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Home My WebLink AboutX2021-3017 - Permits (3)City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �aery„u`r Combination Type - MFP PLUM X A052B1UILT1pLR IT EXPOSE ALL STRUCTURAL, ELECTRICAL, PLUMBING, A( PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE�Tj��&Ql�Si! Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. Job Address: 510 DAHLIA AVE NB Description: MFR *STOP WORK 121-2951* REPAIR DAMAGED DRYWALL & REPLACE TOILET 9 SF Legal Desc.: CORONA DEL MAR BLK 532 LOT 12 Owner: CIES W ANDREW Address: 1917 SEADRIFT DR CORONA DEL MAR, CA 92625 Phone: Applicant: WOODS SEAN Address: 19 LAKEPINES IRVINE CA 92620 Phone: 714-925-4290 Code Edit : 219 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $110.00 Record Management : $10.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $388.60 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2021-3017 Project No : 2622-2021 Issued Date: 1210312021 Inspection Area : 5 on Sundays or Holidays Contractor: JB & SONS CONSTRUCTION Architect: Address: 1133 W STRUCK AVE Address: ORANGE CA 92867 Phone: 714-319-5286 Phone: State Lic: Con State Lic: 1053784 Engineer: Lic Expire: 05/31/2023 Address: Bus Lic: BT30076795 Lic Exp Date: 10/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: WOODS SEAN Carrier: ACCREDITED SURETY Address: 19 LAKEPINES Policy No: 1ATCA160030491 IRVINE CA 92620 Expire: Phone: 714-925-4290 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.90 Plan Check Fee Special Conditions: HIGH DENSITY AREA Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $147.70 Fee Due at Permit Issuance : $240.90 PUBLIC WORKS APPROVAL: r 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 :he 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 [!censure 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 doL) 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 orimprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). - u 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000 f Div' ion 3 Qf the Business and Pro siony'�ode, and��v liters 'rrtull force and effect. License Class License No D 1 Contractor Signatu / WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. have an aintain workers' compensation insuranc as required by Section 3700 of the or Code, for the performance of the work for which this permit is issued. My workers' compensatiol 'auran ce car @r a d policy nurp4enpre: 'amer Expiration Date Jame of Age ( Phone # �I certify that, in the performance of the work for which this ermlt is issued, shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agre hat, if I should become su 'ect to t e workers' c pensat-iJoj�fpg'cav_Idons of Secticn 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant ✓lam Dat ( Z I J Z 3ECLARATION REG DING C STRUCTIO LENDING AGENCY hereby affirm under enalty 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). .ender's Name Lender's Address 3y 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. A S 7 () jZ I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city or county to nter bove-id ified propeor inspection purposes. signature of Property Owner or Authorized Agent v Print Property Owner's or Authorized Agent's Name < Date z 2 ACTION DATE BY E ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R GULATION ART61OFTITLE40ANDAQI RULE PERMIT EXPIRED UISUBMITTED SBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITFINAL r �,/ ASBESTOSN IFICATI i9 NOT LICABLE TO CERTIFICATE OF M,Z— PROPOSED DE LI RJ�� OCCUPANCY ISSUED SIGNATURE: 111///"'