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Home My WebLink AboutX2020-2978 - PermitsCity of Newport Beach - Building Division *X20202978* COMB Permit: X2020-2978 100 Civic Center Drive, Newport Beach, CA 92660 - Project No :0980-2015 E» � Permit Counter Phone (949)644-3288 R ' �' Inspection Requests Phone (949)644-3255 �® ' w ,y Combination Type - SFP ELEC MECH PLUM 1.�c - Issued Date :12/2212020 0 Inspection Area: 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212312023 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: 4721 CORTLAND DR N13 • • m m m Description: SFR ADD 705 SF I INT ALTERATION & DELTA 2, ADD 33 SF (FAMILY RM) *RENEW EXPIRED PERMIT X2017-2402* • o m Legal Desc.: TR 3519 LOT 4 ALL -EX SWLY 1 FT- i ° • • • m° e m ° ° ° Owner: PSG CAPITAL PARTNERS INC Contractor: OWNERIBLDR Architect: • • • ° Address: 4721 CORTLAND DR - Address: AUTH AGENT: Address: •• • ° ° CORONA DEL MAR, CA 92625 KURT KELLER o ° m e ° e • o ° o Phone: Phone: 951-397-6810 Phone: State Lie: • , •• Applicant: PSG CAPITAL PARTNERS INC Con State Lie: OIB Engineer: oomoeo ® emo°o ° Address: 4721 CORTLAND DR Lie Expire: Address: • e m o ° o CORONA DEL MAR CA 92625 Bus Lie: oo • .::coo m m Phone: 949-395-7070 Lie Exp Date: Phone: State Lie: • • • m ® ° Code Edit: 2013 Worker's Compensation Insurance Designer: 20LFAGHARI LADAN •oom ...... mm0000 ° ... Type of Construction: V -B Carrier: Address: 82 HAVENWOOD •°°•m Occupancy Group: R3/U Policy No: IRVINE CA 92614 Added /New sq.ft. Bldg: 705 Expire: Phone: 949-870-5684 Added /New sq. ft. Garage: 443 No of Stories: 1 Building Setbacks Rear: 6 Special Conditions: COASTAL EXEMPT >300' No of Units : 1 Front: 35 OWNERIBLDR WI Bldg Height: 29 Left: 6 X20220-2366 Bldg Sprinklers: Right: 6 Flood Zone: X Use Zone: R-14000 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $701.50 Plan check Fee : $0.00 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: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $701.50 Plan Check Fee : $701.50 Fee Due at Permit Issuance : $0.00 PROCESSED BY: - PUBLIC WORKS APPROVAL: 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the 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 employees' 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 completion, the Owner -Builder will have the burden of proving that it was not built or roved for trig Qfh`pDse of sale). $s ownerpf theproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply n ovfhr( Bf 1�operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I�-!t I�jrl exempt from licensure under the Contractors' StatLt nse Law forjhe following reason: By"signature belgvl( I acknowledge that, except for my l reside e€ in which I must have resided for at least one year prior to completion of the improvements covare by this permit, i cannot legall7 %ell s.structurat6lpl have built as an owner -builder if it haen structed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio044ofthe Business and PrtSffpSSions Cod€, is available upon request wh t s app submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Si nature of Pjdp� jty Dwner or Authorized Agent Data �` f LI 'NSED CONTRACTOR'S DECLARATI Merely affirm under penalty of perjury that I am i' ens nd r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and y license is in full force MhjiVIct. License"ass License No Date Contractor Signature WORKERS' LOiNPENSATION DECLARATION ... WARNING: FAILURErt06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), CQEPOF COMPEMgJ121k, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the 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' compensatio insurance carrier and policy number are: Tier Policy Number Expiration Date T e of Agent I K Phone # certify that, in the performance of rk for ' h this permit is issued, I shall not employ any person in any manner so as to become subject to the work s' compensation laws of California, and agre, I, if I should bec m subject to t e r ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica D- CLARATION RE A G CONS T N LENDING AGENCY Ireby affirm unde penalty of perjury t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I he I agree to comply with all applicable city ando my I authorize representatives of this city or cou Itwo " o e signature of Property Owner or Authorized Agei ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED ERM -FINAL CERTIFICATE OF OCCUPANCYISSUED owners behalf. led is correct. ,as and sta s relating to building construction. 9b - entified property for inspection purposes. Print Property Owner's or Authorized Ag V_ON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY ONS PART 61 OF TITLE 40 AND AQMD RULE APPLICABLE TO kutLr Date r