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Home My WebLink AboutX2018-2549 - Permits�$,•„� City of Newport Beach - Building Division o�i T 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 v , 0 Inspection Requests Phone (949)644-3255 Combination Type - GRAD IIIIIIIIII�IIIIIUIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2549 7 Project No: 2042-2018 Issued Date : 08/27/2018 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: 17 RUE CANNES NB Description: SFR -PAVE DRIVEWAY (STANDARD DRAINAGE z Legal Desc.: N TR 7519 LOT B Owner: ROER HARBEY Contractor: GENESIS DEVELOPMENT Architect: Address: 17 RUE CANNES Address: 8715 W LOS ANGELES AVE Address: 4( NEWPORT BEACH CA 92660 MOORPARK CA 93021 Phone: 949-706-3255 Phone: 818-364-5000 Phone: State Lie: Applicant: GENESIS DEVELOPMENT Con State Lie: 758056 Engineer: 10.7a Address: 8715 W LOS ANGELES AVE Lie Expire: 01/31/2019 Address: MOORPARK CA 93021 Bus Lie: BT30064292 Phone: 818-364-5000 Lie Exp Date: 08/31/2019 Phone: State Lie: - Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Worker's Compensation Insurance Designer: Carrier: REDWOOD FIRE 8. CASUALTY Address: Policy No: GEWC911813 Expire: 0810112019 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: I Right: I 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 : $0.00 Plan check Fee : $0.00 Fire Inspection: 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: $48.38 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $293.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $10.62 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 P1W Plan Check: $38.00 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 : $392.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $392.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 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 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 (_) 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 Improved 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 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). ❑ 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 legalh 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.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 7001 f Ivisio 3 pf the Business and Professi se is orce and effect. License Class License No Date �'7 P Contractor Signature WORKERS' COP109NSATION DECLARATION NARNING: FAILURE TO F�^URE 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 LOST OF LOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Lndcr penalty of perjury one of the following declarations: I I 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 A�fiLance of the work for which this permit is issued. Policy No. c and wil! 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' compensa puraylce came, and nnlicy number are: of Agent erti,y that, in'the o if I should become tt::re of Applicant, Policy Number Date 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 agre hew ompensation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o+ Date_ a 'z'� //C,-) JSTRUCTION LENDING AGENCY hereby affirm under 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). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and gate laws relating to building construction. / I authorize representatives of this city or county tq_entey,the abo = en for inspection purposes. _ _- _ .Z of Prooertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY Name Date