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HomeMy WebLinkAboutGB040163_Issued - DOCSTHOMAS B. MA'I County of Orangeoa ei; Planning & Development Services Department HINI SvITI ,.,. �,IL I P.O F SINTi IN V t I B: TFI -14) \S' September 6, 2007 Scott & Deborah Pievac 1 Pelicans Drive Newport Coast, CA 92657 Subject: Grading Permit Completion Notice: GB040163 Dear Owner: This is to advise you that the terms and conditions set forth by the referenced grading permit have been complied with to the satisfaction of the Building Official of the County of Orange. The excavation/grading work has been accomplished in accordance with Section 7-1-829 of Article 8, Division 1, Title 7 of the Codified Ordinances of the County of Orange. The cash bond referenced below is being processed for refund to the party on record that originally posted it. Please notify the party who posted it to allow 4 to 6 weeks to receive a check in the mail from Financial Operations. Bondina Reference Data Owner: Scott & Deborah Pievac Name on Bond: Scott Pievac Bond Number: 371323460 Type of Bond: Cash Date of Bond: May 16, 2005 Amount of Bond: $21,300.00 Grading Permit No.: GB040163 Address/Tract No.: 1 Pelicans Drive, Newport Coast 15346 5 TR Very truly yours, a ^' �� _" Tim Hertel Supervising Construction Inspector CB09-01 Account Activity Report Page I of 4 Activity Report for Permit Number RW040513 ACCOUNT APPLICANT/FRP SITE Created: 11/19/2004 Pridemark Gen. Contracting & Development Tract: 153465 TR Lods): StaWs: OPEN 54 Teals 1 PELICANS DR NEWPORT COAST Irvine, CA 92618 Phone: 949-951-3434 Permit Description: retaining walls to a maximum height of 17 feel, with guardmil Post Type Work Work Name Hours Title Amount Balance Data I Description Date (Hourly Rate) 11/19/2004 Charge add retaining wail permit 11/19/2004 Dan Demers 0.0667 Planner IV($158.45 $10.57 ($10.57) (JP) 11H9/2004 Deposit Initial Deposit Scott & Deborah $800.00 $789.43 Pievac 1122/2004 Charge Reed 2 sets and route 1 1 MV2004 yoli Jordan 0.4167 Office $37.77 $751.66 set to grading and other Specialist ($90.63) set to Darryl for Prelim. 1123/2004 Charge A.4..MIN Admin 11/2312004 Tim Hertel 0.1667 Senior Construction $26.41 $725.25 8mecharge. bldg Inspector($158.45) preinspection-refer to grading plan ch"Wperma no.GB040163 11232004 Charge ADMIN Admin 1123/2004 Jeff Ferrier 02wo Supervising $43.94 $681.31 timecharge. togged Construction preinspection to TH, and Inspector ($175.75) than to SAO: existing permit GBO40167 1113012ON Charge Applicant already applied 11/30/20U4 Jeanette Brone 0.0500 Office Supervisor $5.17 $676.14 for grading permit. C($103.34) 12/09/2004 Charge A & S plan check. 12/09/2004 Nancy Chung 3.0000 Civil $574.02 $102.12 Engineer($191.34) 12/10/2004 Charge A & S plan check. 12/102004 Nancy Chung 4.0000 Civil $766.36 (-$663.24) Engineer($191.34) 04127/2005 Charge A & S recheck. 04272005 Nancy Chung 2.0000 Civil $382.68 (-$1045.92) Engineer($191.34) 0725/2005 Charge I Permit Processing and 071252005 Jim Swanek 0.3500 Planner IV ($158.45) $55.46 (-$1101.38) Updates 0725/2005 Charge verify clearances, input 0725/2005 Maher Al-Masri 0.4167 Civil Engineering $73.24 (-$1174.62) fees issue for Nancy I Assistant ($175.75) Chung per her approval. 0725/2005 Deposit Additional Deposit Pddemark Gen. $1715.00 $540.38 I Contracting & Dev 0725/2005 Charge Permit Issuance Charge Pedro Castillo $15.00 $525.38 0729/2005 Charge 106 Supervisoradmin 0729/2005 Nish Met 0.0357 Supervising Building $6.83 $518.55 timecharge Inspector($191.34) 0729/2005 Charge 105_ 0729/2005 Phill Duncan 0.5333 Building Inspector $89.06 $429.49 IV ($166.99) 0729/2005 Charge 105 Travel fimecharge. 072912005 Phill Duncan 0.2188 Building Inspector $36.54 $392.95 IV ($166.99) 0729/2005 Charge 10.5_ Admin timecharge. 