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Home My WebLink AboutX2021-1336 - Permits�10 City of Newport Beach - Building Division L.�*L 100 Civic Center Drive, Newport Beach, CA 92660 n; Permit Counter Phone (949)644-3288 s3. . Inspection Requests Phone (949)644-3255 `=aizvxak"�`' Combination Type - MFP GRAD ELEC PLUM IIIIIIIIIIII�IIIIIIIIIIIII�IIIIII�II II COMB Permit: X2021-1336 x 2 0 2 1 1 3 3 6 Project No : 1174-2021 Issued Date: 0810412021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810412024 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: 358 VISTA MADERA NB Description: MFR KITCHEN 8 BATH (3) REMODEL 390 SF Legal Desc.: N TR 7083 LOT 2 Owner: ROBIN DAASI Contractor: HOBSON HOMES Architect: Address: 358 VISTA MADERA Address: 6462 ACACIA LN Address: NEWPORT BEACH, CA 92660 YORBA LINDA CA 92886 Phone: Phone: 714-225-6365 Phone: State Lie: - M Applicant: COEDS FERNANDO Con State Lie: 930528 Engineer: NIKJ00 SHAHRAM Address: 4571 DELANCY DR Lie Expire: 10/31/2022 Address: 6011 E BRIGHTON LANE . YORBA LINDA CA92886 Bus Lie: BT30045866 ANAHEIM CA 92807 -,-.j Phone: 714-932-3397 Lie Exp Date: 01/31/2022 Phone: 714-777-7200 State Lic:C-036969 Code Edit : 2019 Worker's Compensation Insurance Designer:" Type of Construction: VB Carrier: INS. CO. OF THE WEST Address: rr�i Occupancy Group: R21U Policy No: WSD505598801 Added /New sq.ft. Bldg: 0 Expire: 0611412022 Phone: Added /New sq. ft. Garage: 0 - No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $40,000.00 Building Permit Fee: $679.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $590.73 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Sham, $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $47.53 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $61.11 $0.00 TOTAL FEE : $1,444.37 Plan Check Fee : <'$63E.63 4 � m r Fee Due at Permit Issuance: $807.39 9 a: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: °P,LAN'Km-tK fm W IPPROV�L10.1%SUE: 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 tot 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). ❑ I, 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 legall) 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:L/www.leginfo.ca.gov/calaw.html. 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 . 0 ) ' isn 3 of the Business and Prof ions ,, d my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under 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 Trance of the work for which this permit is issued. Policy No. havei'rA�vIII 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' rance a� rnet and Dolic .nu ber are: A Number Of Date v :ertify that, in the performan f the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre if I should become suWe9Q t e worJsers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ ^ B IECLARATION REGA I STRUCTION LENDING AGENCY hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ender's Name Lender's Address ly 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 ordinance/ d state laws relating to building construction. I authorize representatives of this city or count enter the rib e-identified property for inspection purposes. iionature of Property Owner or Authorized Agent 9A 111 ��— _Print Property Owner's or Authorized Agent's Name/\ ACTION DATE BY DECLAiipbN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 ANDAQMD RULE 1403 \ • • PERMIT EXPIRED UisumTr S r10TIFIEATfOM'0O PERMITCANCELLED EPA • ° ° • • • ° PERMIT EXTENDED MD PERMITFINAL ASBESTOS N(JTIFICAT IS NO PLICABLE TO CERTIFICATE OF J ROPOSED DE TIO OCCUPANCYISSUED SIGNATURE: ° • ' " • • a o 0 en r• a o 00o non Civil Code). [-,