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Home My WebLink AboutX2022-0748 - Permitseen, City of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 r""'tirda+'`' Combination Type - GRAD COMB Permit: X2022-0748 IIIIIIIIII�III��IIII�IIIIIiIIIIIIIIIII II Project No: 0659-2022 Issued Date, Inspection Area : 4 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311412025 OR PERMIT w1LL 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 RUE CHATEAU ROYAL NB Description: SFR YARD DRAINAGE (CITY STANDARD) Legal Desc.: N TR 7788 LOT 65 Owner: PANNIER LOREN Contractor: LANDCRAFTERS INC Architect: Address: 10 RUE CHATEAU ROYAL Address: 29512 ANA MARIA LANE Address: NEWPORT BEACH CA 92660 LAGUNA NIGUEL CA 92677 Phone: Phone: 949.249-1086 Phone: State Lie: Applicant: ELLISON PAUL Con State Lie: 764071 Engineer: Address: 24642 VIA RAZA Lie Expire: 09/3012022 Address: LAKE FOREST CA 92630 Bus Lie: BT30039467 Phone: 949.683-9861 Lie Grp Date: 05/31/2022 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier. EMPLOYEE SERVICE GROUP Address: Occupancy Group: U Policy No: WC5897031 Added /New sq.ft. Bldg: 0 Expire: 12/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear. / Special Conditions: _ No of Units : 0 Front: / - r Bldg Height: 0 Left: I Bldg Sprinklers: Right: I ` Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7,500.00 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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: $0.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $199.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $649.00 Plan Check Fee : $649.00 Fee Due at Penn it Issuance: $0.00 t] H O .gyp PROCESSED BY: ry3f°tp�gge'�NOkKSeA}ROy[`Al°' ZONING APPROVAL: °da e° ° ° e ® ° _ _ eo e o e a o o pyAN°CHECK BY: GRADING APPROVAL: "APPROVAL TO ISSUEb, 0 0> - o ° o0 °ea a^ ao a°c o00 o e ea 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 the 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 Professions 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 not more than five hundred dollars ($500). 1201 N TUSTIN ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)Q D ision 3 of the Business and Prof e e, an my li a is in full force and effect. License Class License No Date �7 Contractor Signature NORKERS' COMPENSATION DECLARATION NAMING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN )erformance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: Policy Number of Agent Date that, in the p orma f e wo fo w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation laws of California, and agref lould becom subiec o th work ' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 of Applica D d I 'yy MnN RFO, Rnl ; f-n RI ur N I FNnINr. Ar7FNCY hereby affirm under INN al$} erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on t p erty owne V:eI have read this application and the information have Ide c I agree to comply with all applicable city and c un non s a elating to building construction.I authorize representatives of this city or count o r th ab a-idpartyfor inspection purposes. FOR OFFICE USE ONLY 3 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED UISUBM1§UTOSN0-hFICSt0NIrW _•;• ° .. PERMIT CANCELLED LJEPA ° c ° °° e� _ • °. -� PERMIT EXTENDED QMb _ ° c • • • •= =• POOLALARMS LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. o•�oa:.`. SIGNATURE: °9O o c . c a a a°° ✓? • • ses s• e e e • e e e e PERMIT FINAL 1l % 1