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Home My WebLink AboutS2018-0086 - Permits§+xT1 City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 1 8 0 0 8 6 g Permit Counter Phone. (949)644-3288 ,lob Address: 10 WHARFSIDE DR Floor: Description of Work:SPOOL 96 SF W/DRAINAGE Inspector Area: 6 Legal Description: N TR 15850 LOT 25 Owner: TAX DAVE & BRENDA Address: 10 WHARFSIDE DR NEWPORT COAST CA 92657 Phone: 949.633.8299 Applicant: KINNEY BRADFORD/ Address: 1560 SUPERIOR #B3 COSTA MESA CA 92627 Phone: 949-690-7874 Building Reacto Setbacks: Front: Ip Left: Right: Construction Tvoe : Construction Valuation: $25,000.00 Building Permit Fee : $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigatio 0.00 Plan check EM. Fe $O.OR WQ Compliance I sp Fee: $0.00 TOTAL PROCESSED BY: ZONING P001 -Permit: S2018-0086 Project No: 1191-2018 Inspection Requests Phone (949)644-3255 Suite: Bldg:1 P i 9 Plan Check No: 1191-2018 NA Code Edit: 2016 •eme Contractor: TUSCANY CONSTRUCTION CO Architect: .O9O•. Address: 1560 SUPERIOR AVE #83 Address: COSTA MESA CA 92627 •° °o°c ooesof Phone: 949-548-3355 Phone: State Lic: a e o c Con State Lic: 494601 Engineer: LACHER TODD Lic Expire: 07/31/2018 Address: 1201 N TUSTIN AVE * • • ° • o o e o ° Bus Lic: - BT30051434 ANAHEIM CA 92807 e• o Lic Exp Date: 06/30/2018 .Phone: 714-630.6100 State Lic:C-067666 °GCJ° U Worker's Compensation Insurance Special Conditions: Carrier: SOUTHERNINSURANCE aeeomo 0 0 Policy No: OWC1006194 oo°°mo Expiration: 10/20/2018 Issued Date: 05/18/2018 eo 0 FEES Record Management: $0.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $293.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $293.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 - $0.00 Plan Check Fee : $0.00 a Due at Permit Issuance : $1,305.00 PLAN CHECKE BY:: ./ APPROVAL TO ISS PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 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 he 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 lot more than five hundred dollars ($500). 1201 N TUSTIN AVE 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensureunder the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legaill lel[ a structure ION fi8ye built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code? i6 -available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. vgrle$uro of Properly Owner or Authorized Agent Date _10ENS'ED CQN1*?,ACTOR'S DECLARATION r9;Sb9 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 Div [0 3 of the Business and Projessigpa o([a, algid �ny�I cense [s in full force and effect. License Class License No Date V & Contractor signature 1 � Lfl 1J0J1KFRS' Ct7MPEJ4SATION DECLARATION JARNIN& FAILURE Tjl SJTURE 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 WS Qr.COMPENS- 10 , AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unaer'penalty of perjury one of the following declarations: • •h2ve and w((I*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 th ante of"*,400la for which this permit is issued. Policy No. fill and will,ma[ptain 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' compensatiol istdaM: carrier el?d`gAicy number are: Policy Number Expiration Date of Agent certify that, in the performanffio or 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 I, if I should become subject tkeArs3 co pensat[on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican v�- Dat 4v CLARATION REGARDING CONSTRUCTION NDING AGENCY :reby affirm underkenalty of perjury that there a construction lending agency for the performance of the work for which this permit is issued (Section -1097, Civil 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 hav provided is correct. . I agree to comply with all applicable city and county/6r I nce and state laws relating to building construction. I authorize representatives of this city or county to nl rrpy{a,'e1�,a1',�g�j,'v�-I entified property for inspection purposes. nature of Prooertv Owner or Authorized Aoen 1 II ALrPrint Property Owner's or Authorized Agent's Name ACTION DATE BY RDECLARATION I EGULATIONS PART061 LIANCETLE 40ANDDE WITH DE OFAQMD FEDULEERAL FOR OFFICE USE ONLY PERMITEXP/RED LIISUBMITTEDASBESTOS NOTIFICATION TO PERMITCANCELLED EPA INSTALLED bsZ:7 /[��`, AJ PR POSED DEMOLITION. IS NOT APPLICABLE TO