0729/2005 Phill Duncan 0.18% Building Inspector $31.66 $361.29 IV($166.99) 08/09/2005 Charge 965 08/09/2005 Tom Johnston 0.5000 Building Inspector $83.50 $277.79 j IV ($166.99) 08/09/2005 Charge 965 Admin timecharge. 08/09/2005 Tom Johnston 0.0227 Building Inspector $3.79 $274.00 IV ($166.99) 08/09/2005 Charge 965 Travel timecharge. 08/09/2005 Tom Johnston 0.1818 Building pector $30.36 $243.64 - - IV ($166.Ins991 08/10/2005 Charge 965. Supervismadmin 08/09/2005 Jerry Hemighaus 0.0260 Senior Building $4.57 $239.07 http://appshome/view/GradingAccountPopup.j sp?accotmtType=&pelmitNo=RW 040513 10/18/2007 Account Activity Report Page 2 of 4 timecharge I I Inspector($175.75) 08/19/2005 Charge 12Q. 1111112105 Phill Duncan 0.3167 Building Inspector $52.89 $186.18 I IV ($166.99) 08/19/2005 Charge 120. Admin timecharge. 08/1912005 Phill Duncan 0.1000 Building Inspector $16.70 $169.48 1 - IV ($166.99) 08/19/2005 Charge 120 Travel timecharge. OW1912005 Phill Duncan OA833 Building Inspector $30.61 $138.87 1 1 IV ($166.99) 08/26/2005 Charge 12Q,_123 Supervisor 0826/2005 Jerry Hemghaus 0.0313 Senior Building $5.50 $133.37 I admin limecharge Inspector ($175.75) 08/26/2005 Charge 120 AZ3. 0826/2005 Phill Duncan 0.6167 Building Inspector $102.98 $30.39 IV($166.99) 0826/2005 Charge L2_Q,.123 Travel 0826/2005 Phill Duncan I 0.1591 Building Inspector $26.57 $3.82 timecharge. IV ($166.99) 0826/2005 Charge 12Q, 123 Admin 08262005 Phill Duncan 0.0909 Building Inspector $15.18 (-$11.36) timecharge. IV($166.99) 08/31/2005 Deposit Additional Deposit Scott a Deborah $1500.00 $1488.64 Pievac 01/05/2006 Charge 901 01/052006 Scott Pdegel 0.25D0 Building Inspector $35.81 $1452.83 IV ($143.25) 01/0512006 Charge 901 Travel timecharge. 01/05/2006 Scott Pdegel 0.1167 Building Inspector $16.72 $1436.11 N ($143.25) 01/052006 Charge 901 Admin timecharge. 01/05/2006 Scott Pdagel 0.1333 Building Inspector $19.10 $1417.01 IV ($143.25) 0124/2006 Charge 106 Supervisor admin 0124/2006 I Mike Powell 0.0774 Building Inspector, $11.87 $1405.14 timecharge Senior ($153.41) 01/2412006 Charge 105 0124/2006 Doug Scott 0.3333 Building Inspector $47.75 $1357.39 IV ($143.25) 02/022006 Charge 105 Supervisor admin 02/02/2006 Mike Powell 0.0833 Building Inspector, $12.78 $1344.61 timecharge Senior ($153.41) 02/02/2006 Charge 105 02/02/2006 Doug Scott 0.5000 Building Inspector $71.63 $1272.98 IV ($143.25) 02102/2006 Charge 105 Travel timecharge. OVOV20W Doug Scott 0.4000 Building inspector $5730 $1215.68 IV ($143.25) 02102/2006 Charge 105 Admin timecharge. 02/02/2006 Doug Scott 0.5000 Building Inspector $71.63 $1144.05 1 IV ($143.25) 02/14/2006 Charge 105 1 Q- 02/14/2006 Thomas Dawson 0.5000 Building Inspector $71.63 $1072.42 N ($143.25) OV14/20M Charge 10_$ 120 Admin 02114/2006 Thomas Dawson 0.0714 Building Inspector $10.23 $1062.19 Unnecharge. IV ($143.25) 0211412006 Charge 10_5,_1.20„ Tavel 02/14/2006 Thomas Dawson DA429 Building Inspector $20.47 $1041.72 I timecharge. IV ($14325) 02/23/2006 Charge 120.123 Supervisor 0223/2006 Mike Powell 0.0923 Building Inspector, $14.16 $1027.56 admin emecharge Senior ($153Al) 0223120M Charge 120 1123_ 02123/20M Don Parker 0.3333 Building Inspector $4775 $97931 IV ($143.25) OV23/20M Charge 120 123_ Admin 0223/2006 Don Parker 0.0833 Building Inspector $11.93 $967.88 timecharge. IV ($143.25) 02/232006 Charge 120,123 Travel 02232006 Don Parker 0.1389 Building Inspector $19.90 $947.98 timecharge. IV ($143.25) 03/14/2006 Charge g. ADMIN_ Review 03114/2006 Mike Powell 0.2500 Building Inspector, $38.35 $909.63 special inspection reports Senior ($153.41) doled 12/30/05 by Gregg Kelly. 