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Home My WebLink AboutX2019-1535 - Permits.W1 City of0J4eQov; Bh4c0--Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�II COMB Permit :.X2019-1535 fl"t 100 Civic.@ente1 ivq, late ort t3sach,°CFP 92660 X 2 0 1 9 1 5 3 5 P; "� • _ Project No :1093-2019 � - permit Counter Phone j949)944-�2$ • ) Inspection Requests Phone (949)644-31295 c > '�4arrfYr'�. Coglbinalibh Type.- SEeeELEC MECH mm o ° o ° ° . ° ° °m �. • Building Permit Fee: Issued Date : 05/15/2019 Inspection Area : 8 e o ° • ® PFRMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: WASP -131riday 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: 3 BARRENGER CT NB ' Fire Department Description: SFR -INSTALL VERTICAL BEAM SUPPORT FOR NEW ELEVATOR & ELEVATOR BRACKETS. Legal Desc.: N TR 11450 LOT 21 - Additional Fee : Owner: PARKER JULIE Contractor: MC COURT PATRICK Architect: Address: 3 BARRENGER CT : Address: 13202 SUSSEX PLACE Address: NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 Phone: Phone: 714-345-5847 Phone: State Lic: Applicant: MCCOURT JACINTA Con State Lic: 774960 Engineer: YAGHI SHUCRI I Address: 13202 SUSSEX PL - Lic Expire: 02129/2020 Address: 112 E. CHAPMAN #D SANTA ANA CA 92705 Bus Lic: .BT30067088 ORANGE CA 92866 Phone:.. 714-538-5784. Lic Exp Date: 0413012020 Phone: 714-997-9120 State Lic:C.043205 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: WC EXEMPT Address: " Occupancy Group: R31U - Policy No: (NO EMPLOYEES) In -lieu Housing Fee : Added /New sq.ft. Bldg: 0 Expire: Building Dept Adm Phone: -Added /New sq. ft. Garage: 0 Energy Compliance: $0.00 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / General Service Bldg Height: 0 Left: I CA Seismic Safety: Bldg Sprinklers: Right: I WQ Insp. Fee: Flood Zone:.` Use Zone: Parking Spaces: 0 i Fire Hazard Zone: N Building Permit Fee: $680.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $591.60 - Additional Fee : $0.00 Plan check Fee: $40.00 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: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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 PNJ Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00. Electrical %: $47.60 San Dist: $0.00 Building Green Fee $2.00 Mechanical W $27.20 NMUSD Fee: $0.00 $0.00 Plumbing %'. $0.00 $0.00 TOTAL FEE : $1,392.40 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,392.40 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL:. IVB PLAN CHECK BY: 1"TI GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the D•hetikmark(s; 1,Ralpiaced nettlo the applicable item(s) lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any strSctdr2, prior to its issuance, also require. the applicant for IS 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.Divisiyn 3 of the Business and 'rofessions 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 ppyVit s ob1ects RIe aptlichnt to a civil penalty of of more than five hundred dollars ($500). ,' , • , .: ; • • ; 7 I, as owner of the property, or my employees with wages as their sole compensation, will do ( )all of or (� po tions of the wo k, and the sta, �Nre not in�nQed ®roffer�dfor sale (Section 7044, 'usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effQtj,builds or irrTp?oves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bui%r will have the burden of proving that it was not built or n 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govicalaw.htmi. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0). f Division of the Business and P fesade aad-may�lice ye I 'n ul force nd effect. License Class License No Dat IS S' d0j Contractor Signatu VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDDOLLARS ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi erformance of the work for which this permit is issued. Policy No. ]I 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' compensation Isurance carrier and policy number are: bier Policy Number Expiration Date gentPhonethat, in the performance of the work for which this per it 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, ould become subject the wo kers' compen tion pro ction 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ignature of Applicant - Date IECLARATION REGARDI C NST TION LENDING A EN Y hereby affirm under pena y of erjury that there is a constructio ding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, 1 ce ' 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 provi edis correct. I agree to comply with all applicable city and coun q as and state laws relating t building construction.. - I authorize representatives of this city or count o enter(%I . abov -identified pr eit f ' ec Ton purposes. lkmature of Prooertv Owner or Authorized ADen � � Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLAR TION OF COMPLIANCE WITH'"' OF FEDERAL REGULAfrIONS PART 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF �y 27?�' ASBESQOSN ATIO S NOT APPLICABLE PROPOSEOCCUPANCYISSUED SIGNATU'r^"