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Home My WebLink AboutX2020-2396 - PermitsCity of Newport Beach - Building Division a* 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 v `m Inspection Requests Phone (949)644-3255 x� Combination Type - SFP COMB Permit: X2020 Project No : 0042-2019 Issued Date : 10/2112020 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 4531 CAMDEN DR NB Description: DELTA 6- `ADDITIONAL SCOPE" NEW DECK 225 SF 'A t�P�CT®� Legal Desc.: N TR 3357 LOT 136 � V Owner: WILLIAM APPLEBEE TRUST OF 1995 Contractor: S C HOMES INC Architect: TEALE MARK Address: 4531 CAMDEN DR Address: 3050 PULLMAN ST Address: 2900 BRISTOL ST BLDG A203 CORONA DEL MAR, CA 92625 Phone: Applicant: TEALE MARK Address: 2900 BRISTOL ST BLDG A203 COSTA MESA CA 92626 Phone: 949-975-0123 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $5,000.00 Building Permit Fee: $381.00 Plan Check Fee: $266.76 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: COSTA MESA CA 92626 Phone: 949-7234243 Con State Lic: 828216 Lic Expire: 12/3112021 Bus Lic: BT30002421 Lic Exp Date: 02/2812021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1763760 Expire: 01/0712021 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 30 Front: 6 Left: 6 Right: 6 king Spacr $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 COSTA MESA CA 92626 Phone: 949-975-0123 State Lic:CO22162 Engineer: HAKIM FADY Address: 124 PEONY IRVINE CA 92618 Phone: Designer: Address: Phone: 310-422.1536 State Lic:C-075736 ;""" Special Conditions: REV20-1602 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $313.00 Fire Department - • , $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $382.00 PUBLIC WORKS 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 items) ction 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 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 fessions 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, flness 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 �rovements 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 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 ily 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). LJ I 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 legs 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 a 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.htmi. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect 000) of ivisi n 3 of the B ' ss and Profess' a y license is in full force and effect. License Class License No O B 2 ontrac r Signature COMPENSATION DECLARATION 1APP'IP�P: 'AILURE TO SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP yb OI HU OLLARS (Si0a,a0 IN ADDITION TO THE :DST OF CDMPENSITION, D.-MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hcreb; affirm under penalty of perjury one of the following declarations: have and wi)I m2intain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations imiArlce of fide work for which this permit is issued. Policy No. Section 3700 of the Labor Code, for 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 pOTicy number are: Policy Number Date isms of Agent Phone # �I certif'v that, in'�P, performance of th k for w ' is permit is issued, I shall not employ any person in any manner so as to become subject to the .at, if shout eu reic subject t rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature ofA nt DECLARATION R 'GAR TI ENDING AGENCY hereby affirm and r pe o perju at t is a is lending agency for the performance of the work for which this permit is issued (Sectio 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 owners b If. I have read this application and th formatioAhave 'ded' recI agree to comply with allgrthsrd'zed e city and cd s e ing to building construction. I authorize representativeity or couno e led property o ' coon purposes. Signature of Property Owner Agent Print Pro arty Owner's or Authorized Ag ACTION DATE BY E R F OMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 6I OFTITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMITFINAL 12 CERTIFICATE OF OCCUPANCY155UED I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO 7Si7ZiF�i 14uP1WPLl compensation laws of California, and agree �o ai zoo � it Code).