03114120D6 Charge 965 ADM, IN_ Admin 03/14/2006 Mike Powell 0.2500 Building Inspector, $38.35 $871.28 timecharge. Review Senior special inspection reports dated 12/30/05 by Gregg Kelly. http://appshome/view/GradingAccolmtPopup.jsp?accountType=&pemlitNo=RW 040513 10/18/2007 Account Activity Report Page 3 of 4 03/15/2006 Charge 1 105 Supervisor dmin 03115/2006 Mike Powell 0.0833 Building Inspector, $12.78 $858.50 timecharge Senior ($153.41) 03/15/2006 Charge 105 SEE PLANS FOR 031512005 Thomas Dawson 0.3333 Building Inspector $47.75 $810.75 LOCATION OF IV ($143.25) APPROVALS. 03/15/2" Charge 105 Admin UmectraMe. 0311512006 Thomas Dawson 0.0909 Building Inspector $13.02 $797.73 SEE PLANS FOR IV ($143.25) LOCATION OF APPROVALS. 03/152006 Charge SPc Travel timecharge. 03/15/2006 Thomas Dawson 0.1136 Building Inspector $16.27 $781.46 SEE PLANS FOR IV ($143.25) LOCATION OF APPROVALS. 0323/2006 Charge 120 Supervisor admin 0323/2006 Mike Powell 0.0880 Building Inspector, $13.50 $767.96 1 fimecharge Semor($153.41) OMN2006 Charge 122 03232006 Robert RN 0.5000 Building inspector $71.63 $696.33 1 I IV 1$143.25) 0323I2006 Charge 120 Admin Umertrarge. 0323120D6 Robert Rini 0.3000 Building Inspector $42.98 $653.35 1 IV ($143.25) 03/2M006 Charge 120 Travel timecharge. ON23/2006 Robert Pith 0.4500 BuildingInspector $64.46 $581 1 03124/2006 Charge 120 Supervisoradmin 0=4/2008 Mike Powell 0.0833 Building inspector, $12.78 $576.11 1 1 timecharge Senior ($153.41) 0324/2006 Charge 120 Partial full -height OW24/2006 Don Parker 0.3333 Building Inspector $47.75 $528.36 grout lifts as marked on IV ($143.25) plans. 03124/2006 Charge 120_ Admin timecharge. 03/24/2006 Don Parker. 0.1154 Building Inspector $16.53 $511.83 Partial full- height grout lifts IV ($143.25) as marked on plans. 0324 (X)6 Charge 120 Tavel timecharge. 03/24/2006 Don Parker 0.1538 Building Inspector $22.03 $489.80 Partial full -height grout lifts IV ($143.25) as marked on plans. OW3112006 Charge 120 03/31/2006 Doug Scott 0.3333 Building Inspector $4775 $442.05 _ IV ($143.25) 03/312006 Charge 120 Travel timecharge. 03131/2006 Doug Soon 0.3333 Building Inspector $47.75 $394.30 IV ($143.25) ON3112006 Charge 120 Admin timecharge. 03/31/2006 Doug Scott 0.1667 Building Inspector $23.88 $370A2 - - IV ($143.25) 05262006 Charge 105 Supervisor dmin 05126/2006 Allan Met 0.0481 Administrative $8.05 $362.37 timecharge Manager 11($167.39) 0526/2006 Charge 105 05262006 Phill Duncan 0.4167 Building Inspector $59.69 $302.68 IV ($143.25) 05126/2006 Charge 105_ Admin timecharge. 0526/2006 Phill Duncan 0.1500 Building Inspector $21.49 $281.19 1 IV ($143.25) 05/26/2006 Charge 105, Tavel fimecharge. 05262006 Phill Duncan 0.1500 BuildingInspector $21.49 $259.70 N 05/302006 Charge AD.MI_N. Admin 05/30/2000 Don Packer 0A667 Building Inspector $23.88 $235.82 timecharge. Review and IV ($143.25) approval of special inspector reports issued by Deputy 1 inspections (Gregg Kelly) for field welding. Reports were for W29/06 and 4/19/06. 06/05/2006 Charge 120_ NO PLANS OR JOB 06/0512006 Thomas Dawson 0.2500 Building Inspector $35.81 $200.01 CARD ON SITE. THE IV ($143.25) CONTRACTOR WILL RECALL FOR TOMORROW. OW05/2006 Charge 120 Tavel timecharge. 06/05/201Ni Thomas Dawson 0.1218 Building Inspector $17.45 $182.56 NO PLANS OR JOB IV ($143.25) http://appshome/view/GradingAccotmtPopup.j sp?accolmtType=&pennitNo=RW 040513 10/18/2007 Account Activity Report Page 4 of 4 CARD ON SITE. THE CONTRACTOR WILL RECALL FOR TOMORROW. O6/0512006 Charge 120. Admin timecharge. 06/0512006 Thomas Dawson 0.1026 Building Inspector $14.70 $167.86 NO PLANS OR JOB IV ($143.25) CARD ON SITE. THE CONTRACTOR WILL RECALL FOR TOMORROW. 0610512MB Charge 120 Supervisor admin O6/05/2006 Allan Met 0.0500 Administrative $8.37 $159.49 timecharge NO PLANS OR Manager II ($167.39) JOB CARD ON SITE. THE CONTRACTOR WILL RECALL FOR TOMORROW. O6IM12006 Charge 120 06/06/2006 Phill Duncan 0.7167 Building Inspector $102.67 $56.82 - 1 IV ($143.25) 06/062006 Charge 120 Travel timechaMe. 06/W2006 Phill Duncan 0.2500 Building Inspector $35.81 $21.01 IV ($143.25) 06/06/2006 Charge 120 Admin timecharge. 