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Home My WebLink AboutX2020-2741 - PermitsCity of Newport Beach - Building Division 04 �, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 U Inspection Requests Phone (949)644-3255 nl+fr�,u's1'' Combination Type - SFP PLUM COMB Permit: X2020-2741 Project No : 0042-2019 Issued Date : 11124/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112512023 OR PERMIT WILL BE INV, 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: 4631 CAMDEN DR NB Description: SFR 10' HIGH FOUNTAIN Legal Desc.: N TR 3357 LOT 136 Owner: WILLIAM APPLEBEE TRUST OF 1995 Address: 4531 CAMDEN DR 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: Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 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: $264.85 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: S C HOMES INC Address: 3050 PULLMAN ST COSTA MESA CA 92626 Phone: 949-723-4243 Con State Lie: 828216 Lie Expire: 12131/2021 Bus Lie: BT30002421 Lie Exp Date: 02/28/2021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1763760 Expire: 01/07/2021 Building Setbacks Rear: I Front: I Left: I Right: I Architect Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: RENTERJOHN Address: 3194 E AIRPORT LOOP COSTA MESA, CA 92626 Phone: Special Conditions Fire Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant : $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.90 Fire Department $46.25 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 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $264.85 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) 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 L) all of or C_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Aness 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following mason: y my signature 1110'v I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the impro 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 applicat 1:0�ss:ons Coda, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent .WENSED CONTRACTOR'S DECLARATION hereoy affirm under,?=nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) f tyjsio ,� the Business and Pro lid effect. License Cass License No Dat G G4;ntractor Signature law, Section 7044 of the Business and Date IVOITIM FAILURE Tn iFC RE WORK N DECLARATION �/ 1/T ,YARN INq. OMP RE Tf1 N, DAM WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN D U' USAND DO LARS ($100,0001, IN ADDITION TO THE :npT C° COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hernhy affirm under penalty of perjury one of the following declarations: .7 1 have and'will'inaintain 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 6,,c-mince of the work for which this permit is issued. Policy No. have 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' comper iol nsurance carrier and policy number are: carrier Policy Number Expiration Date Name of Agent Phone # Z1I certify that, in the performance of the o hi his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation is s of Califor ie, and agre '.hat, if I should become 'act to th hon pro ction 3700 of the Labor Code, I shall forthwith comply with those provisions. 99 Signature of Applicant Date DECLARATION REGARD IN C DING AGENCY hereby affirm under parts] of =e haYthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). -ender's Name Lender's Address 3y my signature below,,i(e rtify to each of the following: 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 come t. I agree to comply with all applicable city and county ordinances and aw el o building construction. I authorize representatives of this city or county o enter t of urposes. 3i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY VXfQEC r ION OF MPLIANC ITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL �16'^ e, q ESTOSN (IF BLE TO CERTIFICATE OF v` F-� OPOS EM IT OCCUPANCY ISSUED SIGNATURE: