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Home My WebLink AboutX2019-3848 - Permits�wno City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v.. ., Inspection Requests Phone (949)644-3255 '�aroxK`� Combination Type - SFP IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3848 x 2 6 1 9 3 8 4 8 Project No: 2632-2017 Issued Date : 02127/2020 Inspection Area : 8 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: 2807 CAROB ST NB Description: SFR *ADDITIONAL SCOPE* REMODEL ROOF LINE, C/O WINDOWS/DOORS, REPLACE ALL EXTERIOR STUCCO AND INTERIOR DRYWALL (CHANGE OF ENGINEER AND DESIGNER) 6Legal Desc.: N TR 4892 LOT 30 Owner: HOWELL CHUCK 8: MARTHA Contractor: COUSENS CONSTRUCTION INC Architect: Address: 2807 CAROB ST Address: 6100 SAN FERNANDO RD #201 Address: NEWPORT BEACH, CA 92660 GLENDALE CA 91201 Phone: Phone: 818-236-3999 Phone: State Lic: Applicant: RUBIN FLOYD Con State Lic: 535683 Engineer: HUSZCZ MARIAN JOHN Address: 8622 PACHECO AVE Lic Expire: 11/30/2020 Address: 8 CORNWALLIS WESTMINSTER CA 92683 Bus Lic: BT20062603 IRVINE CA 92620 Phone: 562-260-7045 Lic Exp Date: 05/31/2020 Phone: 949.551-3316 State Lic:S-003555 Code Edit: 2016 Worker's Compensation Insurance Designer: SAUERT DENNIS Type of Construction: V-B Carrier: STATE COMP INS FUND Address: 17504 WINDCREEK CIR Occupancy Group: R3/U Policy No: 1251698 RIVERSIDE, CA 92502 Added /New sq.ft. Bldg: 0 Expire: 0910112020 Phone: 951-688-0222 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: REV19-2040 No of Units : 1 Front: / _ Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $95,000.00 S_ � Building Permit Fee: $1,078.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $937.86 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 WO 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 : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,059.86 Plan Check Fee : $977.86 Fee Due at Permit Isstsanec $@,i782.(Y& e a a PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:_. c �o co cc� a , co co uco 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 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ZOOD) of Division 3 of the Business and Prof o as - YseD�a. i 'nn full force nd effect. License Class License No Dat 2—i7—' 10 Contractor Signature, UORKERS' COMPENSATION DECLARATION— - ---- - - - — IARNING: 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 DST 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: I 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 the e rmance of the work for which this permit is issued. Policy No. Pave 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' compensatior lqdrance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 3 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 agree sat, if I should becomes n' r tasF...�r5 Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Data '?- 2-1 --Z IECLARATION REGARDING 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 y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county enter pectlon purposes. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE ••• + ••• • 1403 +—• • • • • (SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQMD PERMIT FINAL 3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF' :• .•. .•• ••• ••• �• PROPOSED DEMOLITION OCCUPANCY ISSUP•D • �• • _ SIGNATURE: Civil Code).