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Home My WebLink AboutX2020-2238 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-2238 :y. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 2 3 6 Project No : 1803-2020 `• Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r0 ^. � lAsd' CTO R Issued Date : Area : 2020 Combination Type - SFP ELEC MECH PLUM INSPECTOR �p,U..dl Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/OW2023 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 Jeic_ Address: 506 FERNLEAF AVE NB Description: SFR KITCHEN AND BATHROOM REMODEL 150 SF *STOP WORK* 120-2958 ' Legal Desc.: CORONA DEL MAR BLK 533 LOT 8 Owner: OLIVERWENDY Contractor: DAVIDLOTTIECONSTRUCTI rchite"t: NO CO STRUCTIONVvC'GRK •• Address: 506 FERNLEAF Address: 1002 S SHASTA Address: NEWPORT BEACH, CA 92660 WEST COV CA 91791 Phone: Phoonne:� ,o-'''949 235-6400 !f aPOCCA one: f�(`ol reWd State Lic: /��/�+ , , • , Address:Applicant: LOT100Y S HAIE BTDE Co Expire: n State n State Lic 08934202'— �,tjr�% QHdsvv /0 ® Sf1TURD/"1 i O WEST C 791 Zr. BT300717831 v Phone: 949-231-6 00 Lic Exp Date: 05/31/2021 �p hone: State Lic: �t Q(� 1. Code Edit : 201Z Worker's M in1sation Insurance •�, to N1n Designer: LOTTIE DAVID Type of Construction: V-B Carrier BENCHMARK Address: 1002 S SHAS7E Occupancy Group: R3N Policy No CST5019933 WEST COVINA, CA 791 Added /New sq ft Bldg: •--t*r& "- 08/28/2021 Phone: 949-235-6400 S BUILT PERMIT Added Mew sq.ft. Gauge: No of Stones: _ - Building Setbacks Rear I • Special Conditions: EXPO ALL STRUCTURAL No of Units : �: 1 ^t, Front I Bldg Height: - ° jI t `I ^I L, PLUMBING, AND Bldg Sprinklers: MM Flood Zone: ,&- Us 0 Parkin S aces: 0 F Z e Construction Valuatior1::^ b - -i ' AL ONENTS r 9 ..t\ Fire De apart t Building Permit Fee: {•$1 .00 Excise Tax: ,,$pp0��.0,,,0 Pla ing partment StaAedl P Plan Check Fee: $140 7 Additional!"� �ey0 ar the te,(riQrk g$0.00 Fire ecti $0.00 Overtime Plan Ck: r' $ 00 radio Fe �1 jj0.DD0 Fair Shad ` $0.00 ev $0.00 Investigation Fee: '0161 0 dl sul t : $0.00 SJH Trans : on Fee Record Management : f: $4 0 a g ermit Fe $0.00 In -lieu Housing Fee $0.00, pt dm $0.00 Energy Compliance: `i'$0. G adipf� c� ar 2�� $0.00 Public W artment - `n►tfa�5` e e $0.00 CA Seismic Safety: ylh5p. ee : $0.00 Dedication : �IY�O{7' and Deposit $0.00 Disabled Access: - 0. PM Plan C $0.0 Grading Bond: $0.00 Hazardous Mat 0 Electrical W. $11.27 .00 Building Green Fee :-.0 M /°: $6.4 N $0.00 $0.00 [�jpt2 • Plumbing %: 14.4 $o.ao TOTAL Fit- : 45 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $545.52 PROCESSED BY: n PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 Iicensure 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 penally 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 (_) 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 - ffim roved for the purpose of sale). 1, 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 • Fp'.y ti 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 exempf rrnm licensure under the Contractors' State License Law for the following reason: B; 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 rofussions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sisioture of PrOperLy Owner or Authorized Agent Date L!C'ENSED LGN-RACTOR'S DECLARATION I tipreoy affirm unJGr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Di is! n 3 of the Business and Pro ion` s 6 de.aRtl r license is in full force and effect. License Class License No Date Contractor Signature dORKERS' COLVENSATION DECLARATION I, E NPRNING: FAILUKL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unde, penalty of perjury one of the following declarations: 1 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 Vormance of the work for which this permit Is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date Agent JI certify that,, in theper(orma e: 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 )at, if I should becomes is to the workers' com nsalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant Da IECLARATION REGAR G C UCTI LENDING AGENCY hereby affirm under pe Ialty of perju ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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. ��p I agree to comply with all applicable city and co nt ordinances and state laws relating to building construction. I authorize representatives of this city or county enter t'h`e ato ve-identified property for inspection purposes. \ // / ignature of Property Owner or Authorized Agent. 1 \ S—�_.. Print Prooertv Owner's or Authorized AoenYs Nam n� 11 r/7n ACTION DATE BY / DEC NA71UF1 OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l_. ULATIONS PART 61 OF TITLE 40 AND AOMD RULE r 2 14 3 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED FPA PERMIT FINAL OAS,@ESD NOTITCATION IS NOT APPLICABLE TO CERTIFICATE OF �� OCCUPANCYISSUED SIGNATURE: