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Home My WebLink AboutX2020-1011 - Permitsw1n City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r+ Permit Counter Phone (949)644-3288 v ' Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM COMB Permit: X2020-1011 IIIIIIII�IIIIII�IIIIIIIII�IIIIIIIIIIIIIIIIIIIII II Project No: 0740-2020 Issued Date: 06104/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610512023 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: 3720 LILAC NB Description: MFR ALTERATION. KITCHEN, MBATH, LAUNDRY. NEW WINDOWS/DOORS. 710 SF Legal Desc.: TR 11949 LOT 3 UNIT 61 OF PROJECT LOCATED ON AP 458-652-11 TOGETHER don Owner: GOLDMAN JULIE Contractor: HOBSON'S J REMODELING Architect: Address: 3720 LILAC Address: 6462 ACACIA LN Address: �t CDM CA 92625 YORBA LINDA CA 92886 Phone: Phone: 714-225-6365 Phone: State Lic: Applicant: COBOS FERNANDO Con State Lic: 930528 Engineer: NIKJOO SHAHRAM Address: 4571 DELANCY DR Lic Expire: 1013112020 Address: 6011 E BRIGHTON LANE YORBA LINDA CA 92886 Bus Lia BT30045866 ANAHEIM CA 92807 Phone: 714-932-3397 Lic Exp Date: 01/31/2021 Phone: 714-777-7200 State Lic:C-036969 Code Edit: 2019 Worker's Compensation Insurance Designer: COBOS FERNANDO " Type of Construction: V -B Carrier: EVEREST Address: 4571 DELANCY DR Occupancy Group: R2 Policy No: 7600017748181 YORBA LINDA CA 92886 Added /New.sq.ft. Bldg: 0 Expire: 06/14/2020 Phone: 714.932-3397 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 4 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $100.000.00 Building Permit Fee: $1,113.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $968.31 Additional Fee : $0.00 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: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $70.00 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 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $77.91 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $44.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $100.17 $0.00 TOTAL FEE : $2,449.16 Plan Check. Fee : m 19,648131 • • � • Fee Due at Permit Issuance : $1,480.85 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAIVOI E'�CKBY: - GRADING APPROVAL: �.° sAAPRSVALTO ISSUE: cc�w n� •ca n • oma 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 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 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 improved 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 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 licensure 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 legaly sell a 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. 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 700 of Di ision 3 of the Business and Prof ons de, an my license is in full force and effect. License Class License No Date Contractor Signature i WORKERS' COMPENSATION DECLARATION 1 11 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D3 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the peaformance of the work for which this permit is issued. Policy No. have and wil aintain 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 surance carrierolicy number e: 'arrier 'e ber Expiration Date flame of Agent C Phone It �I certify that, in the p=1ury ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should becomer ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % % Signature of Applicant Dat _ 62L 4C) )ECLARATION REGACTION LENDING AGENCY hereby affirm under pt there is a construction lending agency for the performance of the work for which this permit is issued (Section 309-41111 Civil Code). -ender's Name Lender's Address 3y 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 count t ante a above -identified property for inspection purposes. 3ignature of Property Owner or Authorized A ent Print PropertOwner's or Authorized Agent's Name 12 Da a Z 0 ACTION DATE BY DE TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMITrEDASBESTOSVOTIFlCUTION • • • • .•• PERMITCANCELLED EPA • + • • • •ei i PERMIT EXTENDED qMD ` • • + PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PR POSED DEMOLITION 'y ••+ +u OCCUPANCY ISSUED SIGNATURE: + i C • ` • +