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Home My WebLink AboutX2019-3705 - Permits♦`gwtU4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2019-3705 ' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 7 0 5 Project No: 2544-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0511112020 Combination Type - SFP ELEC MECH PLUM Inspection Area : 5 ON. PROJECTS MUST BE COMPLb ILU b OR PERMIT MILL BE PERMIT l on Hours: Monday Fr180 DAYS AFTER riUANCE OR iday 7:00 a LAST m, to 6ALID 3D p.m. andlS Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Construction Job Address: 506 FERNLEAF AVE NB ' Description: SFR - ADD 434 SF GARAGE, 498 SF LIVABLE ABOVE Legal Desc.: CORONA DEL MAR BLK 533 LOT 8 Owner: OLIVER TED & WENDY Address: 38878 ORCHARD ST CHERRY VALLEY CA 92223 Phone: 951.733-2521 Applicant: TRUAX JAY Address: 206.6 ABALONE BALBO C Phone: - 9 -5594 Code Edit : 101& Type of ConstructI V-B Occupancy Group: R Added /New sq.ft. g: Added /New sq. ft. rage No of Stories: No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N PI—M 7nna' X 14 Building Permit Fee: Plan Check Fee: $91 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety : Disabled Access Hazardous Mat Building Green Fee. 11 TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: Address: State DAVID LO,11WpelffliSTRUCTION Architect: AgNzff�ASTA ST ab\e*. Address: d WEST COVINA`� 10 Ifeoho CeWn State Lic: 949-235-6400 399746 Q $QOiO Of Q Engineer: LU T E 0813112 1 Addres • 1 E HUN NGTONDR #107-370 7 82 ARCADIA C 91006 2 to w\100" Phone: 626.462.930 State LIC:C-064216 Designer: ;` �� GUARD INS CO Address: DAWC054 07 0. Phone: NOISE k- Special Conditions: Noise 6gr w*p�Ir41r'. nnN Right: 3 ,A ate 5 ® Excise Tax: $0 00 koo elan panine.n- - - - Additional Fe Woo PI heck Fee : $160. Fire Ins coon: $0.00 $0.00 0 0 . ,Fair Share : 0.00f�Fre n ev $0.00 $0 C s pant : $El, ='" SJH Trans : Yp�B�nrol'' Fee $60 In- usingF 1tlt�.tlp (ding DeptAdm $0.00 40. rading uFi`� _ General Service $0.00 $0.0 l-lrC��ln r2e $0.0g ubar Works DeparkMelA- Refund Deposit $0.00 io .0 VQd Park De .00la $247.50 Grading Bond: $0.00 .00 6^ Electrica ` : $87.8 $3,727.00 $0.00 _n0 anical %: 5620 NMUSD Fee: $0.00 $0.00 Plan Check Fee : $1,071.00 Fee Due at Permit Issuance : $5,526.50 PUELiC NQRR§ /kPPFGVhL: PLAN CHECK BY: A?ARC4AL'+O tSSLIF.: - I hereby affirm under penalty of perjury that I ail, exempt from the Contractors' State License Law for file roason(s) indicated below by the checkmarK(s) I have placed next to the applicable hems) (Section 7W 1.5, 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 Busmess and Professions Cade) or that he or she is exempt from licensors, 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 ($600). 111, as owner of the property, Or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, Mid the structure is net 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 !iimprovements are not intended or offered for sale. If, however, the building or Improvement is I within one year of completion, the Owner -Builder Will have the burden of proving that it was not built or n roved for the purpose of sale). —r L 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 net spply to an owner of Property Who builds or Improves thereon, arid who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt from Ilconsure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in Which I must nave resided for at least One yea prior to cii 1.11kil In,f the I n rove1 1;e1 ; Covered h this sell a structure that I have built as an owner -budder R it has net been Constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section dry, of the cannot and legal? 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:httpYlwww.leginfo.ca.gavlcalaw.hhnl. 3lgnature of Property Owner or Authorized Agent _iCENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of ry that I am licensed under provisions or Ch 1er 9 ommencing With Section 7000 f DNI ion 3 of the Business and Prolessi n Code rid m license is in full Tome and effect. License Class License No Gi '�_�(� Da� CClttractor Slgnatur VORKERS' COMPENSATION DECLARATION IARIONG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is Ul LAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE PUNORED THOUSAND DOLIAR� (4f00,000), IN ADDITION TO THE :OSTOFCOMPENSAT ANGESASPROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, ANDATTOPNEY'S FEE& IMPOY amrrn „ of perjury one of the following dBearations: h Men a cOMfma€e 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 tin elior t e work for which this permit is issued. policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cafe, for the performance of the work far which this permit is Issued. My workers' compensatior Isumnc a - ra policy nu rare: .�3 order Cyr x.�,G,w a Policy Number L'(-� C C�5 3a.Z ill I at .� ame of Agent IS R c..v.. - Expiration f v r -2 Phone & �ate ]I certify that, In n is, pewrmanGG of me we rwhich this Perm is Issued. I shall not employ a 3 tat, if I should become subject to ma work om ensation PW any Person m any manna so as to become subject to the workers' compensation laws of California, and agr Previsions of Section 3700 of the Labor Code, I shall forthwith Comply with those previsions. IECLAgratua of Applicant,.'Dal jS /a,r) �Z) ECLARATION REG7rROINGLS�3yf111fCTION LENDING AGENCY tGreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this )tttler's Name Landers Address permit is Issued (Section 3097, Civil Coll r my signature below, I Oemfy to each of the fdloVAlg: I am the property Owner or authorized to act on the property owners 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 ltueof P Property Owner M A this City of coups t9 ant t abo eddied property for inspection purposes. r \ f% �� J / gnatum of Property Owner or Authorized Agent X �Z -!b Print Property Owners or Authorized Anan➢c ua /\-"Z"m'�%ill� /C—' -. �• �� • • uuc �r rtutill FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AOMD RULE yASaE'i,G;JC'.l; ATION's NT rPUCARLE TO C£RUACAT£OF PROPOSED I'EM0i OCCUPANCY ISSUED _- SIGMA fUR_E. ` 2