06/062006 Phill Duncan 0.2857 Building Inspector $40.93 ($19.92) IV ($143.25) 0610612OW Charge 120_ Supervisor admin 06/06/2006 Allan Metz 0.0565 Administrative $9.46 (-$29.38) Unnechaige Manager 11($167.39) O6107/20D6 Charge 1.23 Supervisor admin Ofi/07/2006 Allan Metz 0.0500 Administrative $8.37 ($37.75) timecharge I Manager 11($167.39) O61072006 Charge 123 06/07/2006 Phill Duncan 0.3667 Building Inspector $52.53 ($90.28) N($143.25) O6I0712006 Charge 123 Admin timecharge. 06/07/2006 Phill Duncan 0.1818 Building Inspector $26.04 (-$116.32) IV ($143.25) 06/07/2006 Charge 123_ Travel timechame. 06/0712006 Phill Duncan 0.2045 Building Inspector $29.29 (-$145.61) - IV ($143.25) - Tobl Hours 252218 Balance, (4145.61) Deposits S4015.00 Charges $4160.61 Refunds $0.00 Adjustments $0.00 Balance ($145.61) Notes O.T. - Overtime E.O.T. - ExtraordinaryOvertime E.O.T.' - Extraordinary Overtime (Flat Fee Permit) http://appshome/view/GradingAcco=tPopup.jsp?wcomtType &permitNo—RW040513 10/18/2007 Permit Summary Page 1 of 1 .. eli— me.e e,. aamm Type Flag Comment Group IC,a.tad Byl Date Created I On AddiSonal Prior to accepting an application please Current Laree November 25, 2003 (Situs) Notice Clearance verify that the site is still untler CounTy planning/Zoning Brommer 10:3145 AM PST 1153t65 TR Required jurisdiction. Flags on RW040513 Flag Comment Group CreBaYed Data Account Negative Balance RWN0513 account balance is below stop wore threshold of Accounting FTS 1 6/6/06 $25.00. Additional Clearance RW040513 account balance is below stop wore threshold of Building Plan FTS 12/10/04 Required $25.00. Check PERMIT SUMMARY Closed- FTS Summary: $-145.61 Click here to view Permit Number RWOQ513 Status Expired summary Filed Date 11/19/2004 Flashed Data Issued Date 07Y25/2005 Closed Date 06/04/2007 Expiration Date 12/04120M Revision Date Address 1 Pelicans Or, Newport Applicant Pddemark Gen. Contracting & Development Coast Legal Description 153465TR Applicant Phone 949-951-3434 Assigned IP Group South-West Owner Scott & Deborah Playas Occupancy Group U-2 Owner Phone 949-3766084 - Pndemare Gen. Contracting & Development, 54 Testa, Irvine, CA, Occupancy Code Contractor 92618, 949-951-3434, License: 367625, Type: Business Application Type Residential Contractor Phone 949-951-3434 Census Class Code O/S Public Owned ? N OCFA Final N Inspection Required? House Count (No. of N/A Dwelling g00(Retaining Walls) Units) SOFT Current Use vaunt Total Valuation 7016.0 Click It for Valuatio09etail. Total Fees 4015.0 Total 4015.0 Click herefor Fee/Paymentdetail. Payments Related Permits GBO40153 retaining walls to a maximum height of 17 feet, with guardrail. Description Assigned Plan Nancy Chung Checker Add. Addr. Into Comments NPDES Information WOMP Required Yes WOMP Number 0 NPDES Inspection Required Yes Automated Inspection No Site Priority Unknown Projected Start Date 11/19/2004 Projected End Dale 10/18/2007 Project Description Project Type Construction Type http://appshome/view/PemutV iewPopup.i sp?permitN=bcf—RW 040513 10/ 18/2007 COUNTY OF ORANGE o tie RESOURCES&DEYE,LOPMENTMANAGEMENTDEPARTMENT 9LlFOlz� TO: Carmen Telea, Accounting Services FROM: Tim Hertel, Supervising Construction Inspector SUBJECT: Change in Grading Permit Security Status September 6, 2007 Nature of Change: [ X ] Grading completed, security release [ ] Security reduction/increase [ ] Change of security type [ ] Change of surety co. (simple substitution) [ ] New permit [ ] Work Completion Agreement completed [ ] Superceded by other permit [ ] Addition/Removal of permit on blanket bond Type of Security: [ ] Surety Bond [ X ] Cash Bond [ ] Letter of Credit (Exp. Date) [ ] Certificate of Deposit Additional Information: Owner: Scott & Deborah Pievac Permit No: GB040163 Project Address: 1 Pelicans Dr., Newport Coast Legal