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Home My WebLink AboutX2018-1934 - Permits,r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2018-1934 *� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 9 3 4� I`</J Project No: Permit Counter Phone (949)644-3288 1 Inspection Requests Phone (949)644-3255 2 t4G e'r�trew��' Combination Type - SFP �O-D& Issued Date : 06/25/2078 (706 1 v I Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. r 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: 42 PELICAN CT NB Description: SFR REMOVEIREPLACE (E) GARAGE SLAB Legal Desc.: N TR 12212 LOT 39 Owner: LOEB WOLFSON KAREN Contractor: D C DRAINS INC Architect: Ime Address: 42 PELICAN CT Address: P O BOX 1116 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92659 Phone: Phone: 949-642-7531 Phone: State Lie: C> Applicant: D C DRAINS INC Con State Lie: 763925 Engineer: Address: P O BOX 1116 Lie Expire: 06/30/2019 Address: NEWPORT BEACH CA 92659 Bus Lie: BT01020930 Phone: 949-642-7531 Lie Exp Date: 12/31/2018 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer:" Type of Construction: VB Carrier: EMPLOYEE SERVICE GROUP Address: Occupancy Group: R31U Policy No: :036150609 Added /New, sq.ft. Bldg: 0 Expire: 06/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4.000.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $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: $128.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $128.00 PROCESSED BY: OUBLIC WORKS APPROVAL: NuoZONING APPROVAL: -PIs4N CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 applidant for is 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, lusiness 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 nproved for the purpose of sale). 1 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 pply 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). 7 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 legally 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 Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) f Ivisiop the Business and Pro a 1 n o , and m licen FUJI fa[.ce_.. nd effect. License Class License No Date �'S 1 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th 'ormance of the work for which this permit is issued. Policy No. have and will aintain workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Irance carr I pplicy numb a : rier_ 11 P cumber Expiration Date nP �� f J Phone # �. cL mance of the work for which this perm ' ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre C- it to ih a workers' compensa ' rovisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Data\ I S T Date ?O STRUCTION LENDING AGENCY W that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address `f the following: I .d to act on the property owner's behalf. I h� .as information I have provided is correct. I agra ,ifcable city and county ordinances and state laws relating to building construction. 1 author, is of this city or countyent a above-identi ' rope for inspection purposes. iature of F. .mer or Authorized A en Print Pro ertOwner's or Authorized Agent's Name CY� z918�g ZS1' rION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICATIONro ••� • •� i PERMITCANCELLED UEPA • • ••• •• PERMIT EXTENDED UAQMD PERMITFINAL t iryCAASBESTOS NOTIFICATION IS Pjy LE TO CERTIFICATE OF PROPOSED L ION OCCUPANCY ISSUED SIGNATURE. •••