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Home My WebLink AboutX2020-0420 - PermitsCity of Newport Beach - Building Division I�IIIIIIIIIIIIII�IIlIIlIIIlIIII�III0�III4III�II�II0�I III COMB Permit: X2020-0420 1 oo Civic Center Drive, Newport Beach, CA 92660 Project No : 0329-2020 Permit Counter Phone (949)644-3288 v r - Inspection Requests Phone (949)644-3255 Issued Date : 03/05/2020 Combination Type - SFP GRAD Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 3729 OCEAN BLVD NB AIR EXTEROR SUBTERRANEAN WALLS RELOCATE TRENCH DRAIN 8. REPLACE 200' OF DRIVEWAY Description. SFR REP DEL MAR LOT BILK A SELY 155.39 FT -EX NWLY55.89 FT- Legal Desc.: CORONA INSPECTOR Owner: CDM TRUST Contractor: MATTSON 8 MATTSON CONST Architect: Address: Address: 3729 OCEAN BLVD Address: 2137 E WILSON AVE CORONA DEL MAR, CA 92625 ORANGE CA 92807 Phone: State Lie: Phone: 714-628-9425 Phone: Applicant: MATTSON TIM Con State Lie: 772811 Engineer: Address: VOLPE ROBERT M 20321 LAKE FOREST DR STE D-6 Address: 2137 E WILSON AVE Lie Expire: 12/3112021 BT30052509 LAKE FOREST CA 92630 ORANGE CA 92867 Bus Lie: 1213112021 Phone: 949-305-4700 x1 State Lic:C-025116 Phone: 714.612.1225 Lie Ex Date: p Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $833.00 Plan Check Fee: $724.71 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $O.00 Hazardous Mat $0.0c Building Green Fee : $3.0( TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EVERST PREMIER Policy No: 7600014965191 Expire: 06101/2020 Building Setbacks Use 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: I arking Spaces: $0.00 $0.00 $0.00 $0.00 $312.00 $312.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 aar+ Fire Department $40.00 Fire Inspection: $0.00�� $0.00 Fire Plan Rev ' $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $3.00' Refund DepositQ03 Grading Bond: $0.00 $0.00 $593.32 Fee Due at Permit Issuance : $1,631.39 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 tem(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 applican!'For the 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 Iicensure 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 do U 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 or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Erim roved for the purpose of sale). 1, 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 Iicensure 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 legalll 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 Section 70QQ),of p�vlslon 3 of the Bus' ess and Professionsand my license is in full force and effect. License Class License No ,i a iz Con for Signal NORKERS' COMPENSATION DECLARATION t� YARNING: 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 ($100,000(, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Wormance of the work for which this permit is issued. Policy No. have and wijl maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carries and policy number are: _. Policy Number Expiration Date of Agent _ _ ph-4 if I irthe performance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and become sub" m ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �p �� Fr.I.ARATl6'A rECARDING CONSTRUCTION-CENBMGA$ENCY hereby affirm undo- penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section ender's Name Lender's Address "my signature below, I certify to each of the following: I am the prnpertylowner 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 applicabl ' y and county ordinances and state laws relating to building construction. I authorize representatives of t ' ity or count tent = entified property for inspection purposes. �'�,y^� ignature of Property Owner or A lzed Oerl! "V\ Print Property Owner's or Authorized AOra/R9Nama Y - DATE BY DECLARATION OF C ITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 1 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EMENDED QMD PERMITFINAL /�J � gSBEST05 NOTIFICATIONISNOTAPPUCABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: FOR OFFICE USE ONLY ate r • J - L^ I, Civil Code). r )S