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Home My WebLink AboutX2019-3441 - Permitswno City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3441 100 Civic, Center Drive, Newport Beach CA 92660 X 2 0 1 9 3 4 4 1 Project No : 2382-2019 E Permit Counter Phone (949)644-3288 - "eS Inspection Requests Phone (949)644-3255 Combination Type - GRAD ELEC PLUM Issued Date : 10/30/2019 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: 1030 SANDPIPER DR NB Description SFR YARD DRAINAGE & GASIELEC TO BBQ AREA Legal Desc : N TR 3660 LOT 31 `� Owner LANE Contractor INSTANT POOLSCAPES Architect: Address: 1221 W COAST HWY #311 Address: 28562 OSO PARKWAY #D243 Address: NEWPORT BEACH CA 92663 RSM CA 92688 Phone: Phone: 949.795.0648 Phone' State Lic: - Applicant WRIGHT JC Con State Lic: 1009644 Engineer: LACHER TODD .:Address: 26562 OSO PKWY #D243 - - Lic Expire. X1213112019 Address: 1201 N TUSTIN AVE I RSM CA 92688 Bus Lic `-'BT30063469 ANAHEIM CA 92807 Phone 949-795-0648 Lic Exp Date: 12/31/2019 Phone: 714-630-6100 State Lic:C-067656 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carries WC EXEMPT Address: Occupancy Group: - U ` Policy No. (NO EMPLOYEES). Added /New. sq.ft. Bldg: '.. 0 - Expire: Phone:: - Addeo /New sq -ft. Garage 0 No of Stories. 0 Building Setbacks Rear: / Special Conditions:. LANDSLIDE AREA No: of Units: -0 Front: / Bldg Height: 0-. Left: / Bldg Sprinklers: Right: Flood Zone: X 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 $16.64 -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 Feer .$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 PIN 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 : $640.64 Plan Check Fee: $312.00 Fee Due at Permit Issuance : $328.64 PROCESSED BY: '� o o <° f o D66LIC WORKS APPROVAL: < ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL:c < o u < o 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(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 U 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 Im roved 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). 0 1 am exempt from licensure under the Contractors' State License Law for the following reason: Bymy 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 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 following Web site:http://www.loginfo.ca.gov/calaw.html. 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 7 00of&1 Yys' �9M slness and Pr ssions Cc my c e is in full force and effect. License Class License No Date (i/ o ractor Signatur 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 HUNG EO THOUSA 0 00 S ($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. _ I hereby affirm under penalty of perjury one of the following declarations: ❑. I h$6, 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 ance of the work for which this permit is issued. Policy No. have and ill m 'main 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' compensatio Surance carrie and Qlicy number e: ,arrier Ii bar Expiration Date Vame of Agent Phone # ❑1 certify that, in the performance of t work for which this ermit 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 :hat, if I should become subject to th workers' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions./ e�- 3 Signature of Applicant ' ate ( / DECLARATION REG D G CO UCTIO N AGENCY hereby affirm under penalty of perjury that a is a c struction 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 o he fo ing: I am the property owner or authorize act on the property owner's behalf. 1 have read this application and the information I have provide ' cor Ct. I agree to comply with all applicable city and coun ordinan s and s to laws relating to building construction. (G ) I authorize representatives of this city or cou ty t 'enter f above-id ntified property for inspection purposes. '�J /- 7 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1- (l /fjDate ACTION DATE BY DECLARA400F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU _"T19flS PART 61 OF TITLE 40 AND AQMD RULE 140 PERMITEXPIRED Eh SUBMITTED ASBESTOS NOTIFICATION-FO PERMITCANCELLED OEPA • • • • • •• • • • • •• PERMIT EXTENDED qMD PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF. -24-ZO FbT^ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: f