Description: 15346 5 TR Security Amounts: $21,300.00 Check No.: .371323460 Bryan Speq&, Dfm ,ar 300'N. 11., St¢vro Same Am. (:A RO, }kn 448 Santa _km,CA 927024048 1'ATIn nc (714) 834--2300 Pac (71 t) 834-5188 Supporting documents are attached for the above -described change. Please revise your records accordingly. Attachments CB09-01 COUNTY OF ORANGE PLANNING AND DEVELOPMENT SERVICES GRADING PERMIT CASH BOND- �o7%f /E{�i3� This agreement is entered into between , hereinafter referred to as "Principal" and the County of Orange, or its assigns hereinafter referred to as "County", to insure the completion of grading required by Grading Permit Application No. 9.O2" LG? at NOW, THEREFORE, IT IS AGREED that: 40.44 ace oa 1. Principal does herewith post a cash bond in the amount of dollars for which County acknowledges receipt. 2. a) If Principal complies with all the provisions of "the Orange County Grading and Excavation Code" Article 8 of Division 1 of Title 7 of the Codified Ordinances of the County of Orange, commencing with Section 7-I-800 thereof; and other applicable laws and ordinances; and b) Complies with all of the terms and conditions of the permit for excavation or fill to the satisfaction of the Building Official; and c) Completes all the work contemplated under the permit within the time limit specified in the permit, and any extension or extensions thereof, or completes the work to a safe condition satisfactory to the Building Official, the cash bond shall be released. 3. a) If Principal fails to comply with the aforementioned requirements, the Building Official may order the work required by the permit to be completed or put in a safe condition to his satisfaction. b) The cash bond shall be used as necessary to pay for the completion of this work. After completion of the work, any funds remaining in this bond shall be refunded to Principal. c) If the cost of the work exceeds the amount of this bond, Principal hereby agrees to reimburse County for such excess costs. d) Principal agrees that if County brings suit to collect for the work contemplated by this permit, that the reasonable attorney's fees as fixed by the Court, shall be paid by the Principal. *NOTE: "Cash" shall be either cash or Cashier's Check. No personal checks will be accepted. S-l6 2v0s" i��„ Date: � ' Principal (Notarized Signature) State of California ) ss. Count,, of Ora6eL_—_ ) I' On PA-`1 (. 2005—before me, f e. i� S I' ''�5 a Notary Public, personally appeared 1 4I`o ime (,— FJ WOf4S personally {mown to me (or proved to me on the basis of satisfacmn evidence) to be the person whose name is subscribed to the within instrument and admowlede d to me that hershe executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and off 'al s al. JACK o. # 1MG Commission k 13SSbb6 'p< Notary Public — Colifornioa y Orange Caonty P.ry Comm EH(iirCourr 1, &2,]7� Signature of the Notary 0 a o � C n � � � a m • 4 &Depr� MainInspection Office County of Orange p� A 300 N..Flower Street 22921 Triton Way �w Third Floor Laguna Hills, CA r 0 Resources &Development Management Department Santa Ana, CA e2653 W702 a, �areatOW°� For Inspections' Call: (949)472-7922 or (774) 796-0407 or Visit us on the web at: hl,//odsd oc ca eov PRECISE GRADING PERMIT Grading Permit Number: GBO40163 Issue Date:5/17/05 Description of WOrlufUse: precise for sfd (RSO42141) and walls (RW040513) Issued By: Javid Mohsenzadeh Job Address: 1 Pelicans Dr, Newport Coast Owner: Scott & Deborah Pievac(Applicant) Additional Address: Address: 6 Pinnacle Pt Assessor Parcel No: 473-163-01 Newport Beach,CA 92657 Legal Description: 15346 5 TR Phone: 949-376-6084 Related Permits: RSO42141 RWO40513 Waste Discharge ID No. (wDID): WA Approval Info: Grading Plan Check Approved By: Javid Mohsenzadeh Date:4/15/05 'C Current Planning/Zoning Terri Sergeant Date:5/16/05 y,\ Engineering Geologist: Darrel Roberts (Petra Geotechnical, Inc)3185-A Airway Avenue Costa Mesa, CA 92626 1{F Civil Engineer: David Hansen (Petra Geotechnical, Inc)3185-A Airway Avenue Costa Mesa, CA 92626 11 p Civil Engineer: Raymond Toal (Toal Engineedng)139 Avenida Navarro San Clemente, CA 92672 Applicant: Scott & Deborah Pievac 6 Pinnacle Pt Newport Beach, CA 92657 (Permittee) {y Company: merrill lynch Type of Bond: Cashiers Check �eti Amount: $21,300.00 Bondl 371323460 By signing below, cedffY Nat have rasa Nisappliwtion antl meta that the above informationwc«rect. Iagreewmmpywithanchyandmum,omfnamc andstatelensmlaengto piling....air and hereby mature, represarefil of Nis county to enter upon the abosementoned property far'Inspectlon purposes !gptione l hereby affirm under penalty of penury Nat ❑ I am licensed under provisions of Chapter 9 (mmmeadng with Section 7000) of I hereby affirm untler parser, of perjury Nat Nereus a mnstmcdon-lending division 3 of Me Business and Pre esslons Code, and my license is in full agent, for Me 'Monsanto of Me work for which Me permit is issued som, force and Sul 3097, Civ. C) lumens¢ Class: No: Lenders Name: None Lentlers Address: Noce Contractor: Worlems c D -Buder o,jilacon ❑ I have and will moral a caNficete of mnsam wse&Ineme for workers I am exempt from the Commoom' In license taw for the following reason mmpensmia r, as pmvidetl for by Section 3700 m the labor, Code, for the perimuch w (Sec.]IXiLS), easiness antl Professions Cotle: Arryciryorcomm Matfe9uires of Me work to which this Msmeis issued. a perch to construe, asap improve,demolish, omens, any structure, prior ❑Ihave and will mentuin wodrer's compensation Insurance. as simmer by Seadon to its issuame. also requires Me Spellman for Me permit w file a Sgned 3700 of the Labor Cotle, for the performance of Me mM far which this perch Stasmant Met he or she is licensed pursers to Me provisions of Me nC9namovig: is issued My wwkere' compersafwn insurance carrier and policy number are: fol License Law(Chapter 9 mmmendng win session ]0001 of Dresien 3 of Ce lien the Boomses and Professions Cede) or that he or she is exempt there from and Policy Number the basis for Me alleged erRmpeon. Any violation of Section 70315 by any �Ihands Mat, in Me performance of Me work cur which MIS permit is issued. applicant for a permit Sobjec5 the app9cent to a civil penalty of nm more I shall net employ any person in any manner so as to become subject w Me than five hundred dollars (WO). workers' compensation laws of CalJomia, and agree that it I should become ❑I, es usher of the pmpeny, as my employees with wages as their see householder, subject to Me Workers'compensation pmvlsgns of Section 37W M the Labor Will our Me work and Me structure is.untended or offered for Sale (See Cotle. I shall forthwith comply with those provsions. 7066 Business and Professions Code: The cortamers' State Loensetawdome blaming: failure to secure workers' compensation cwemige is unlawful, and shall cot apply to an owner of property who builds or improves thereon, and who does SuMse employer to admiral pareflies and Civil fines up to ore hundred thousand M, wodc himself or herself or through his or her own employees, provided Mat dollars ni00,0W), in addition to the cost of momperuahon, damages as provMed Me improvements are rim intended or offered for saleIf, howsom, Me building for in section 3706 of Me labor wtle, Interest. and anorrsy's feesor . improvement is sold within one year of completion, the owner-builtler will -Failure to hold pre -grade meeting with grading inspector prior to starling have the burden of proving that he or she did rim build or improve for Me work shall result in revocation of this permit. Inspector may be contacted purpose. of sa4J, at (949) 472-]W9. �I, as he, of Neproper[, am