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Home My WebLink AboutX2018-0356 - Permits�w�zk City of Newport Beach - Building Division cs 'ii 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2018-0356* COMB Permit: X2018-0356 Project No : Issued Date: 0210612018 Inspection Area : 1 PERMITS EXPIRE 160 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: 3906 CHANNEL PL NB 11 Description: SFR 6'H X 4 LF BLOCK WALL "CTY STD" t(I Si�.e,��✓ Legal Desc.: CANAL SECTION ELK 439 LOT 6 pip TOR t� s Owner: ALFRED CHRISTENSEN III Contractor: GARDEN PROS Architect: Address: 3906 CHANNEL PL Address: 3715 ELMWOOD CT Address: v L C NEWPORT BEACH, CA 92663 RIVERSIDE CA 92606 Phone: Phone: 714-243-5100 Phone: State Lie: Applicant: GARDEN PROS Con State Lie: 997386 Engineer: Address: 3715 ELMWOOD CT Lie Expire: 10/31/2018 Address: RIVERSIDE CA 92506 Bus Lic: BT30061953 Phone: 714.243.5100 Lic Exp Date: 01/31/2019 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U Policy No: ,9147166 Added /New sq.ft. Bldg: 0 Expire: 1112112018 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 15 Special Conditions: No of Units : 0 Front: AO • o.. Bldg Height: 0 Left: /3 o®®• 0 ° Bldg Sprinklers: Right: /3 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,000.00 o•oo • • • ° Building Permit Fee: $386.00 Excise Tax: $0.00 Planning Department- Fire Department ®0000® .• ®`„ Plan Check Fee: $342.60 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: .$D.W Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev ' •$0°Ofle 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 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit p ° $0.00 Disabled Access: $0.00 PM Plan Check : $0.00 Grading Bond: •$'0,0tb ••eocc ° Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 • • ° ° �' Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $771.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: g7� I 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 (_) 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). Q 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 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 legall) 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.htmi. 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 wit Secion 7000) of Division 3 of the Busine;s and Profess�iopns Code, and my license is in full force and effect. License Class License No a >• aC- 1 e) Contrac r Signature ,( �r�aw• t NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES iTO ONE HUNDRED THOUSAND DOLLARS (E100,000), 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: 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 'mance of the work for which this permit is issued. Policy No. ave and wig inaintain 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' compensa Inca carriC" dV Jp0licy number are: Policy Number o?Agent•'* Date that, in tfle performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the ould b000fm subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 compensation laws of California, and Date a' 04 - I B hereblyaffirm dnder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). renters Name . Lender's Address 3if dry "mature 4elow,d certify to each of the following: I arTf the preperhy burner or authorized to act on the property owner's behalf. • 1 T12Qe, read ttys ypplication and the information I have. provided is correct. • I T&ee to cdryply An all a plicable city and county ordinances and state laws relating to building construction. I authorize representativ o Is city or county to�enter rtthe above -identified property for inspection purposes. iicnature of Propertv Owne oronzed Agent tlim n ��n...+ Print Property Owner's or Authorized Agentis'Nam Eli F1406P" f_T41i[.7N PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF O OCCUPANCY ISSUED BY _17ECLAWION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY a.w )r