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Home My WebLink AboutX2018-2891 - PermitsCOMB Permit: X2018-2891 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II Project No: 2309-2018 Issued Date : Inspection Area : 4 PERMITS 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 Sundays or Holidays Job Address: 7 SAN MATEO WAY NB Description: SFR YARD DRAINAGE & GAS LINE TO FIRE -PIT Legal Desc.: N TR 7844 LOT 28 #W%/ Owner: City of Newport Beach - Building Division Address: 100 Civic Center Drive, Newport Beach, CA 92660 r+ Permit Counter Phone (949)644-3288 Phone: Inspection Requests Phone (949)644-3255 Applicant: Combination Type - GRAD PLUM COMB Permit: X2018-2891 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II Project No: 2309-2018 Issued Date : Inspection Area : 4 PERMITS 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 Sundays or Holidays Job Address: 7 SAN MATEO WAY NB Description: SFR YARD DRAINAGE & GAS LINE TO FIRE -PIT Legal Desc.: N TR 7844 LOT 28 #W%/ Owner: PICKART GAIL P Address: 7 SAN MATEO WAY $0.00 CORONA DEL MAR, CA 92625 Phone: 714.600-9388 Applicant: HATFIELD SEAN Address: 1572 RAINBOW DR Bus Lic: , SANTA ANA CA 92705 Phone: 714-600-9388 Code Edit: 2016 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 : 0 Bldg Height: 0 Bldg Sprinklers: Contractor: HATFIELD HARDSCAPE Address: 2414 FRENCH $0.00 SANTA ANA CA 92706 Phone: 714.600-9388 Con State Lic: 899809 Lic Expire: 0 713112 01 9 Bus Lic: BT30057128 Lic Exp Date: 11/30/2018 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks ood Zone: X Use Zone: Construction Valuation: $0.00 $0.00 Building Permit Fee: $0.00 Excise Tax: Plan Check Fee: $0.00 State Lic: Additional Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant Record Management : $2.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WO Insp. Fee: Disabled Access : $0.00 $0.00 Hazardous Mat $0.00 Electrical %: Building Green Fee : $0.00 Mechanical %: Plumbing %: TOTAL FEE: $635.36 PROCESSED BY: ZONING APPROVAL: Rear: / Front: / Left: I Right: I "arking Spay $0.00 $9.36 $0.00 $0.00 $312.00 $312.00 $0.00 $0.00 $0.00 $0.00 Special Conditions Planning Department - Fire Department Plan check Fee Architect: Fair Share : $0.00 Address: -Fire Plan Rev In -lieu Housing Fee: Phone: State Lic: Park Dedication : Engineer: PM Plan Check: $0.00 Address: $0.00 NMUSD Fee: $0.00 Refund Deposit $0.00 Phone: Phone: State Lic: �.6n,��.' !.°y Designer: HATFIELD SEAN $0.00 Address: 1572 RAINBOW DR $0.00 SANTA ANA CA 92705 Phone: 714.600.9388 Special Conditions Planning Department - Fire Department Plan check Fee $0.00 Fair Share : $0.00 SJH Trans: -Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $635.36 o `PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: nuc oo co oma, co Fire Department $0.00 Fire Inspection: $0.00 $0.00 -Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $635.36 o `PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: nuc oo co oma, co 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) (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 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 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 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 70 ) o ivy5,io 3 of the Business and Profe ions ode, and m r Tense is in full force and effect. License Class License No Date G Contractor Signature WORKERS' 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 THOUSAN 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 the oerformance 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' rance carrier and policy number are: Policy Number of Agent Date i kcertify 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 agree t, if I should become s bject to the orkers' compens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D> CLARATION REG DING C TRUCTIO EN ING AGE CY =.reby affirm under anal perjury tq9,Lorere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 have provided is correct. I agree to comply with all applicable city and county ordinances and state lays relating to building construction. I authorize representatives of this city or counjy ,,ant a above-ide €d prp any for inspection purposes. �� .7 mature of Prooertv Owner or Authorized ADent X Print Property Owner's or Authorized Agent's Nani�� ACTION DATE BYL,0<ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TQ•• ••• • •,.• !• • •+ ` • , PERMITCANCELLED DEPA �•` PERMIT EXTENDED QMD • : ` PERMITFINAL OASBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: •`. •`° • + • �,_