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Home My WebLink AboutX2021-3229 - PermitsrurVk�, City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2021-3229 100 Civic Center Drive, Newport Beach, CA 92660 x 2 8 2 1 3 2 2 s Project NO : 2791-2021 Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM GRAD Issued Date : 02/01/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/01/2025 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: 713 MARIGOLD AVE NS Description: MFR -YARD DRAINAGE R/R HARDSCAPE *CITY STANDARD* INSTALL GAS FIREPIT AND YARD LIGHTING/OUTLETS. REPAIR (E) BRICK WALL. Legal Desc.: CORONA DEL MAR BLK 739 LOT 13 Owner: TRAVERS BARBARA Contractor: OWNER/BLDR Architect: ` Address: 713 MARIGOLD AVE Address: TRAVERS BARBARA Addrg CORONA DEL MAR, CA 92625 4i IState Lic: Applicant: TRAVERS BARBARA Con State Lic: O/B Address'. Address: 713 MARIGOLD AVE Lic Expire: r CORONA DEL MAR, CA 92625 Bus Lic: Phone: 530-320-6100 Lic Exp Date: P P , A�'�C•^' State Lic: � Code Edit: 2019 Worker's Compensation Insurance '`sijggnne`�n ARNE VALENTI DESIGNS Type of Construction: Carrier: ®� Address: 1039 VERONA DR Occupancy Group: U Policy No: FULLERTON, CA 92835 Added /New sq.ft. Bldg: 0 Expire: Phone: 949-922-4931 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units: 0 Front: / Ai"a,p�► 'vp Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $500.00 Building Permit Fee: $110.00 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: $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: $0.00 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.90 $0.00 TOTAL FEE : $120.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $120.90 PROCESSED BY: PUBLIC WORKS APPROVAL: y� ZONING APPROVAL: PLAN CHECK BY: A �' GRADING APPROVAL: APPROVAL 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 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). ❑ 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, 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 improvem nts 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 im rov for the purpose of sale). I, s 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 app 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 a exempt from licensure under the Contractors' State License Law for the following reason: y my si nature 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 legalll s str cture 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 7 cF11 Business and Professions Code, is available upon request when this,�ppljes)t s qlb it ed or at the foll ing Web site:ht�/w .leginfo.ca.gov/calaw.html. 11 .} Z 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) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ATTORNEY'S FEES. 'I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 performance of the work for which this permit is issued. Policy No. ❑1 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' compensatioi insurance carrier and policy number are: Agent Policy Number Date in the performance of the work for which 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 agre, become subject to the wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ , 11 II 3ignature of Applicant �.ww' )-i°LiJ '\ z A T�� Da e IECLARATION REGARDING CONSTRUCTION ION LENDING AGENCY hereby 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, Civ' Code). -ender's Name Lender's Address 3y 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to r�above-identified property for inspection purposes. r Signature of Property Owner or Authorized Agent (1 A e - � A BtiBRRceserty Owner's or Authorized Agent's Name 1 ' j 0'`4%� Date ACTION DATE BYDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED 12 22 JDI-.f, , LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: