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Home My WebLink AboutX2022-1787 - PermitsCit oo y;Vic o cNewenterDport Bpea ortsha-Building Division CA 92660 t;, s Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP COMB Permit: X2022-1787 IIIIIIIIIIII�IIII�IIIIIIIIIIIIIIIIIIII II Project No : 1641-2022 Issued Date: 06/28/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 10 WILD GOOSE CT NB Description: MFR -BALCONY REPLACEMENT. RMV WINDOW, INSTALL SLIDER Legal Desc.: TR 7852 LOT 1 UNIT 59 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER Owner: STAUDINGER DANIELLE Address: 10 WILD GODS CT NEWPORT BEACH CA 92663 Phone: Applicant: SMITH ANGUS Address: 12342 CANYON TER SANTA ANA CA 92705 Phone: 714-538-1191 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 7 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $25,000.00 Building Permit Fee: $501.00 Plan Check Fee: $435.87 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,003.87 PROCESSED BY: ZONING APPROVAL: Contractor: SMITH ANGUS CONSTRUCTION Architect: Address: 12342 CANYON TERRACE Address: SANTA ANA CA 92705 Phone: 714-538-1191 Phone: State Lic: Con State Lic: 637440 Engineer: XIAO QIANG Lic Expire: 02/29/2024 Address: 1520 BROOKHOLLOW DR #46 Bus Lic: BT01101101 SANTA ANA CA 92705 Lic Exp Date: 09130/2022 Phone: 714-662-0510 State Lic:S-005289 Worker's Compensation Insurance Designer: Carrier: GIGA SOLUTIONS Address: Policy No: AMX0800030005 Expire: 1010112022 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: I 7+ 3 $ l Right: / �� E Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee a ad„ e $0.00 Fee Due at Permit Issuance : $1,003.87 PUBLIC WORKS APPROVAL: PLAN CHECK BY: v GRADING APPROVAL: .• APPROVAL TO ISSUE: 0 oVc v> 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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). I I am exempt from Ecensure 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 Sectio 00 of I � iorrDF�Qf the Business and Profe sio de, a my Ii fihe is in full force nd effect. License Class License No Da(� Contractor Signat r i PORKERS' 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. under penalty of perjury one of the following declarations: 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 Ice of the work forwhich this permit is issued. Policy No. 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' compensa carrier and policy number are: IS of Agent certify that, in the performance of if I should become subject to the of Policy Number Date forwhich 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 C\ompen/sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e / 6 � JsnMA� DateX "` � D . `_�- --Z- CLARATION REGARDING G,6NSTRUCTION LENDING AGENCY areby 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). Ider's Name Lender's Address 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 proviM Is correct. I agree to comply with all applicable city and county ordina ceq afNtate laws relating to building construction. I authorize representatives of this city or county to enter th a ve entified pro arty foe inspection purposes. I II7 nature of Prooertv Owner or Authorized Agent '�/ /1 7 Print Property Owners or Authorized Aqent's Name JI/Gf/S J ., ACTION DATE BY ✓ 119ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO - PERMIT CANCELLED DEPA PERMIT EXTENDED ' OMD PERMIT FINAL El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF r414 PROPOSED DEMOLITION • • ••. ••. •e• OCCUPANCY ISSUED SIGNATURE : : ; .•: e