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Home My WebLink AboutX2019-2716 - Permitscxn City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - GRAD PLUM ELEC 11111��111��111�1111�1111�111111111��111��p1��111�19il COMB Permit: X2019-2716 Project No: Issued Date : 0910312019 Inspection Area : 5 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 433 SEAWARD RD NB Description: SFR YARD DRAINAGE & ELECIGAS FOR BBQ & FIREPIT Legal Desc.: N TR 1237 LOT 6 Owner: LILJESTROM JASON/CHRISTINA Address: 433 SEAWARD RD CORONA DEL MAR, CA 92625 Phone Applicant: WRIGHT JC Address: 28562 OSO PKWY #D243 RSM CA 92688 Phone: 949-795-4551 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: Flood Zone: X Construction Valuation: 90.00 Contractor: - INSTANT LANDSCAPES Architect: Address: 28562 OSO PKWY #D-243 Address: Phone: RSM CA 92688 Phone: 949-347-0700 Phone: State Lic: Con State Lic: 842586 Engineer: Lic Expire: 07131/2020 Address: Bus Lic: BT30053469 Grading Bonds Fee: Lic Exp Date: 10131/2019 Phone: State Lic: Worker's Compensation Insurance Carrier: SIRIUS AMERICA INS Policy No: 190725-001 Expire: 08/15/2020 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkina Soaces 0 Designer: WRIGHT JC Address: 28562 OSO PKWY #13243 Planning Department- RSM CA 92688 Phone: 949-7954881 Special Conditions Fire Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $21.16 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: $2.00 Grading Permit Fee: $312.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $312.00 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 PNV 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 : $647.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $647.16 PROCESSED BY: ZONING APPROVAL: d c G � w sos s �Pl1BLIC WORKS APPROVAL: sss PLAN CHECK BY: GRADING APPROVAL: _ APPROVAL TO ISSUE: c a 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 im roved 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 ap ly 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 1 acknowledge that, except for my personal residence in which I must have resided for at -least one year priortoof the Improvements covered by this permit, I cannot legal) 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 .�,D�iision f dF e Business and Profe si ns C in full force and effect. License Class License No Date j r ontraclor 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 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 th oe ormance of. the work for which this permit is issued. Policy No. 1 have and will m fnyain 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' compensatioi nsurance carrier and o"1 y number carrier , li(yldmlber Expiration Date \lame of Agent Phone # :1I certify that, in the performance the work IF this permit is is-ehaiiTrotzmplop'arry-pe - nv ma. nner so as to become subject to the workers' compensation laws of California, and agre :hat, if I should become su ct t the wor compe at' Islon action 3700 of the Labor Code, I"shall foart— with comply with those provisions. Signature of Applicant D DECLARATION REG DING COSTR DING AGENCY hereby affirm under penalty of pe hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address _ 3y 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 he ided is come - I agree to comply with all applicable city and cou y ordiperlr6s —andaws relate to building construction. I I authorize representatives of this city or county nt -identified pr for inspection purposes. i ,, t7 `I r �'( 31 nature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Na e ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE rcrcrvUI LAVIrtu WISUBMIIIEDASBE5IUSNUIIHLAIIUPYIU • • • i • s• PERMIT CANCELLED DEPA • • , • , • • � i PERMIT EXTENDED OAQMD • • •* • * • PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION •. •_•••• OCCUPANCYISSUED j SIGNATURE: • + • • • •. •f M1 • • i