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Home My WebLink AboutX2020-2367 - Permits1r City of Newport Beach - Building Division YepIIIIIIII�III�IIIIIIIIIIIINIIIIIIII�lllulll COMB Permit: X2020-2367 a' ` 100 Civic Center Drive, Newport Beach, CA 92660 Ilf X 2 0 2 0 2 3 6 71 II Project No: 2842-2019 r: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �:i yya* " Combination Type - BLDG Issued Date: 10/15/2020 0 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10(16(2023 OR PERMIT WILL BE INVJLID . 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: 1017 SANDCASTLE DR NB ° ° Description: BLOCK WALLS, 294 SF X 2-6'H "INSIDE THE PROPERTY LINES ' R �.8 .... Legal Desc.: N TR 6426 LOT 78 � l l a� M ° Owner: PEDERSEN NIELS & STEPHANIE Contractor: CORNERSTONE CONSTUCTION Address: 1017 SANDCASTLE DR Address: 15640 ROCKFIELD BLVD STE A 110 CORONA DEL MAR CA 92625 IRVINE, CA 92618 Phone: 949-228-2833 Phone: 949-369-1979 Applicant: BAILEY DAVID Con State Lic: 1033864 Address: 23183 LA CADENA DR #101 Lic Expire: 12131/2021 LAGUNA HILLS CA 92653 Bus Lic: BT30061583 Phone: 949-573-1050 Lic Exp Date: 12131/2020 Code Edit : 2019 Workers Compensation Insurance Type of Construction: Cartier: ACCREDITED SURETY & CASUALTY Occupancy Group: U Policy No: IATCA16211 Added /New sq.ft. Bldg: 0 Expire: 1112212020 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6 No of Units: 0 Front: 15 Bldg Height: 0 Left: 6 Bldg Sprinklers: Right: 6 Flood Zone: Use Zone: Parkin Spaces: 0 11 Construction Valuation: $20.000.00 •��f.-C)p Architect: BAILEY DAVID Address: 23183 LA CADENA DR#101 LAGUNA HILLS CA 92653 Phone: 949-573-1050 State Lic:CO27404 ° ° ° • ...... Engineer: WILSON KALEN • Address: 23152 VERDUGO DR #102 . o o ° ° LAGUNA HILLS CA 92653 Phone: 714-576-6524 State Lic:C-083753 .... . ..... Designer: . .... .... Address: Phone: Special Conditions: Fire Hazard Zone : N Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 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: $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: $778. 2 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $778.92 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: U -. GRADING APPROVAL: APPROVAL TO ISSUE: c Imo' W OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable items) action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 �fessions 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 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, ;mess and Rrofesaions 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 irovements'Tre hMCintended 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 roved for thg pVrgose of sale). 01,01 ownet pt ft�roperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 11yt.0 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). 92m exempt from licensure under the Contractors' State License Law for the following reason: Zsignaturakalam 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 ructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Wsions Cod(j i?%vailable upon request when this application is submitted or at the following Web site:hftp:/Avww.leginfo.ca.gov/calaw.html. n atere of Propeftp Owner or Authorized Agent to ENSED CONTRACTOR'S DECLARATION 1 :re�j affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 000o iv�siyn 3lPf the Busines�C andYro sio Wo, d my license is in full farce I efP�ct. LiEgnse Cass License No ate // % 7�/ 2V Contractor Ignature )WERS' COMPENSATION DECLARATION tNING: FAILURBiTdSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIM NAL PENALTIES AND CNIL FINES UP TO ONE NDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE r 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 Tnance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: ne of Agent certify that, in the pc , if I should become Policy Number Date permit is issued, I shall not employ any person in any manner so as to become subject to the rs' compensation I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ✓ , J :reby affirmlmdef—penal 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o a state laws relating to building construction. I authorize representatives of this city or county to a e-I red property for inspection purposes. —/y �^ mature of PrODertv Owner or Authorized-AGefl4 Print Prooerty Owners or Authorize .. e�me �l ��,1 / ll ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 1ruL� _ ""'T +�""r� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: California, and