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HomeMy WebLinkAboutX2018-0549 - Permitsawtoe City of Newport Beach - Building Division c+ ". 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 v n Inspection Requests Phone (949)644-3255 wUsnc•� Combination Type - SFP COMB Permit: X2018-0549 IIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIII�III II Project No : 0454-2018 Issued Date: 02/2712018 Inspection Area : 8 , 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: 2854 CAROB ST NB Description: SFR -ATTACHED SOLID ROOF PATIO COVER 310 ST Legal Desc.: N TR 5018 LOT 117 , Owner: ACOSTA JONATHAN Contractor: GUENTHNER VON CONSTRUCTION Architect: MORGAN JOHN T. JR Address: 2854 CAROB ST Address: 30367 PASEO DEL VALLE Address: 18682 BEACHMONT AVE NEWPORT BEACH, CA 92660 LAGUNA NIGUEL CA 92677 N. TUSTIN CA 92705 Phone: 949.677-7786 Phone: 714-632.8565 Phone: 714-730-2723 State Lic:CO22567 Applicant: MORGAN JOHN T. JR Con State Lic: 566158 Engineer: FORBES DALE L ¢ Address: 18682 BEACHMONT AVE Lie Expire: 09130/2018 Address: 1800 E 16TH ST #B N. TUSTIN CA 92705 Bus Lie: BT00012684 SANTA ANA CA 92701 Phone: 714-730-2723 Lie Exp Date: 11/30/2018 Phone: 714.835.2800 State Lic:C-030407 Code Edit: 2016 Worker's Compensation Insurance Designer. � Type of Construction: VB Carrier: EXEMPT Address: Occupancy Group: R3/U - Policy No: NO EMPLOYEES Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $35.000.00 Building Permit Fee: $337.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $244.50 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: $10.00 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: $4.55 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 : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $635.55 Plan Check Fee: $282.00 Fee Due at Permit Issuance : $353.55 PROCESSED BY: PUQ,UC WORKS APPROVAL: ZONING APPROVAL: ^ y ^ ® PLAN CHECK BY: GRADING APPROVAL: ® e °" �PIFROVAL 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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). 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.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 70 0 of Divis n 3' the Business and Profes 1 I de, y ' e full force nd effect. License Class License No Date ll Y Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,088), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjuryoneof the following declarations: 1 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, arformance of the work for which this permit is issued. Policy No. ]I have 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' compensation Isurance carrier and policy number are: arrier Policy Number Expiration Date ame of Agent Phone # � nl certify that, in the performance of the work for which is 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 le I L if I should become subject tWtWworkers' comp nsa on Obvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date JO CLARATION REGARDING CONSTRUCTION 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 ider's Name Lender's Address my signature below, 1 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 provided is correct. I agree to comply with all applicable city and county ordinances and st r lating to building construction. 5 J 1 rj I authorize representatives of this city or count e e above -id r erty for inspection purposes.//(�" mature of Prooertv Owner or Authorized ADent ✓vE _ Print Property Owner's or Authorized Agent's Name'[_,_ Civil Code). ACTION 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 U I SUBMITTED ASBESTOS NOTIFICATIONtO e PERMIT CANCELLED EPA • • • • • PERMITEXTENDEDQMD ' PERMITFINAL CERTIFICATEOF — I q 1 A ESTOS NOTIFICATION IS NOT !CABLE TO P OSEDEM •�', •• • l�^� • ••• OCCUPANCYISSUED SIGNATURE: