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Home My WebLink AboutX2021-1180 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 raisrru."� Combination Type - BLDG COMB Permit: X2021-1180 IIIIIIIIIIIII0IIIIQIIIIIIIIIIIII�llllllln II Project No : 2842-2019 Issued Date : 05111/2021 Inspection Area: 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511112024 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: 1017 SANDCASTLE DR NB Description: SFR BIORETENTION PLANTER WALL Legal Desc.: N TR 6425 LOT 78 Owner: PEDERSEN NIELS & STEPHANIE Contractor: CORNERSTONE CONSTUCTION Address: 1017 SANDCASTLE DR Address: 15540 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 Lie: 1033864 Address: 23183 LA CADENA DR #101 Lie Expire: 12131/2021 LAGUNA HILLS CA 92653 Bus Lie: BT30061583 Phone: 949-573-1050 Lie Exp Date: 1213112021 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: VB Carrier: ACCREDITED SURETY & CASUALTY Occupancy Group: U Policy No: IATCA160006212 Added /New sq.ft. Bldg: 0 Expire: 11/22/2021 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' Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat . $0.00 Building Green Fee : $1.00 TOTAL FEE: $778.92 PROCESSED BY: ZONING APPROVAL: 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 LAGUNA HILLS CA 92653 Phone: 714-576-6524 State Lic:C-083753 Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share, Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee :e $361.92 Fee Due at Permit Issuance :� $417.00 F$1BLNe V,;Oto4KS APPROVAL: PLAN CHECK BY: l GRADING APPROVAL: o r PPr1CVAL TO ISSUE: �. o o o e•nes � e o�� _ ., , ., OWNER -BUILDER 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). ❑ 1, 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://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 72VI of on of the Business and Pro s i' s C mycense is in full force and effect. License Class License No Date / Contractor Signature WORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th pejformance of the work for which this permit is issued. Policy No. have and 'll m 'Intain workers' ansation insurance, as quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol insurance Carrie and gplicy number are: Carrier 99 ° '1 cy a Expiration Date Name of Agent 475 Phone # ❑I certify that, in the performance a or or 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 agre that, if I should becomes ject t he w r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REG D UCTION LENDING AGENCY I hereby affirm under nalty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 provide4�,�de ct. I agree to comply with all applicable city and county ordi cele laws relating to building construction. I authorize representatives of this city or county to n thetified property for inspection purposes. i r Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na 19✓IV5 D �/ ACTION DATE BY OliffLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 14na _ - ... ... ... ... PERMITEXPIRED LJISUBMITTED ASBESTOS NZ)TGICATI;)N TO s °e PERMIT CANCELLED EPA e • • ° • ' ° ° PERMITFINAL I I L.I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 2'fy'ZZ' Doti► PROPOSED DEMOLITION •s• °•. ••e e• e•e s• OCCUPANCY ISSUED SIGNATURE: