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Home My WebLink AboutX2021-2614 - PermitsCity of Newport Beach - Building Division *X2021-2614* COMB Permit: X2021-2614 �.� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2274-2021 H t s + Permit Counter Phone (949)644-3288 ;• fi Inspection Requests Phone (949)644-3255 �b ' is !p y,_, ".v+ Issued Date : 03/16/2022 Combination Type - SFP Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311612025 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 Job Address: 4515 SURREY DR NB Description: SFR NEW EXTERIOR FRONT STAIRS IN FRONT Legal Desc.: N TR 3519 LOT 73 Owner: SMITH JEREMY & DINA Contractor: HOBSON HOMES Architect: Address: 4515 SURREY DR Address: 6462 ACACIA LN Address: CORONA DEL MAR, CA 92625 YORBA LINDA CA 92886 Phone: 949.351-6383 Phone: 714-225-6365 Phone: State Lie: Applicant: HOBSON JEREMY Con State Lie: 930528 Engineer: SALEM YASSER Address: 6462 ACACIA LN Lie Expire: 10/31/2022 Address: 4500 CAMPUS DRM #220 YORBA LINDA, CA 92886 Bus Lie: ST30073169 NEWPORT BEACH CA 92660 = Phone: 714-225.6365 Lie Exp Date: 1013112022 Phone: 9491955-1345 State Lic:C-060678 , Code Edit : 2019 Worker's Compensation Insurance Designer: LEE STUDIO DESIGNS Type of Construction: Carrier: INS. CO. OF THE WEST Address: 27758 SANTA MARGARITA PKWY Occupancy Group: R3/U Policy No: WSD505598801 MISSION VIEJO, CA 92691 Added /New sq.ft. Bldg: 0 Expire: 06/14/2022 Phone: 949-916-5964 - Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 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: $34.00 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 : $1.30 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $548.32 Plan Check Fee : $214.02 Fee Due at Permit Issuance : $334.30 PROCESSED BY: -�° GJ PUBLIC WORKS APPROVAL: /1 C T ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ar r " APPROVAL TO ISSUE: F' 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 (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, below by the checkmark(s) I have placed next to the applicable item(s) 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 Low (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 Secth in 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 tl a 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 a ployees' 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 comp) tion, the Owner -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, usiness 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 �iursuant to the Contractors' State License Law). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: prior to completion of the improvements covered by this permit, I cannot legal) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year -)ell a structure that) have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unc erstand that a copy of the applicable law, Section 7044 of the Business and ;Profess-ons Code is available upon request when this application is submitted or at the following Web site:http://www.leginfi).ca.gov/calaw.html. Signature of PwNe%y Owner or Authorized Agent Date LICENGED CONTRACTOR'S DECLARATION I hereby affirm ul,der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profession e, and my license is in full force and effect. License Cass License No Date 4 t Contractor Signature WORKERS' COMPENSATION DECLARATION END WARNING FAILUR' -O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ES AND CIVIL FINES UP TO ONE HUNDRED THO ($100,000), IN ADDITION TO THE U.ST 3.m COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. I te;Lt;y affirm under penalty of perjury one of the following declarations: ❑ I have and vT mantain 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 penoiniHnce of the wcr4. for which this permit is issued. Policy No. have and wil; ,oain.ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # as to become subject to the workers' compensation laws of California, and agre 01 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant I Date 3� (e / ZZ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ihis 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 pr ided is correct. I agree to comply with all applicable city and county or ' Gas and state laws relating to building construction. I authorize representatives of this city or county to ant ove-identified property for inspection purposes. 'I Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name x aer'C�- ACTION DATE BY D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED LIAQMD PERMIT FINAL L.',.�`2i l Y_L BESTOS NOTIFICATIO NO LICABLE TO CERTIFICATE OF / 1�' ROPOSED DEMOUTIO OCCUPANCY ISSUED SIGNATURE: