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Home My WebLink AboutX2020-2567 - Permits (3)�,wa.yr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit. X2020-2567 .34 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 5 6 7 Project No: 2019-2020 N' Permit Counter Phone (949)644-3288 rp Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC Issued Date : Inspection Arearea :2021 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OV1312024 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: 81 JASMINE CREEK DR NB Description: MFR - RMV FIREPLACE, RPR ROOF (AT CHIMNEY SITE) ADD 2 OUTLETS Legal Desc.: N TR 8427 LOT 18 Owner: HOOVER MARK HARRISON Contractor: HARTUNG CONSTRUCTION INC Architect: FOLSOM MILES CAREY Address: 81 JASMINE CREEK DR Address: 14 VOLAR ST Address: 3365 E MIRA LOMA AVE #207 CORONA DEL MAR, CA 92625 RANCHO MISSION VIEJO CA 92694 ANAHEIM CA 92806 Phone: 714-815.3133 Phone: 949-366-2404 Phone: State Lic:CO22424 .. , Applicant: HOOVER MARK HARRISON Con State Lic: 730388 Engineer: " Address: 81 JASMINE CREEK DR Lic Expire: 12/31/2022 Address: CORONA DEL MAR, CA 92625 Bus Lic: BT30036286 Phone: 714-815-3133 Lic Exp Date: 0713112021 Phone: State Lic: , Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: R31U Policy No: 9041108 Added /New sq.ft. Bldg: 0 Expire: 01I01I2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions:-"+ No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,000.00 Building Permit Fee: $280.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $243.60 Additional Fee : $0.00 Plan check Fee : $46.25 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: $14.00 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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $19.60 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $604.45 Plan Check Fee : $289.85 Fee Due at Permit Issuance : $314.60 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicatei 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, demolis i, 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 031.5 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 (_) all of or (_) portions of the i ork, 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 emp oyees' 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 completit n, the Owner -Builder will have the burden of proving that it was not built or Lrroved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu iness 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 pu uant to the Contractors' State License Law). D I am exempt ^nn li_ensure 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 con serl a structure that t have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.c .gov/calavi Signrture of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f ision the Business and ar,G e.ffaat. License Class License No Date T Contractor Signa In of the improvements covered by this permit, I cannot of the applicable law, Section 7044 of the Business and Date is in full force YGKKE;dS' COMPENSATION DECLARATION ✓ / 5 Y IARNING: FAILURE',O 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 CST O' ^nMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herby affirm urder FPralty 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 Inr ustrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the work for which this permit is issued. Policy No. e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfoi mance of the work for which this permit is issued. My workers' compensation isurance carrier and policy number are: ;artier Policy Number Expiration Date dame of Agent Phone # :11 certify that, in the performance 9f the work for which this permit is issued, I shall not employ any person in any manner so Is to become subject to the workers' compensation la s of California, and agre hat, if I should become lk&jeSe workers)m ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 1gyDate v u )ECLARATION REG I G STR O N GENCY I hereby affirm under penalty of perjury that there is a can ruction lending agency for the performance of the work for which IN 3 permit is issued (Section 3097, Civil ode). .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 co my D in ces and fate laws relating to building construction. I authorize representatives of this city or coun an th a v i ant' ' d property for inspection purposes. 3ignature of Property Owner or Authorized Agent Print Prope Owner's or Autho ized Agent's Name Date ACTION DATE BY DE LARATI N OF COMP PONCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQ1 RULE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF �70�i•� OCCUPANCY ISSUED 4*A.A_ NOTIFICATION TO TO