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Home My WebLink AboutX2021-0636 - Permits1f� City of Newport Beach - Building Division ��♦�� COMB Permit: X2021-0636 100 Civic Center Drive, Newport Beach, CA 92660 w '; Project No : 0581-2021 Permit Counter Phone (949)644-3288 0 v. Inspection Requests Phone (949)644-3255 a�anxK#h Combination Type - SFP ELEC MECH PLUM Issued Date : 06/1012021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/10/2024 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: 1 GENEVE NB Description: SFR ADD (16 SF) AND REMODEL KITCHEN AND 5.5 BATHROOMS, MASTERS BEDROOM AND GUEST HOUSE (1700 SF) REPLACE ALL WINDOWS AND DOORS, REMOVE (3) SKYLIGHTS Legal Desc.: N TR 9862 LOT 10 Owner: BOOTH MICHEAL Contractor: HOBSON HOMES Architect: CHERSON ERIN JUSTINE Address: 1 GENEVE Address: 6462 ACACIA LN Address: 606 CENTRAL AVE NEWPORT BEACH, CA 92660 YORBA LINDA CA 92886 SEAL BEACH CA 90740 Phone: Phone: 714-225-6365 M o Phone: 562-596-0495 moms State Lic:C032745 Applicant: CHERSON ERIN Con State Lic: 930528 Engineer: CHOI DAVID Address: 606 CENTRAL AVE Lic Expire: 10/3112022 Address: 1327 LOMA AVE SEAL BEACH CA 90740 Bus Lic: BT30045866 LONG BEACH CA 90804 o o Phone: 562-596-0495 Lic Exp Date: m o • ° ° ��J 01/31/2022 Phone: 562-961-5600 State Lic:S-0001 o• •°°mm Code Edit : 2019 Worker's Compensation Insurance Designer: Typeomo o Construction: Carrier: , 0 INS. THE WEST Address: ccu R3 Occupancy Group: R3IU Policy No: 5CO.05 98 WSD505598800 1.9J ° Added /New sq.ft. Bldg: 16 Expire: °°°•„ 06/1412021 Phone: Added /New sq. ft. Garage: 0 0 of Stories: 3 Building Setbacks Rear: 5 Special Conditions: No of Units : 1 Front: 5 ° Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $195,000.00 Building Permit Fee: $2,343.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,958.09 Additional Fee : $0.00 Plan check Fee : $185.00 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: $76.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $136.50 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $25.35 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $164.01 San Dist: $0.00 Building Green Fee : $8.00 Mechanical %: $93.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $210.87 $0.00 TOTAL FEE : $t6�,,0rr5�2.54 Plan Check Fee: $1,751.59 Fee Due at Permit Issuance : $4,300.95 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: - v��I.A GRADING APPROVAL: APPROVAL TO ISSUE: `• •' �`� OWNER -BUILDER DECLARATION ' -�3, ' 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 iot 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 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 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 Prgp"y Owner or Authorized Agent Date LICENSED CQbW9ACTOR'S DECLARATION I,V"* affirm WVp6penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70➢0 of Division 3 of the Business and Profe Code, and my license is in full force and effect. Litterfse Class License No Date ! 5 Contractor Signature WDWSERS' CQ&NSATION DECLARATION NARISMG: FAILUREJO SEgURE 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 gpST OF COMPEN AJION,dDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. jr affirm under penalty of perjury one of the following declarations: t... h eve andiiiI jU intain 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 IN eranance of the.work for which this permit is issued. Policy No. t Mjp and will maigtain 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 Insurante carrier jrTd (plicy number are: Policy Number Date fb'of Agent! ""• Phone # certify that, in the performance 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 workers' compensation laws of California, and agre if I should become subj/e��t/to the/worke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / j 7 Iature of Applicant / %!! Date! �i l0 / 2 f IECLARATION REGARDMO CONSTRUCTION LENDING AGENCY hereby affirm under penalty of 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 count rdinances and state laws relating to building construction. I authorize representatives of this city or county a ter the above -identified roperty foinspection purposes. 9 tionature of Property Owner or Authorized Agent not Property Owner's or Authorized Agent's Name rJLCZ ACTION I DATE PERMIT EXPIRED OF COMPLIANCE WITH CODE OP PART 61 OF TITLE 40 AND ACIMD SUBMITTED ASBESTOS NOTIFICATION PERMITFINAL 2i ��- WSSESTOS NOTIFICATION IS NOTAPPL BILE TO CERTIFICATE OF PROR.OSED DEMOLITION OCCUPANCY ISSUED SIGNA FOR OFFICE USE ONLY Civil Code).