eWiaiwity contracting vnM licensed come eth's -Failure to grade Within IN days will aulometically expire the permit. e construct h he project (Sec.7044, Business and Professions Dotle: The Conldg14i Building Permit may be issued after reach grading has been approved. MIS 1-Mmme Law aces not apply to an owner of property who builds or famoses Signatory: Scott & Deborah Pievac thereon, and who moments for such pr jciols with a contramrorce)licensed Date: May17, 200510:37AM PST pamremrome�S, B& PC for Law). Reason OL sitar-AppFlcoant Sin nit. Ca ❑tame.empt order Sec. _.Bit Pc. formic reason � 3\B�P & Depo7 Main Office Inspection Office County of Orange 300 N. Flower Street U921 Triton Way Thirtl Floor Laguna Hills, CA cw Resources & Development Management Department same Ana, CA 92653 92702 a` ,elementecs For Inspections' Call: (949)472-7922 or (714) 796-0407 or Visit us on the web at: htto;// dsd oc Ca Dov PRECISE GRADING PERMIT Grading Permit Number: GB040163 Issue Date:5/17/05 Description of Work/Use:precise for sfd (RSO42141) and walls (RW040513) Issued By: Javid Mohsenzadeh Job Address: 1 Pelicans Or, Newport Coast Owner: Scott & Deborah Pievac(Applicant) Additional Address: Address: 6 Pinnacle Pt Assessor Parcel No: 473-163-01 Newport Beach.CA 92657 Legal Description: 15346 5 TR Phone: 949-376-60154 Related Permits: RSO42141 RW040513 Waste Discharge ID No. (WDID): N/A Approval Info: Grading Plan Check Approved By: Javid Mohsenzadeh Date:4/15/05 Current Planning/Zoning Terri Sergeant Date:5/16/05 Engineering Geologist: Darrel Roberts (Petra Geotechnical, Inc)3165-A Airway Avenue Costa Mesa, CA 92626 Civil Engineer: David Hansen (Petra Geotechnical, Inc)3165-A Airway Avenue Costa Mesa, CA 92626 Civil Engineer: Raymond TOM (Toal Engineering)139 Avenida Navarro San Clemente, CA 92672 Applicant: Scott & Deborah Pievac 6 Pinnacle Pt Newport Beach, CA 92657 (Permittee) Company: merrill lynch Type of Bond: Cashiers Check Amount: $21,300.00 Bond#: 37132346G By signing below, I carey that I have read this application and slate that the above information is 1. I agree to cwnply with all city and county ordinances and share laws relafing M building construction, and hereby authorize represenlesses of Nis wunly to enter upon the movemenl'mred property for inspection pugoses. Dec anronaI hereby ME, under penally of perjury Mat. ❑ I sum licensed under provisions 0Chapter 9(commencing with Section 7000) M Ihereby ,firm under penalty of perjury that more is awnslmcfwMendi,y division 3 of the Business and Prosecutors Core, and my license is in fill agency for the performance of the work for which this permit is Issued (Sec. force and Wed. 3097. Ciy C) Licoree CWss: No.: Lendery s: None ders Address: None Contractor: Workers Compensation ussadven owner- Below neclarton ❑ 1 have arm will maintain a overseas of consent to seffinsure Mr workers' I am empt from the CorractiShand license Law for the following reason compensation. as provided for by section 3700 Of Me Labor Code for The command - (Sao 7031.5). Business and Professions Code: My city or county Mat requires of the woes Or which this peril is came. a peril to mnsbuct, all kr,prove, demolish, or repair any sW.., prior I have and an Mai worker's comperwalion ieyearrre, as required by Section to its issuarre, also requires the applicant for the permit to file a signed 37M of lyre Labor Code,for the performance of no woes Or vi this permit statement Mat he or she is licensed pursuant to the lacruions M the Co r�Y is issued. My wakws'mmperssaUon insurenar carrierand policy numberare: abod license Law (Chapter 9 commencing with Seciian7000) of Division 3 of Cameo: the Business and Profesw'orw Code) or Mat he or she to esempl Mere from and Policy Number: I certlly Mal In the pemorance of the work for whch Mis permit is'wmd. the basis