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Home My WebLink AboutX2019-2240 - PermitsCity of Newport Beach Building Division Off` 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 v.. - inspection Requests Phone (949)644-3255 Combination Type -GRAD COMB Permit: X2019-2240 x 2 9 1 9 2 2 4 0 Project No: Issued Date : 07/1812019 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: 22 BURNING TREE RD NB Description: SFR YARD DRAINAGE 1 Nor - ECT® R Legal Deso.: N TR 7638 LOT 91 Owner: BOHAN ANTHONY Contractor: SRS CONCRETE CONSTRUCTION Architect: Address: 22 BURNING TREE RD Address: 427 E 17TH ST 221 #F Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-290-4409 Phone: State Lie: Applicant: SANDERS ROBERT Con State Lie: 964148 Engineer: Address: 427 E 17TH ST 221 #F Lie Expire: - 04/30/2020 Address: COSTA MESA CA 92627 Bus Lie: BT30068149 Phone: 949.2904409 Lie Exp Date: 07/31/2020 .Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: ° ° Type of Construction: Carrier: WESCO INS CO Address: ° • ° ° o Occupancy Group: U Policy No: W WC3394169 ... Added /New sq.ft. Bldg: 0 Expire: 0211312020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: • • ° No of Units: 0 Front: / .°+°�+ + + Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 o ° Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00. Additional Fee : $118.00 Plan check Fee: $40.00 Fire Inspection:, $0.99 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev +"R. .... Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $312.00 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 : $41.25 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 : $513.25 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $513.25 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:\t GRADING APPROVAL: APPROVAL TO ISSUE: l `1--- 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(:) 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 ie 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). 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 pplyto-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). I 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.htmi. 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 7 3 of D'vjsio 3 of the Busines an Professions Cod my Ii as is ' full force nd effect. License Class License No t Contractor SI ature IIORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (§100,000), IN ADDITION TO THE CST OF COMPENSAII(" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm ur?Def Penalty of perjury one of the following declarations: .... . I haae and wie .m.aintain 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( ppyrr yrfor ce ofthe work for which this permit is issued. Policy No. Iii wilt maigtain 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' compensatior IIsi ce carriervsndpolicy number are: arr 1 Policy Number Expiration Date Agent•_*.' in the performance of the work for which this become, subject to the workers'co note 1" any person in any manner so as to become SL 170Ue Labor Code, I shall forthwith comply with those I hereby atfff6FnwdETr0nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (; Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' alt. I have read this application and the inf rmation I have. provide c re I agree to comply with all applicable Ity and county ordi ces a laws relating to building construction. I authorize representatives of this y or county to r the ab -i ntified property for inspection purposes. Signature of Property Owner o zed A ant Print Property Owner's or Au rized A 's Name ACTION TE BY DECLARATION OF PLIANCE WITH CODE OF FEDERAL FOR OFFICE U -E—ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE - 1403 PERMITEXPIRED PERMITCANCELLED PERMIT FINAL L¢L CERTIFICATE OF tat OCCUPANCYISSUED SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION the workers' compensation laws of California, and "-2 Civil Code).