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HomeMy WebLinkAboutGB050096_FinalMain Office Inspection Office County of orange 300 N. Flower Street 22921 Triton Way Third Floor Laguna Hills, CA Resources & Development Management Department Santa Ana, CA 92653 (This permit wilt expire after 2 years of inactivity and the 92702 applicant is responsible for tracking and maintaining it active. For more information, visit our website.) For Inspections* Call: (949)472-7922 or (714) 796-0407 or Visit us on the web at: http:l/www.ocplanning_net PRECISE GRADING PERMIT Grading Permit Number: GB050096 Revision 1 (Rev. Date: 4/24/07) Description of Work/Use: precise grading for sfd and attached garage Rev Reason: change alignment of the Ret. wall issue Date:213/06 Issued By: Javid Mohsenzadeh Job Address: 23 Avalon Vista, Newport Coast Owner: William Schulte(Applicant) Additional Address:Tract 15346, Lot 16, only Address: 6 Anondale Assessor Parcel No: 473-163-09 Newport Beach,CA 92660 Legal Description: 15346 16 TR Phone: 949-737-1187 �• Related Permits: RS051593 RW070061 RW070062 RW070063 RW070064 RW070065 Waste Discharge ID No. (WDID): NIA Approval Info: Grading Plan Check Approved By: Javid Mohsenzadeh Date:3129107 Current Planning/Zoning Dan DeMara Date:4/23107 Contractor: RM Homes (Robert McCarter)20 Laguna Madre Aliso Viejo, CA 92656 Engineering Geologist: Darrel Roberts {Petra Geotechnical)3185-A Airway Avenue Costa Mesa, CA 9262 � Civil Engineer: David Hansen (Petra Geotechnical)3185-A Airway Avenue Costa Mesa, CA 92626 Applicant: Robert McCarter (RM Homes)20 Laguna Madre Aliso Viejo, CA 92656 (Permittee) Applicant: William Schulte 6 Anondale Newport Beach, CA 92660 (Permittee) 1 O Civil Engineer: Yefim Tsalyuk (ITF Engineering)P.O. Box 50756 Irvine, CA 92619 Company: wells fargo bank Type of Bond: Cashiers Check Amount: $13,000.00 Bond#: 0015002271 By signing below. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above -mentioned property fur inspection purposes Declarations: I hereby affirm under penalty of perjury that: Licensed Contractor Declaration Construction Lending Agency ❑ I am licensed under provisions of Chapter 9 (commencing with Section 7000) of I hereby affirm under penalty of perjuty that there is a construction -lending division 3 of the Business and Professions Code, and my license is in full agency for the performance of the work for which this permit is issued (Sec. force and effect. 3097, Civ. C.) License Class: No.: Lender's Name: None Lender's Address: None Contractor. Owner - Builder Declaration I am exempt from the Contractors' State license Law for the following reason (Sec. 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' $rate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt there from 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractoor$' state License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, 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-bul€der will have the burden of proving that he or she did not build or improve for the purpose of sale.). ,,purpose as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.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 such projects with a contractor(s) licensed pursuant to the Contractors` State License Law). ❑ I am exempt under Sec. , B. & P.C. for this reason Workers Compensation Declaration ❑ i have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. © 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 insurance carrier and policy number are: Carrier: Policy Number: Li I certify that, in the 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 workers' compensation laws of California, and agree that, it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Waning: failure to secure workers' compensation coverage is unlawful, and shall subject employer to criminal penalties and civil fines up to one hundred thousand dollars ($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. 'Failure to hold pre -grade meeting with grading inspector prior to starting work shall result in revocation of this permit. Inspector may be contacted at (949) 472-7979. 'Failure to grade within 180 days will automatically expire the permit. Building permit may be issued after rough grading has been approved. rc3aust 249AMPSTonwplicaniSinure ion: 3 h Flower, Santa Ana,