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HomeMy WebLinkAboutX2021-0821 - PermitsBw�rry4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII IIIIIIIIIIIIII�I II COMB Permit: X2021-08: �. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 8 2 1 Project No : 0754-2021 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date : 04107I2021 Combination Type -MFP NO CONSTRUCTION ION NOISE Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/07/2024 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: 511 FERNLEAF AVE NB D scr ption: MFR REMOVEIR PLACE FASCIA 8 3 SQ OF ROOF WISTANDING SEEM METAL @ PQr1Q (S®N1 U rDB' MIN. `STOP WORK 121.1005 Legal Desc.: CORONA DEL MAR BILK 532 LOT 11 OF PROJECT 934-61 LOCATED ON AP Owner: CRAIG MARK Address: 511 FERNLEAF AVE NEWPORT BEACH CA 92625 Phone: Applicant: COUSENS PAUL Address: 1943 PORT TOWNSEND CIR NEWPORT BEACH CA 92660 Phone: 818-522-8080 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Fr Construction Valuation: Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $246.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $755.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: COUSENS CONSTRUCTION INC Architect: AS BUILT PERMIT Address: 1943 PORT TOWNSEND CIR Address: �( NEWPORT BEACH CA 92660 EXPOSE ALL SIR Phone: 818-522-8080 Pho�eLE/�TICICAL, pLU URAl Con State Lie: 535683 En I..HANICAL PLUMBING AND. Lie Expire: 11I30/2022 Ad Bus Lie: BT20052603 CONL.�'ONENTS Lie Exp Date: 05/3112021 Phone: Sta a c: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1261698 Expire: 0910112021 Building Setbacks Rear: I Front: I Left: I Right: I Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee Designer: COUSENS PAUL Address: 1943 PORT TOWNSEND CIR NEWPORT BEACH CA 92660 Phone: 818-522-8080 Special Conditions: HIGH DENSITY AREA PZ Cl) M -7 O X Planning Department- Fire Department Plan check Fee : $46.25 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSO Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $755.27 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) iection 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 appli giant for 1e 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 Businsss and 'rofessions 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 of more than five hundred dollars ($500). 7 I, 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, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n roved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 O)pf Dof the Business and P. o I I�Ertse�s-IrLfull force nd effect. License Class License No Date l ivisionContractor Signalnr� VORKERS' COMPENSATION DECLARATION �y IARNING: 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 ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 ermance of the work for which this permit is issued. Policy No. have and wi}Yi11>;jptain 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' compensa is of Agent - vV VJ i certify that, in the performance of the work for which this , if I should become sutAnt to tbe wnrIkers'coMpengafin lature of Applicant Date 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 ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 9-7—21) Ireby affirm under pe'fialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ider's Name Lender's Address 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 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