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Home My WebLink AboutX2020-0897 - PermitsCity of Newport Beach - Building Division X2020-0897" COMB Permit: X2020-0897 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1573-2019 Permit Counter Phone (949)644-3288 'v "g Inspection Requests Phone (949)644-3255 Issued Date : 05/04/2020 Combination Type - BLDG GRAD ELEC PLUM Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/05/2023 OR PERMIT tMLL 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: 103 JASMINE CREEK DR NB Description: SFR (ADDITIONAL SCOPE) DRAINAGE, FIRE PIT, BBQ, PRECAST WALL FOUNTAIN INSPECTOR Legal Desc.: N TR 8420 LOT 17 Owner: HIDEY JEANIE Contractor: JESUS B BRISENO Architect: Address: 103 JASMINE CREEK DR Address: PO BOX 2748 Address: CORONA DEL MAR, CA 92625 LA HABRA CA 90632 Phone: State Lie: Phone: Phone: 714-720-7268 Applicant: MANZER BRUCE Con State Lie: 1003661 Engineer: Address: CHOI DAVID 1327 LOMA AVE Address: 24275 PONCHARTRAIN LN Lie Expire: 05/3112021 BT30071758 LONG BEACH CA 90804 LAKE FOREST, CA 92630 Bus Lie: Lie Exp Date: 04130/2021 Phone: 562-961-5600 State Lic:S-004784 Phone: 714-720-4394 Code Edit : 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $20 000.00 Building Permit Fee: $392.00 Plan Check Fee: $341.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.0c Hazardous Mat $0.00 Building Green Fee : $1.0t TOTAL FEE: $1,518.76 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WSA504586901 Expire: 01107/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: 15 Left: 10 Right: / 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $312.00 $312.00 $0.00 $27.44 $0.00 $35.28 Plan Check Fee 0 Designer: MANZER BRUCE Address: 24275 PONCHARTRAIN LANE LAKE FOREST CA 92630 Phone: Special Conditions: DELTA 5 - REV20.0513 Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 IT Fire Department $moo 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 $1,518.76 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 ContractorsState 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). ❑ 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, 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 legalh 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ,, tap i9w 700 ) ojpivision 3 of the Busme s and Professions a (d my license is in full force and effect. License Class License No 1i�'ate i Contr ct Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP O E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE JOST OF COMPENSA:Ibr., DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm undEr penalty of perjury one of the following declarations: 1 I havr, and wiil.mairtain 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 thl izrtormance of file wink for which this permit is issued. Policy No. e 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' :e carrier, and policy number are: <.s cf Agent codify that, in the h I >nould bacon Policy Number Date Ice 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 to t ` s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i UtULAPA I ION PXCR.RDING CONSTRUCTION LENDING AGENCY V`\ —� I 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, 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 owner's behalf. I have read this application and the information I have provided is corregL I agree to comply with all applicable city and count ordi ees an state laws relating to buildin struction. I authorize representatives of this i tir count ove-identified property for inspection pu es. r( Signature of Property Owner or o 'zed A Print Propertv Ow is or Authorized Agent's tJ� lio _L ACTION DATE I/ BY DECLAWATION OF COMPLIANCE WITH CODE OF FEDERAL FO OFFICE USE ONLY //j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED k I I QAQMD PERMITFINAL EJaSBESTOS NOTIFIC,pI�7\ION IS NOT APPLICABLE CERTIFICATE OF ZdY %'�� pR POSED DE UTI /�� OCCUPANCY ISSUED arvnni ` —a—,—