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Home My WebLink AboutX2019-3753 - PermitsarD City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E, Permit Counter Phone (949)644-3288 -- 4r Inspection Requests Phone (949)644-3255 r;r it x,�r Combination Type - BLDG PLUM COMB Permit: X2019-3753 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II Project No: 2594-2019 Issued Date : 0412212021 Inspection Area: 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 04/22/2024 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: 304 JASMINE AVE NB Description: DEMO REAR UNIT OF DUPLEX (2 BEDROOMS) GARAGE WI LIVABLE ABOVE. SEWER CAP INCLUDED (X2019-3752) Legal Desc.: CORONA DEL MAR LOT 4 BLK 237 NELY 20 FT(AND SWLY 20 FT LOT 6 BLK 2 37 `cs Owner: DANZ FAMILY TRUST Contractor: CORBIN REEVES CONSTR Architect: LIGHT CHRISTIAN R Address: 774 MAYS BLVD #10368 Address: 245 FISCHER AVE Address: 1401 QUAIL ST #12,0 , INCLINE VILLAGE NV 89451-7620 - COSTA MESA CA 92626 NEW"P,.ORT,,B1=Q6 A)CA 92660 Phone: Phone: 714-640-3700 Phone: 99po�p85� State Lic:CO22334 Applicant: SCHAFFER SCOTT Con State Lic: 721515 Engine lk,� `•%` �� Address: 1401 QUAIL ST #120 Lic Expire: 0413012022 Addres . I^ NEWPORT BEACH CA 92660 Bus Lic: BT30057133 Phone: 949-851-8345 Lic Exp Date: 0113112022 Phone:0xA State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: OAK RIVER Address: Occupancy Group: R3IU Policy No: MAWC128936 Added /New sq.ft. Bldg: 0 Expire: 0212312022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: SEE X2019-3752 No of Units : 1 Front: / Bldg Height: 0 Left: 1 Bldg Sprinklers: Right: I iooa gone: use cone: raming opaces. u me nazaw cone : N Construction Valuation: $1,000.00 Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $120.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.80 $0.00 TOTAL FEE : $251.80 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $251.80 PROCESSED BY: ZONING APPROVAL: te7 0.1 U I w' tHd 9 9 061TIa1 R I PUBLIC WORKS APPROVAL' - PLAN CHECK BY: APPROVAL TO ISSUE: m 0 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) 1 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 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 improved 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' Slate 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 legally 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.htmi. 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 7000) of Division 3 of the Business and Pr fessi - ode�ieen>, an `R,-n full force and effect. License Class B License No 7 Z i S I S Dat qI ZZd 'Zit Contractor Signat INORKERS' COMPENSATION DECLARATION NARNING: 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. 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 thi W,rfgrmance of the work for which this permit is issued. Policy No. 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 policy number are: ie of Agent certify that, in the perform�af�a of the if I should become subj(k` 11he wo Iature of Applicant' Policy Number Date for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l jZ _ 1 n D I `)1/ CLARATION REGfSR9fNG CONSTRUCTION LENDING AGENCY - ereby affirm under penalty 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 Lenders 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 Vo rI nces an state laws relating to building construction. i/ i�r I authorize representatives of this city or county toe r e ab e-identified property for inspection purposes. , ^" ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED T PERMIT FINAL CERTIFICATE OF ! KL OCCUPANCYISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND ACM D RULE 15 NOTAPPLICABLE TO or FOR OFFICE USE ONLY Civil Code). Date