for the alleged exemption. My violation of Section 70315 by any applicamOr a peril subject, the applicant to a dial penalty of not more I shall not employ any proven in any manner so as to berme subject to Me Man f hundred dollars ($500). workercompensation laws of Calhomia, and agree Mat, if I should becwne ❑I. as owncvm Me pmpady, er my employees with wages as Mor sure compensation, subject to the wwnesi ormpewatim provisions of Became Woo of Me Leber will do the work aces Me mrudure is per ro Med or offered for sale(Sec. Code, I shall foMwiM cam ply with those prwisbns. 7W4. Business and Professions Code: The CandaSms�' tea License Law, does blaming: failure to uwre workers wmpansmen severely, is unerwhil, and shall not apply to an owner of properly, who builds or improves there, and who does subject employer w criminal penalties and civil fines up to one hundred thousand me work Nm6ed or herself or through his rn her own ampoyees, provided that delays($10o,I)CM. in addition to Me cash of..romp6alion. damage. as provicad Me improvements are not mended or offered fw sale. IT however. Me building for in section 37M of Me labor code, interest, and allomay's fees. impmvemem issold wil one year of completion the toner -builder will 'Failure to hold pre.9ratio meeting with great no inspector prior ro shading have the burden of proving that he or she did not build or improve for Me work shall result in..ii.. of this peril Inspiti may be cappctod m sale). at J949)472-7979. {purpose LJl as owner Pat Me procoM1y, am soodusively comerag with liwrued mntmcted 'Failure to grade withn 180 days will automatically"Plot Me Parrett M mnsMtMe propd(Sec7044, Business and Professions Core: The Contraction' Building peril may be issued after rough grading has been approved. slam License Law dear not apply M an own a, of property who mine or improves Signatory: Scott & Deborah Pievac thereon and who contacts Or such projects will a camaraderie) licensed Date: May 17, 200510:37AM PST pursuant MeContractors sMt License Lay).Reas(on�0'rv>�naa(_A-(r ❑l am exempt under Sec. _, B & P.C. forme rase PF owl Sin na, Ca_ F"tI :1'r id.marl :'mtInv Fn:: iu. 19I1' Al Alti 11,p. ,r oat. W:"m F7 Minch 98,9005 County of Orange Planning & Development Servings Dept. 300 N. Flower Street Third Flow Santa Ana, CA 92102-4040 Subject Letter d fWtlnrieeltwi — Suxt & Debw�r Ravdena Site: 1 Pelicans Drive, NewFa Coast 99657 Dear Sirs: M,, Se Wt Pievu & Def wuh_ Pievuy ow+was d the p ape iy ImMd at 1 .QYhrats. f)rjye, Ne _ _ oast hereby authwiee Ride Henridw ancVm his Retxe nWives of NdemA cwrtmetws, Inc., to act w ow agent negarang Al pror mvng with the Cr„ady of Orange inducting obtaining my and all building pemaity required during the cause of wnstruction Please fed free to ,=tact us al 949.376-6064 if you should have any question. MAe 2Y,-UiU I a l t / Deborah Pievoc Date Sao aril Hell vavC - Z e6ed 6Z9L9L66b6 Z6:TT 50oZ'6Z TM & De•o7o ce5 o`'� 'o�p County Of Orange Development Processing Center 9 .40 0 300 N. Flower Street ° Resources &Development Management Department P.O. Box 4048 •! • Receipt #: R0508833 Santa Ana, CA 92702-4048 �'�gementU�� �� Ill Item #: M1052550 Posted: 5/16/20052:26 PM Operator: Joanne Bond Payer Payer: Scott & Deborah Pievac Address: 6 Pinnacle Pt Newport Beach, CA 92657 Phone #: 949-376-6084 Notation: Charges Description Cost Oty Subtotal Tax Charge Fee Item Coding REG- CASH BOND TRUST ------- -------------- No 5057 300306 92000004 Total Charges $21,300.00 Payment Type Amount Account Check $21,300.00 ------ No.371323460 Total Paid $21,300.00 Notation GB040163 Printed: 5/16/2005 2:26 PM The fees, deposits, dedications, reservations or other exactions imposed by this development approval must be protested, it at all, within the 90 day -approval period imposed by Government Code section 66020.