HomeMy WebLinkAboutX2020-0232 - Permitsa
City of Newport Beach - Building Division IIII�IIIIIII011111111111�IIIIIIII�III COMB Permit: X2020-0232
IW Civic Center Drive, New ort Beach, CA 92660 X 2 0 2 0 0 2 3 2 6 Project No : 2196-2019
Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255
Combination Type - BLDG 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 STUCCO WALL 6' HIGH X 50 LF (INSIDE P/L) MARKERS
ON SITE
Legal Desc.: N TR 6634 LOT 14
Owner: LEE RAYMOND & SHANNON
Contractor:
HOBSON'S J REMODEL
Architect:
CHERSON ERIN JUSTINE
Address: 1306 SANDCASTLE DR
Address:
6462 ACACIA LN
Address:
606 CENTRAL AVE
CORONA DEL MAR, CA 92625
YORBA LINDA CA 92886
SEAL BEACH CA 90740
Phone: 949-230-7377
Phone:
714-225-6365
Phone:
562-596-0495
State Lic:C032745
Applicant: HOBSON'S J REMODEL
Con State Lic:
930528
Engineer:
CHOI DAVID
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Address: 6462 ACACIA LN
Lic Expire:
1013112020
Address:
1327 LOMA AVE
YORBA LINDA CA 92886
Bus Lic:
BT30045866
LONG BEACH CA 90804
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Phone: 714-225-6365
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Lic Exp Date:
01/31/2020
Phone:
562-961-5600St2te Lic:S-004784
Code Edit, 2016
Worker's Compensation Insurance
Designer:
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Type of Construction:
Carrier:
EVEREST
Address:
Occupancy Group: U
Policy No:
7600017748181
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Added /New sq.ft. Bldg: 0
Expire:
06114/2020
Phone:
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Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6'
Special Conditions:
INS L�
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No of Units: 0
Front: 15'
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Bldg Height: 0 -
Left: 6'
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Bldg Sprinklers:
Right: 6'
-
Flood Zone:
Use Zone: Parkin Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $10,000.00
Building Permit Fee: $412.00
Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $365.00
Additional Fee :
$0.00 Plan check Fee,
$40.00 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
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $818.00 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
$0.00 Fee Due at Permit Issuance : $818.00
PUBLIC WORKS APPROVAL: - '� p
PLAN CHECK pBY: f�
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 app*cable if,PJi(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 fdf
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 far 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).
❑ 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 legally
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://www.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 70 ) f Division 3 of the Business and Profe ion C de, an y license is in full force
and effect. LI4eOse Glass License No Date Lo Contractor Signature
(
WORKERS' COMAFNSATION DECLARATION
I''
yYARAING: FMLURENOSfCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE
COST OF COMPENSATION,LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ere bf affirm under penalty of perjury one of the following declarations:
I have and dill mafritain 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,
e 9nce of ttSa w-_ for which this Permit's
issued. Policy No.
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and 1�11 nuuntain 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
Ipyya cam r and policy number are:
Carder,. Policy Number Expiration Date
P-Mitif that, in.0, perform c f the work fo is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre
hatli9 irshould b2lrprils subj t e w compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant _ Da
)ECLARATION REGAR CONSTRUCTION LENDING AGENCY
hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Cade).
-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 rdinances and state laws relating to building construction.
I authorize representatives of this city or county to r t above -identified property for inspection purposes. /
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name«� l�s �'^ D, to / / Z 7�
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ACTION DATE BY &CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGJLbk ONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMIT EXTENDED
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PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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