TR 6624 LOT 53 Plan check Fee Owner: LANDS END TRUST Contractor: RJ TANNER CONSTRUCTION Architect: CHERSON ERIN JUSTINE Address: 1973 PORT PROVENCE PL Address: 893 OAK STREET Address: 606 CENTRAL AVE $0.00 NEWPORT BEACH CA 92660 COSTA MESA CA 92627 SEAL BEACH CA 90740 Phone: 415-309-5109 Phone: 949-235-4856 Phone: 562-596-0495 State Lic:C032745 Applicant: CHERSON ERIN JUSTINE Address: 606 CENTRAL AVE Bus Lic: SEAL BEACH CA 90740 Phone: 562-596-0495 Code Edit : 2016 .. Type of Construction: V -B -SPR Occupancy Group: R3/U Added /NewfrI sq.ft. Bldg: 226 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Con State Lie: 744104 Lie Expire: 12/31/2017 Bus Lic: BT98043220 Lie Exp Date: 06/30/2017 Worker's Compensation Insurance Carrier: CALIF INS COMPANY Policy No: 4688992401 Expire: 06/01/2017 Building Setbacks Rear: / Front: / Left: / Right: / Engineer: FORBES DALE L Address: 1800 E 16TH ST #B $0.00 SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Planning Department - Address: $569.00 Phone Special Conditions: Fire Hazard Zone : N Construction Valuation: $78.000.00 $150.00 Fire Inspection: $0.00 Building Permit Fee: $736.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $569.00 Additional Fee: $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : Record Management: $26.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $10.14 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $38.00 Hazardous Mat $0.00 Electrical %: $51.52 San Dist: $740.00 Building Green Fee : $4.00 Mechanical W $29.44 NMUSD Fee: $415.84 Plumbing %: $66.24 TOTAL FEE : $2,892.18 PROCESSED BY: ZONING APPROVAL: O Fire Department $150.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm aeee „ General Service +e Refund Deposit Grading Bond: O $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $719.00 Fee Due at Permit Issuance : $2,173.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: se • e +oa•�o a aeee „ ooao• • +e +eoaa oo°moo e0000 O ° • o 9 O •om a omotoo m O m •o D •oa• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $719.00 Fee Due at Permit Issuance : $2,173.18 PUBLIC WORKS 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(4,) )ction 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 regUires the applicant for 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 )fessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved for t7e pLwpose of sale). I, as own$69ftke property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )Ily -to an oVner 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 em exerbpefcom licensure under the Contractors' State License Law for the following reason: ray 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 Iegall) .j 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 .f fissions Cp1s,.is'available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html. nature of Propertybwner or Authorized Agent Date TENSED COMJRACTOR'S DECLARATION )ielby affirm untle0enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7C ) f ivisio 3 of the..Business and Profes d nd my license is in full force 'effect. License Class License No Date ontractor Signature )M4ERS' 9J)J4PtNSATION DECLARATION NUN& FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE IT.OFCOMPEN,SATKINy DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm gwltr penalty of perjury one of the following declarations: 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 5rmance of the work for which this permit is issued. Policy No. 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' compensa ;pnce carrier and policy number are: is of Agent certify that, in the pi if I should become Iature of Aoolicant Policy Number Date work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and rk ' com ensation provisions R -3200 -of -the Labor Code, I shall forthwith comply with those provisions. rnro � / �Nli.�n�l STA L hereby affirm under kenalty orperjGry'llipfthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 ow s behalf. I have read this application and the information I have prow s correct. I agree to comply with all applicable city and cou ty or ' s state laws relating to building construction. _... I authorize representatives of this city or county o en o entified property for inspecti rpaseS�—� /��J, �.,��%ry/ ionature of PfoDertv Owner or Authorized ADent � � Print Prooertv Owner's or Authorized Acent's Name to t�C�6(ft / 4 vU ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY RF ULATIONS PA T610 TIITLE 40 AND AQMD RULERAL I SUBMITTED ASBESTOS NOTI FICATION TO [Q AS PR 1 SIGNP IS NOTAPPLICABLE TO FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.