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Home My WebLink AboutX2019-2597 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 Permit Counter Phone (949)644-3288 Inspection. Requests Phone (949)644-3255 e'�Lrry Combination Type - GRAD ELEC PLUM 2 5 9 II COMB Permit: X2019-2597 Project No : 1855-2019 Issued Date :08/16/2019 Inspection Area : 8 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: 2924 CAROB ST NB Description: SFR YARD DRAINAGE'CTY STD" & GAS FOR FIRE RING & ELECT FOR FUTURE USE Legal Desc.: N TR 6018 LOT 112 INSPECTOR Owner: WILLIAM WARDEN III Contractor: MARC MASON LANDSCAPE SVC Architect: Address: 2924 CAROB ST Address: 1846 ILLINOIS ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-330-0914 Phone: State Lic: Applicant: MARC MASON LANDSCAPE SVC Con State Lic: 490874 Engineer: m°°mm Address: 1845 ILLINOIS ST - Lic Expire: 05/31/2020 Address: .0000. °"Om ° COSTA MESA CA 92626 Bus Lic BT00010754 oomo° Phone: 714-330-0914. Lic Exp Date: 12131/2019 Phone: State Lic: Code Edit: .2016 Worker's Compensation Insurance Designer: 0 m o ° 00 o Type of Construction: Carrier: PREFERRED PROFESSIONAL Address: m Occupancy Group: U Policy No: ON0900401 Added /New sq.ft. Bldg: 0 Expire: 0613012020 Phone: Added/New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I 0 0 Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $24.32 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: $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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W 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: $648.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $648.32 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 itEe. (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 applicar 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 a.. 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 penally or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who: builds. or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from -licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION n I.he reby affirm u ri0r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n d f Ivtslon 3 of the Bu'-�_ygJss and Profrfssions Co 8, and )t license is' ull force and el$ct. Licanse.Class License No o e Contrac�0(' Signatur IVORKERS' O&PIENSATION DECLARATION \\\\AAALLL C 1 NANNING: FAILURE40 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($110D,000), IN ADDITION TO THE pOS=OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lVieby affirrRUtltler penalty of perjury one of the following declarations: a71 have and atilt 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 tht aPa mance:,pf%%%Nork forwhich this permit is issued. Policy No. r 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' cs w ier aand policy number are: Policy Number Expiration Date certify Al,'im the performance of the work for which this permit is Issued, all not employ any person in any manner so as to become subject to t, if I should become subject the works compe9lsationprovisions of Ction 3700 of the Labor Code, I shall forthwith comply with those pro*ks nature of ppli CLARATION R ARDG CONSTRUCTION LENDWIS AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect 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 ordina ces and state laws relatin o building construction. I authorize representatives f this ' or bounty to ant Kffie abqyB5klentIfled pr y for inspection purposes. workers' compensation laws of California, and agre( YDate_Z3 L6 �-,.1 f.9 7 3097, Civil Code). Signature of Proert Own r orized A e Print Property Owner's or Authorized Agent's am l r e `� , /W l �1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLIN REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED QMD PERMITFINAL El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED ��/ SIGNATURE: