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Home My WebLink AboutX2019-0857 - Permits�w x City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-os57 III II 100 Civic Center Drive, Newport Beach CA 92660 X,.2 0 1 9 0 8 5 7 Project No :. 2632-2017.. E+ Permit Counter Phone (949)644-3288 i3 $ Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC`MECH PLUM Issued Date : 03/1512019 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 NEI Description: SFR"CHANGE OF CONTRACTOR* REMODEL INTERIOR REMODEL INCLUDING KITCHEN & BATHROOMS 1378 SF .< Legal Desc : N.TR 4892 LOT.30 Owner: HOWELL CHUCK & MARTHA Contractor. '. COUSENS CONSTRUCTION INC Architect: Address: 2807 CAROB ST Address 6100 SAN FERNANDO RD #201 Address: �. 5 / `. NEWPORT BEACH, CA 92660 GLENDALE CA 91201 ' � ,. v Phone. Phone: 818-236-3999 Phone: ' State Lie '- Applicant: RUBIN FLOYD Con State Lie: 535683 Engineer: TIONGCO, JOHN Address: 8822 PACHECO AVE Lie Expire: 1113012020 Address: 17715 CANEHILL AVE _• WESTMINSTER CA 92683 Bus Lie: -:: BT20052603 BELLFLOWER CA 90746 - Phone: 562-260-7045 Lie Exp Date: 05131/2019. Phone: 562-805-7737 State Lic C-070915 e Code Edit : 2016 Worker's Compensation Insurance; Designer: Type of Construction V-B .Carrier: STATE COMP INS FUND Address: Occupancy Group: R3/U -Policy No. -1251698 -- Added /New sq.ft. Bldg: 0 Expire: --- 09/0112019Phone: - Added /New. sq.t. Garage.: 0 No of Stories: 2 Building: Setbacks - = Rear: / , Special Conditions: REPLACE X2017-3764 . No of Units: 1 -Front: / Bldg Height: 0 Left: / Bldg Sprinklers: - Right / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N. Construction Valuation: $0.00 Building Permit Fee. $0.00 Excise Tax: $0.00 Planning Department - Fire Department -Plan Check Fee: $0.00 :Additional Fee $35.00 Plan check Fee $0.00 Fire Inspectiorr.. $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 - PAN Plan Check: $0.00: ' Grading Bond: ' -. $0.00 Hazardous Mate '$0,00 Electrical%: $0.00 San Dist: - $0.00 - .Building Green Fee : '$0.00 'Mechanical %i -.. --.$0.00 - NMUSD Fee: $0.00 -$0.00 Plumbing %: -$0.00 $0.00 TOTAL FEE : $35.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: ` ° °: a ` : o ° a ® & PUBLIC WORKS APPROVAL: o ZONING APPROVAL: PLAN CHECK BY: - GRADING APPROVAL: " ` ° ° ` ° ° o ° o APPROVAL TO ISSUE: c - '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 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 Busirfess 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). ❑ 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, 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 Iicensure 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 Sectio 70 0) of Division 3 of the Business and Prof ions fiee e antl effect. License Class License No DateN Contractor Signatur WORKERS' COMPENSATIONDECLARATION 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 (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th pe rmance of the work for which this permit is issued. Policy No. I have and Itmaintain 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 insurance tarn olicy number are: r (�,•r i` PDIir.J.tJu� .rl Expiration Date is of Agent X If VIZU- vnone 8 certify that, Irrth performs 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 becom )ect to the wor sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant Ll�\ TLARATION KMUAMUFTHUINFLIE17DIRG AGENCY reby affirm under pe alty 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). der's Name Lender's Address ny 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. ti.. I agree to comply with all applicable city and cou d-s laws relating to building construction. I authorize representatives of this city or county tSr nter the abz - \ ction purposes. iature of PrODertv Owner or Authorized Aoent ^property Owner's or Authorized Agent N dC ,-a ACTION DATE BY L DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• ••• • ••• PE RMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • i • i • •• _ PERMIT CANCELLED DEPA PERMIT EMENDED 0AB1rD PERMITFINAL 9 S ASB NOTIFIC EAB! CERTIFICATEOF POSE OCCUPANCY ISSUED SIGNATUR • • • • • • -