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X2019-3172 - Permits
ro 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 ".E;�c• Combination Type - SFP ELEC MECH PLUM IIIIIIIII�I0IIIIIQIIIIIIIIIIIIIIIIIIIIII�III111 II COMB Permit: X2019-3172 Project No: 2196-2019 Issued Date: 01127/2020 Inspection Area : 4 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: 1306 SANDCASTLE DR NB Description: SFR - ADD 188 SFIREMODEL 2000 SF Legal Desc.: N TR 6634 LOT 14 Owner: LEE RAYMOND & SHANNON Address: 1306 SANDCASTLE DR CORONA DEL MAR, CA 92625 Phone: 949-230-7377 Phone: Applicant: CHERSON ERIN JUSTINE Address: 606 CENTRAL AVE SEAL BEACH CA 90740 Phone: 562596-0495 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 188 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $2,312.00 Plan Check Fee: $1,936.36 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $94.00 Energy Compliance: $168.00 CA Seismic Safety: $31.20 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $10.00 TOTAL FEE: $6,247.71 PROCESSED BY: ZONING APPROVAL: Contractor: HOBSON'S J REMODELING Address: 6462 ACACIA LN YORBA LINDA CA 92886 Phone: 714-225-6365 562-596-0495 State Lic:C032745 Con State Lic: 930528 Lic Expire: 10/31/2020 Bus Lic: BT30045866 Lic Exp Date: 01/31/2020 Worker's Compensation Insurance Carrier: EVEREST Policy No: 7600017748181 Expire: 06/14/2020 Building Setbacks Use Zone: Excise Tax: Additional Fee, Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 15 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $161.84 $92.48 $208.08 Plan Check Fee Architect: CHERSON ERIN JUSTINE Address: 606 CENTRAL AVE SEAL BEACH CA 90740 Engineer: CHOI DAVID •®•®• •0000 Address: 1327 LOMA AVE ° LONG BEACH CA 90804 uo•000 occoeo • o 0 Phone: 562-9615600 State Lic:S-004784 Designer: Address: •g•• ° 00 0 Phone: ,� W r 4 ° 1 7°oo�oo Special Conditions: FRANCHISED flAdLeR!'`E L^- ° ` ©o o-oo°eav Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $288.75 San Dist: $0.00 NMUSD Fee: $0.00 Zone : N Fire Department $160.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $2,264.36 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: woz "•• W�a • o 0 • oaoo $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $3,983.35 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 Agm(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 U 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 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). ❑ I 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 legal) 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:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION it hereby affirm upQefyenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Profe ions ,and my license is in full force land effect. License grass License No Date / ` ? Contractor Signature �NORMRS' CQMPFNSATION DECLARATION WARNING! FAILURE t694RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUN i ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CgST Cf COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'I�hetWaffirm under penalty of perjury one of the following declarations: I have and Wjll�fi stain 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 Pf= weance of the work for which this permit is issued. Policy No. t190P, and wal,rhaintain 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' compensation e carder agd policy number are: Policy Number Date of -Agent ' - ' ' _ Phone # rtify that, in tIVIYelfor ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 'I'should beaorsle sub' ct to tA YA-*ers' compensation previerians of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. compensation laws of California, and nature of Applicant e i uate L c CLARATION REGAR ING COqtTRUCTION LENDING AGENCY Ireby affirm under pe alty 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). 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 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 count ofJ nances and state laws relating to building construction. I authorize representatives of this city or county to fif r the eentifed property for inspection purposes. II j nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name CJ2Cen'•' ACTION DATE BY /DECLARATION 01 REGULATIONS PART 610 TIITE40 AND QMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED QMD PERMITFINAL QASBESTOS N IFI NOTAPPLICABLE TO CERTIFICATE OF �� %Z,Z A ROPOSED DE O-IT OCCUPANCY ISSUED SIGNATURE/