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Home My WebLink AboutX2019-4170 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIII�IIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG 1 7 0 II COMB Permit: X2019-4170 Project No : 1573-2019 Issued Date: 01I08/2020 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: 103 JASMINE CREEK DR NB Description: SFR *ADDITIONAL SCOPE* BLOCK WALL 6' HIGH X 70 LF INSIDE P/L (REV19-2168) DELTA 4 rl pp�� 0 P Legal Desc.: N TR 8428 LOT 17 11� S Ls'i1 7 Owner: HIDEY JEANIE Contractor: HARTUNG CONSTRUCTION INC Architect: Address: 103 JASMINE CREEK DR Address: 2604 CALLE ONICE Address: CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92629 Phone: Phone: 949-366-2404 Phone: State Lic: Applicant: MANZER BRUCE Con State Lic: 730388 Engineer: CHOI DAVID Address: 24275 PONCHARTRAIN LN Lic Expire: 12131/2020 Address: 1327 LOMA AVE LAKE FOREST, CA 92630 Bus Lic: BT30036286 LONG BEACH CA 90804 Phone: 714-720-4394 Lic Exp Date: 07131/2020 Phone: 562-961-5600 State Lic:S-004784 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U Policy No: 9041108 Added /New sq.ft. Bldg: 0 Expire: 01/0112021 Phone: - Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear. 15' Special Conditions: , No of Units : 0 Front: 15' , .. Bldg Height: 0 Left: 5' Bldg Sprinklers: Right: 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $365.00 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: $30.00 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 W $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 chanical %: $0.00 NMUSD Fee: $0.00 Plu bing %: $0.00 $0.00 TOTAL FEE : �48.00 Plan Check Fee : $405.00 Fee Due at Permit Issuance : $443.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: r 4 GRADING APPROVAL: 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 1e 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 nprovements 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 mproved for the purpose of sale). 7 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 poly 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: 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 legalh 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://www.leginfo.ca.gov/calaw.html. signature of PrepertV Cwner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm crde• ^enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Iv 'o p e Business and Profe side and m s in f rce nd effect. License Class License No Date ontractor Signature �! �. ✓OPKERS' COMPENSATION DECLARATION 'ARNIN ,: FAILURE t0 SEC! IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OS` OF rOMPENSAT:11; 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: I fl1�eve 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 erforrp�Ance of the work for which this permit is issued. Policy No. and w"I 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which thig permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree lat, if I should become subkct t he workers' om n isions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. ignature of Applicant r 4 at Dat ECLARATION REGA I N TRUC N LE AG CY hereby affirm under pe alty of perjury that there is a constructs n lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Co e). ender's Name Lender's Address y 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 ordinances and state laws relaling to building construction. I authorize representatives of this city or county toe the abgo i Ifs r�ro for inspection purposes. ! ,, y'�I, %)err //�/j✓J '7 ignature of Property Owner or Authorized Agent' .i�Nd�AI �WJ yn i Print Property Owner's or Authorized Agent's Name . ii/�%� /7" L / �X/LJ//ID3F€ //Yl be M ACTION DATE BY DECLARATION OF COMPLIANCE WITVODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EMENDED 0AQMD PERMITFINAL pIL.F— ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF _2 Fars.- PROPOSED DEMOLITION OCCUPANCYISSUED 9 SIGNATURE: