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Home My WebLink AboutX2019-0790 - PermitsnCit' 0' Cy s wport Beach chBuilding Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit :X2019-0790 ��fttPermit°CountyPhone t°94EI)6°rt4-328 mProject No :0531-2019 Inspection Cquests•PRpne ($¢g)6§Q-9255 Combination Type - SFP ELEC MECH PLUM $798.00 Excise Tax: Plan Check Feer $694.26 Issued Date: 03/12/2019 • ° ° * Inspection Area : 3 ° ' • ® : . • ° •,C0Pl4Pruct' N'ifts: MSKga ® • • ® PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Friday 7:00 Job. Address:. 31 AUGUSTA LN NS < a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 8:00 p.m. No work on Sundays Description: SFR -INTERIOR REMODEL OF KITCHEN & BAR 430 SF or Holidays Legal Desc.: N TR 7223 LOT 27 Grading PC Fee: CA Seismic Safety: Owner. LIVINGSTON JOHN H & BONNIE : Address: 31 AUGUSTA LN .Contractor: GOLDEN EDGE CONSTRUCTION INC Architect: NEWPORT BEACH, CA 92660 Address: 15581. PRODUCT LN, C-14 Address: Phone. Electrical HUNTINGTON BEACH CA 92649 $3.00 Phone: .714-897-0971 Phone: Applicant: LACY MATT Plumbing %: State Lie, Address 15581 PRODUCT LN C14 .Con State Lie Lie Expire: 800077. Engineer: HUNTINGTON BEACH CA 92649 Phone: Bus Lie: 10/3112019 Address: BT30062718 714.897.0971 Lie Exp Date: 04/30/2019 Code Edit: T > 2016 ype of Construction: Phone: State Lie, Worker's Compensation Insurance` V -B Occupancy Group: R3/U Carrier Policy. No: STATE COMP Designer. LACY MATT Address: 15581 PRODUCT LN STE C-14 HS .$55.86 - San Dist: 9083411 92649 Added /New sq.ft. Bldg: 0 $0.00 Added /New sq. ft. Garage: 0 Expire: 01/01/2020 Phone: 714-897-0971 No of Stories: 2 No of Units: 1. Building Setbacks Rear: 1 Special Conditions:. Bldg Height: 0 Front: ' / Bldg Sprinklers: Left: I Flood Zone: Right: / Use Zone: Parking Soaces: m�- Building Permit Fee: $798.00 Excise Tax: Plan Check Feer $694.26 Additional Fee: Overtime Plan Ck: .$0.00 Grading Bonds Fee: Investigation Fee: - $0.00 Grading PC Consultant RecordManagement :: $18.00 Grading Permit Fee: Energy.Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WO Insp. Feer Disabled Access : $0.00 Fire Plan Rev Hazardous Mat $0.00 Electrical Building Green Fee.: $3.00 Mechanical %,: $0.00 - Plumbing %: TOTAL FEE : $1,712.86 Building Dept Adm $0.00 $0.00 A PROCESSED BY: ZONING APPROVAL:. GRADING APPROVAL: -.. _ Phi $0.00 $0.00 Planning Department - - Fire Department AAs e $0.00 Plan check Fee: Fair Share : $40.00 Fire Inspection. $0.00 $0.00 SJH Trans : $0.00 $0.00 Fire Plan Rev $0.00 $0.00 In -lieu Housing Fee: $0.00 Demolition Fee $0.00 - Public Works Department- Building Dept Adm $0.00 $0.00 Park Dedication ; $0.00 General Service $0.00 PAN Plan Check : $0.00 Refund Deposit Grading Bond: $0.00 .$55.86 - San Dist: $0.00 $0.00 $31.92 NMUSD Fee: $0.00 $71.82 `. $0.00.. $0.00.. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,712.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 1� APPROVAL TO ISSUE: ......... .. ... OWNER -BUILDER DECLARATION riot to, Itslssuancs, also requires the applicant for I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s� khaJepl iced nsXt to thg applicable item(s) action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any smendt6 P bfe permit t 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commenQlTg J6dlf SeCrion 7000) of Diwslon 3 of the Business an ... �t more than five hundred dollars ($500). onions of the work, and the structure,is nobintender! or gffered 1%sali ($ection 7044, I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) p i y i .. LAY ' rove that�t was not built or Jsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personaCefPort, guilds or Improves the pro en , rove e a e Iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-BUIIp2 ill a the CdeAgf proving (proved for the purpose of sale). Ed Contractors to construct the project ,ply to an owner 1, as owner ofth grope t who exclusively contracting theroonh licens who contracts for the projects with a IicensedcContracor pursuant to the Contra tors' State License Law). State License Law does not uilds or ] 1 am exempt from licensure under the Contractors' State License Law for the following reason: YImy signature below I I a structure that I have built els an owners -builder i has r my not belresen constructed in idence in it I entirety by licensed must have resided contracto s. I understand that a copy of the applicable r at least one year rior to completion of the aw,tsection 7044covered by tof the Business and his ermit, I cannot legally rofessions Code, is available upon request when this application is submitted or at the following Web site:htlp:/haww.leginfo.ca.gov/calaw.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7%103 /i2vis' n 3 of the CoMUactorsSigna Professions re essions Code, and my licen is in fu [ce nd effect. License Class License No s�'l/- YORKERW 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 T HE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of 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, far t ieormance of the work for which this permit is issued. Policy No. 0 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatlo have and will maintain workers' compensation insurance, as required by Section 370 ance carrier and policy number are: Expiration Date Policy Number - Phnne # is of Agent to certify f I Is that, in the becomperformance subject the the work' for r which this p o it IS sof Sectionlinot 3700 of the Labor Code,loy any person ll shall forthwith complyn any manner so as to bwith those pl ovfis onse workers' laws of California, and agree �r�1. D/ /'Z�/ 9 nature of Applican- CLARATION REGARDING CONSTRUCTION LENDING GENC -reby affirm under penalty of perjury that there is a construction lending agency for Lender's dress of the work for which this permit is issued (Section 3097, Civil Code). ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances an state laws relating to building construction. �� I authorize representatives of this city or county to enter the abov den^ifedp%lyC r inspection or Prn art Owner's or Authorized Agent's Name / or BY EXPIRED ERMFINAL 2.- 2a CERTIFICATE OF I' OCCUPANCYISSUED OF CO LIANCE vvITN CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE TO 75 NOTIFICATION 15 NOT APPLICABLE TO DEMOLITION