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Home My WebLink AboutX2019-1817 - Permitsnaw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2019-1817 100 Civic Center Drive, Newport Beach,CA 92660 X 2 0 1 9 1 8 1 7Project No 1712-2012 Permit Counter Phone (949)644-3288 Inspection Re uests Phone (949)644-3255 q Combination Type - GRAD Issued Date: 06/11/2019 Inspection Area : 6 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: 20092 KLINE OR NB - Description: SFR DRAINAGE "CTY STD" - Legal Desc.: ION Owner: MCGREGOR JOHN & CATHY Contractor: OWNERIBLDR Architect: Address:. 427E 17TH ST, 0185 Address:^Touq MCGREGOR JOHN Address:. A COSTA MESA CA 92627 " Phone: 949-350-2791 Phone: Phone: State Lic: Applicant: MCGREGORJOHN Con Stale Lic: OIB: Engineer: Address: 427 E 17TH ST, #165 Lic Expire: Address: COSTA MESA CA 92627 Bus Lic: Phone: 949-350-2791 Lic Exp Date: Phone: State Lic: Code Edit: 2015 Worker's Compensation Insurance Designer: Type of Construction: Carrier Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units: 0 Front: I °000c° Bldg Height: 0 Left: I Bldg Sprinklers: Right: I ° ° s Flood Zone: ___ _ _ Use Zone: Parking Spaces: 0 Fire Hazard Zone `. M Construction Valuation: $0.00 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 $090 ° °„• Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $312.00 In -lieu Housing Fee : $0.00 Building Dept Adm °°+o°+ ° $0.00 ° 0 Energy Compliance: $0.00 Grading PC Fee: $312.00 Public Works Department - General Service • $0400 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit +l eap ®° • a ° Disabled Access: $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing%: $0.00 $0.00 TOTAL FEE: $624.00 n Plan Check Fee : $0.00 Fee Due at Permit Issuance : $624.00 PROCESSED BY: ��i(/./ �� PUBLIC WORKS APPROVAL: ZONING APPROVAL I `YV YT PLAN CHECK BY: GRADING APPROVAL: 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 item(-.),. (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 Rcsr the permit to file 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 �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 Nn five hundred dollars ($500). Ear of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 ants 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 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). 11 1 am exempt from licensure under the Contractors' State Li�cceense Law r the following reason: By my signature below I acknowledge that, except for my p reonal resid ce in which I must have resided for at least one year prior to completion of the improvements covered by i permit, I cannot legal sell a structure that I have built as an n builder if it h not been co tructed in its entirety by licensed contractors. I understand that a copy of the applicabl , S ction 70 4 the Bus' as nd Professions Code, is available upon quest hen thi plication is su itted or at the following W :ftp://www.leginfo.ca. I Signature of Property Owner or Auth rized A ant LICENSED CONTRACTOR'S D CLARATI N 1 hereby affirm under penalty of perju that I licens d and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof R e, and my license is in full force and effect. License Class icense No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 OST 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, 'ormance of theaMork for which this permit is issued. Policy No. have and 4•rh2intain workers' compens Ion 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 carrierard•policy number are: vier• + •••• Policy Number Expiration Date issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for is of Agent • I cej ify that,46 ihegrrformance of th ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' cI !, -should becomes tot kers' compensation provision f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignatere of • - D e iFw't" EGAR G NSTRUCTION LENDING AGENCY ftpjgtfyaffirm under pe I perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 0 7, Civil Code). lenvJer';Name • ` Lender's Address is m � signature below,N certify to each of the following • I SO rttthe pro fly, olner or authorized to act on the property owner' b I. ` I slave read ttilal-A kcation and the information I have provided i orr I agree to comply with all applicable city and count 9inances d s e laws relating to build' -construction. �o �..�— I authorize representatives of this city or county enter the b 'd ntified prope nspection purposes. IM C G U signature of Property Owner or Authorized Age Print Property Owner's or Authorized A nt's v � 1 ACTION DAT aRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ON Y REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL / 7 / ` 6 UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF b L�� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: laws of California, and