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Home My WebLink AboutX2019-2742 - Permits1°� City of Newport Beach - Building Division II�IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2742 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 4 2 as Project No: 1953-2019 r~ � rr Parmit Counter Phone (949)644-3288 z°i. - Inspection Requests Phone (949)644-3255 erg rf„„�° Combination Type - BLDG PLUM Issued Date : 09/10/2019 Inspection Area i 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 428 FERNLEAF AVE NB Description: DEMO SFR 1784 (3 BDRM) ' • • �® Legal Desc.: CORONA DEL MARR BLK 433 LOT 10 Owner: 428 FERNLEAF LLC Contractor: JFB PROPERTIES Address:. 428 FERNLEAF AVE Address: .23986 ALISO CREEK RD STE 112 CORONA DEL MAR CA 92625 $0.00 LAGUNA NIGUEL CA 92677 Phone: 888-463-2111 Phone: 888.463.2111 Applicant: 428 FERNLEAF LLC Con State Lic: 1045525 Address: Lic Expire: 10/3112020 Building Green Fee : Bus Lic: BT30064830 Phone: Lic Exp Date: 1 0131/2 01 9 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: Carrier: EXEMPT Occupancy Group: Policy No: no employees Added /New sq.ft. Bldg: 0 Expire: $0.00 Added /New sq. ft. Garage: 0 $0.00 NMUSD fee: No of Stories: 0 Building Setbacks Rear: 5' No of Units : 1 Front: 15' Bldg Height: 24 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: R-2 Parkina Snaces: 0 Construction Valuation: $5 Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL F(EE : $1,776.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect:°�•• ° ° •° m•mmco .Address: • m • mm•• ° • omm Phone: State Lic: ° • • ° Engineer: CRAFT PAUL DOMINICK opp..• •omm°° Address: 8512 OXLEY CIR HUNTINGTON BEACH CA 92648. os®m° ° Phone: 714-270-3311 State Lia • S-0085116 ...... Designer: NO G®NSTRUCT'`QN N 08E Address: m mmococ 0 0o m Phone: m o ° moomc mmmm Special Conditions: JD DEMO NO STREET TREES (,N THE WEEKEND - Excise Tax: $0.00 Planning Department Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share: General Service Grading PC Consultant: $0.00 SJH Trans : Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : .$0.00 P/W Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD fee: $0.00 Plumbing %: $9.27 Plan Check Fee $0.00 Fee Due PUBLIC WORKS APPROV I PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $1,776.27 Fire Department $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due PUBLIC WORKS APPROV I PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $1,776.27 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) lection 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). 1 1, 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, 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). 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 ppiy to an ownpl'ofpsoperty, who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). � mexempt frCmlicensure under the Contractors' State License Law for the following reason: ly my signature belowl 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 legalll ®11 a Structure Fhe4:46e 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, S tion 7044 of the Business and 'rdfessions Code,is available upon request when this application is submitted or at the following Web site:http://v�.leginfo.ca.gov/calaw.htmi. .leginfo.ca.gov/calaw.htmi. 'ignafure of Property Owner or Authorized Agent to ICEIASED OONTIaACTOR'S DECLARATION hefoby affirm under ISenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Di {sign of a Business and Profess' de, d se ism full force Mtl'ect. Licerl'sb'C�lass License No Dat ((/ContractorSignature V*tiRKERS' 66 APENSATION DECLARATION Iy1ZNI1 3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 'OST OF COMP%lf TION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. ;nore6y affirm underpenalty of perjury one of the following declarations: 9'r have arvMlll rpaintain 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 fi@'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' compensatiol lsurance carrier and policy number are: )arrier Policy Number Expiration Date Ese Agent Phone # e ify that, in the performa Ce of he ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'compensa ion laws of California, and ogre ' should become subjec to R w rkers' compensati ioovls ns of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. , iignatureof Applican DateU )ECLARATION REGRDIN O TION 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 3097, Civil Code). .ender's Name Lender's Address fy my signature below, I certify to each of the following: _ n r 1 am the property owner or authorized to act on the property o el shelf. I have read this application and the information I have rovid d s orrect. I agree to comply with all applicable city and county o ane d state la Ing to building construction. I authorize representatives of this city or county to en a he = etrtlfled property for inspection purposes. >ignature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Nam Da o ACTION DATEXPROPOSEDDENMJITI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY NS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED TED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDEDD PERMITFINAL S NO IFIC I NIS NOT APPLICABLE TO CERTIFICATE OFPNI DENM �ITI NOCCUPANCY ISSUED :