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Home My WebLink AboutX2020-1401 - PermitsCOMB Permit: X2020-1401 2 0 4 0 1��IIIII Project No: 2409-2019 Issued Date :06/17/2020 Inspection Area : 3 rEHM11 EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED City of Newport Beach - Building Division a4 100 Civic Center Drive, Newport Beach, CA 92660 BY p6 18/2023 OR PERMIT WILL BE INVALID Monday - Friday 7:00 a.m. to 6:30 MLLor BENV Permit Counter Phone (949)644-3288 .1r Inspection Requests Phone (949)644-3255 ys Combination Type - SFP PLUM COMB Permit: X2020-1401 2 0 4 0 1��IIIII Project No: 2409-2019 Issued Date :06/17/2020 Inspection Area : 3 rEHM11 EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED Construction Hours: BY p6 18/2023 OR PERMIT WILL BE INVALID Monday - Friday 7:00 a.m. to 6:30 MLLor BENV Job Address: 1707 CANDLESTICK LN NB p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays ys Description: SFR *ADD'L SCOPE* 5 NEW SKYLIGHTS & GAS FIREPLACE IN THE MASTER BEDROOM Legal Desc.: N TR 3763 LOT 42 w Owner: NORMAN JAMES RAYMON Address: 1707 CANDLESTICK LN Contractor: FOREHAN CONSTRUCTION Architect: I A �1 S 11� ECT • �" e " NEWPORT BEACH, CA 92660 Address: 13982 SANDHURST PL° Address: ° • ° o • • ®`®° o Phone: SANTA ANA CA 92705 • ° • " Applicant: BUSHMAN WALT Phone: 714-602-7511Phone: State Lic: • • • • ° Address: SANTA ANA Con State Lic: 980958 Engineer: XIAO QIANG Lic Expire: 02/28/2021 e ° • • `• • • •"" COS 92 COSTA MESA CA 92627 Bus Lic: BT30059890 Address: 1520 BROOKHOLLOW DR #45 °. • m .. Phone: 949-274-0824 Lic Exp Date: 07/3112020 SANTA ANA CA 92705 ® • • • • C °" e Code Edit : 2016 Phone: 714.662-0510 State Lic:S-005289 Type of Construction: VB Worker's Compensation Insurance• Designer: .. . °COL ° • ° ° Occupancy Group: R3/U Carrier: BENCHMARK INS Address: ; ° • • ° Added /New sq.ft. Bldg: 0 P Policy No: C ... CI - -Added ° Add. ed /New sq. ft. Garage: 0 Expire: 03/01/2021GCC /01/20 1 Phone: ° . ° No of Stories: 2 Building Setbacks Rear: / ° ° Co No of Units : 1 Special Conditions: DELTA 4- REV20-0904 Front: / Bldg Height: 0 Bldg Sprinklers: Left: / Flood Zone: Right: / Use Zone: Parkin S aces: 0 Construction Valuation: S5 000.00 Fire Hazard Zone : N Building Permit Fee: $155.00 Plan Check Fee: $134.85 Excise Tax: $0.00 Planning Department - Overtime Plan Ck: $0.00 Additional Fee : $0.00 Plan check Fee: Fire Department Grading Bonds Fee: $0.00 $$0.50 Fire Inspection: $0.00 Investigation Fee: $0,00 Record Management : $6.00 Fair Share: Grading PC Consultant: $0.00 $0.00 Fire Plan Rev SJH Trans : $0.00 $0.00 Energy Compliance: $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 $0.00 CA Seismic Safety : $0.00 Public Works Department -General Service WQ Insp. Fee: $0.00 $0.00 Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Hazardous Mat $0.00 P/VII Plan Check: $0.00 Electrical %: Grading Bond: : $0.00 $0.00 Building Green Fee: $1.00 San Dist: $0.00 Mechanical /° $0.00 NMUSD Fee: $0.00 Plumbing %: $13.95 $0.00 $0.00 TOTAL FEE : $352.30 Plan Check Fee: $0.00 Fee Due at Permit Issuance $352.30 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:� GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION applicable item(s) I hereby affirm anenalt of Professions Code: Any city exempt from the or that requContractires a permit to const uct rs' State License Law ralterthe f improve,Idemol demolish, orndicated repairtany structure,(priior to its issuance also requires the applicant for (Section 7031.5, Business and the permit to file a signed statement that he or she is licensed pursuant t the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an 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 penally of not more than five hundred dollars ($500). provided that the ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 nesonal effort, builds or improves the property, p 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 im roved for the purpose of sale). I, as owner ofJUP. groperty. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no apply to an owne :r fpraperty who builds or improyes thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J ap7;exempt f�grYllicensue under the Contractors' State License Law for the following reason: 11A structure rtilat Pliave built lean owner -builder f i it Iy pers been constructed onal residence nin Ich I must have resided its entirety by licensed contracto s. I understand that a copy of the r at least one year rior to completion of sppl able law, Section 7044tof the Business andhis permit, I cannot legally nions Code,ls available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date tyre of Prsper yy Owner or Authorized Agent QISED CC '714 rCTOR'S DECLARATION ¢y affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDei 7 Qa Div' 3 of tCoBUSuref Bions.ray-licefis€is fr-full force act. Li4w9e ClassLicense No (�.ERS' COMPENSATION DECLARATIONO THE NO: FAILURE.TO SFGURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (5700,0001, IN ADDITION TFPCOMPENSA TION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tt affirm u. derpenalty of perjury one of the following declarations:have and WIII.wAintain a certificate of consent to self -insure for workes' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rmance of the work for which this permit is issued. PolicyNo.ave 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 nce carrier and policy number are: Expiration Date Policy Number ch, no 8 ne of Agent - certify that, in the performance of the work for whit ' ermit 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 agree I, if I should becom4eytKof ct to the workers` ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Dat 6%/ nature of Applicant CLARATION REGANSTRUCTION LENDING AGENCY ;reby affirm under p perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Lender's Address ender s Name ly my signature below, I certify to each of the following: authorized to act on the property owner's behalf. I am the property owner or the information I ha a provided is correct. I have read this application and I agree to comply with all applicable city and count ordinances and slate laws relatito wilding construction. I authorize representatives of this city or county to nter the abo r ied property for inspection purposes. or Authorized L ii nature of Property Owner or Authorized Agent Print PropertyOwners DEC TI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION DATE BY R U ONS T61 OF QMD RULE 140 I SU ED ASBESTOS NOTIFICATION TO PERMIT EXPIRED PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS N TIFICATI I TAPPLICABLE TO CERTIFICATE OFIZ nA� A v1 PR OSED DE LITIO OCCUPANCYISSUED S NATURE: