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Home My WebLink AboutX2017-2857 - PermitsCity of New' Qeash 0L ff 4ir)9°Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2017-2857 5 100 Civic Center 13rivb, Nowpo7(,9eavhpCP 926&0 o x 2 0 1 7 2 8 5 7 Project No : 1301-2017 Permit Counter Phone (949)644-3288° ° ° ° :.- Inspection °°Inspection Requests Phone (949)644-3255 ° ° ° Issued Date: 0910512017 r'rtrrnY�x*� Combination Type; BLnGJ�LbdiM Inspection Area : 1 ° ° Rf)f MATS 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 Sunks olidays Job Address: 132 VIA YELLA NB r �"r H�..�, Description: DEMO SFRIGAR 1465/417 SF (3 BEDROOMS) SEWER CAP INCLUDED ,�� r '', ,4 Legal Desc.: N TR 907 LOT 400 ri f Owner: CALCAGNIE GROUP Contractor: OWNER/BLDR Architect:' ` 4 Address: 16520 BAKE PKWY #106 Address: Address:�ir� IRVINE CA 92616 Phone: 949.345-1001 Phone: Phone: State Lic: Applicant: CALCAGNIE GROUP Con State Lic: O/B Engineer: Address: 16520 BAKE PKWY STE 105 Lic Expire: Address: IRVINE CA 92618 Bus Lic: Phone: 949-345-1001 Lic Exp Date: Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -S Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: JD DEMO TO HAUL DEBRIS No of Units : 1 Front: I O/B FORM ATTACHED Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10.000.00 Building Permit Fee: $0.00 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: $0.00 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 $24.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 ' Electrical W. $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,914.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,914.00 PROCESSED BY: _- (� PUBLIC WORKS APPROVAL: v� ZONING APPROVAL: �fpp't,, VI PLAN CHECK BY: 6% GRADING APPROVAL: -`r/J 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 belo4by.th, FQeck r ark(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 rep9i4 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 Section990W'oi 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 ppplicanfIr apermjt silbjecl t1le 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 L) all of or L) portions of the work, and tke sQucture fs rTot`ntended 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 IUrs"l effort, builds or improves the property, provided that the 1(f}1 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 Imp oved for the purpose of sale). W®, 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 Slop 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). 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 legally sell a structure that I have built as an owner-buil er 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 whe is appli itt a following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agen Dto r LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' 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 Derformance of the work for which this permit is issued. Policy No. :1I 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' compensatior nsurance carrier and policy number are: Policy Number Expiration Date of Agent Phone # _ ertify that, in the performance of the work for which 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 agre if I should bec a subject to the or® s' com Rsation ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Da L �%. S• t� CLARATION R ARDIN S UCTION LENDING AGENCY C5/ Ireby affirm under penalt ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C II Code). Ider's Name Lender's 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 ordinances and state laws relating to building construction. I authorize representatives of this city or couy enter a e-ide hied property for inspection purposes. nature of Propertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date S • �• t� BY PERMIT EXTENDED REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMITFINAL I- r V? SG APVUASBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFIC4TEOF PROPOSED DEMOLI pN OCCUPANCYISSUED SIGNATURFV/ FOR OFFICE USE ONLY