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Home My WebLink AboutX2019-2596 - Permitswnn � City of Newport Beach Building Division IIIIIIIIIIII IIIIII�I IIIIIIIIIIIIIII IIIII II COMB Permit: X2019-2696 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 5 9 6 Project No: 1855-2019 Permit Counter Phone (949)644-3288 u.$rt Inspection Requests Phone (949)644-3255 Issued Date : 08/16/2019 Combination Type - BLDG 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 NIS Description: POOL DEMO METHOD "A", "CTY STD" /� PE-r® Legal Desc.: N TR 5018 LOT 112 J C Owner:. WILLIAM WARDEN III Contractor: MARC MASON LANDSCAPE SVC Architect: Address: 2924 CAROB ST Address: 1845 ILLINOIS ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone:. Phone: 714-330.0914 Phone: State Lie: .Applicant:. MARC MASON LANDSCAPE SVC .Con State Lie: 490874 Engineer. e.••m Address: 1845 ILLINOIS ST Lie Expire: 0513112020 Address: ° ° ° ° m ... COSTA MESA CA 92626 Bus Lie: BT00010754 ®• ° e ° Phone: 714-330-0914 Lie Exp Date: 12131/2019 Phone: State Lie: •em • ° • ° m ° ° Code Edit: 2016 Worker's Compensation Insurance Designer: m • ® ° Type of Construction: Carrier: PREFERRED PROFESSIONAL Address: Occupancy Group: U Policy No: ON0900401 ° mm Added /New sq.ft. Bldg: 0 Expire: 06/30/2020 Phone: m ° ° o ° • e° ° ° e Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: eooeo No of Units, 0 Front: / ° pppp.. Bldg Height: 0 Left: / •e°°�° Bldg Sprinklers: Right: / ° mm Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone'. N Construction Valuation: $10,000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee : $90.00 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: $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 PAN Plan Check: $0.00 Grading Bond: $0.00 _ 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: $402.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $402.00 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 itom(s) Section 7031.5, Business and Professions Cade: 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 ' he 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 )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 permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 mprovements 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 m 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 Ipply 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 Iicensure under the Contractors' State License Law for the following reason: 3y 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, all 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date -ICENSED CCWF%ACTOR'S DECLARATION b6rEpi affirm uf1Q! penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio E Qivi f the Bus' ss and Pro ess' ns and plPcehse i in fKorre Ind effect. LigeIn a Class License No Da �+` Contra K Signatu %ORKERS' CISMPENSATION DECLARATION IAF"NG: FAILURE to SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE :OST•OF COMPENSATIOIJ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Aeref3y affirm unddfpenalty of perjury one of the following declarations: tain 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 for which this permit is issued. Policy No. and A11 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' cyrp jg and. policy number are: Policy Number Expiration Date le of Agent • Phone # •* •. certify that, in the performance of the work for which this permit i ssued, I shall not employ any person in any manner so as to become subject to the v if I s Id become subject to jjVe workers' compensation 505ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lLf�// ;atu of pplican�/—G A 6�i �—�X LA N REG ARDING CONSTRUCTI�NDING AGENCY eb Irm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 31 fer's Name Lender's Address I ny 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 ordinan s and state laws relatin building construction. I authorize representatives 9L-tilkcity or county to ente abov%Gdgatified propertr inspection purposes. A„ of Prooertv Owner ACTION PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL q SO l CERTIFICATE OF OCCUPANCY ISSUED .Print Prooertv Owner's or Authorized nt's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ASBESTOS NOTIFICATION TO LIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION compensation laws of California, and agre [ke "t Civil Code). M� �