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Home My WebLink AboutX2018-3563 - Permitsr"'1�k City of Newport Beach - Building Division I�III�,I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3563 }{. A 100 Civic Center Drive, Newport Beach, CA 92660 I h_ 2 0 1 6 3 5 6 3 Project No : 2755-2018 E+ ¢ j F, n Permit Counter Phone (949)644-3288 e - u a Inspection Requests Phone (949)644-3255 4° .ri rN'' Combination Type - BLDG Issued Date : 04102/2019 Inspection Area : 8 PERMITS EXPIRE 180 I A VS AF FER IS ti UAN^3 E OR LAST VALID INSPECTION. Construction Hours: Monday -Friday 7:00 a.m. ,o 6:50 u.m. and Se*urday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2120 ARALIA ST NB Description: FREESTANDING FIREPLACE Legal Desc.: N TR 4705 LOT 28 Owner: BRETTINGEN NICOLE Address: 2120 ARALIA ST NEWPORT BEACH, CA 92660 Phone: Applicant: SNYDER KERRY Address: PO BOX 5606 ORANGE CA 92863 Phone: 714-997-2709 Code Edit : 2016 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $184.00 Plan Check Fee: $160.08 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $345.08 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SNYDER & ASSOCIATES LANDSCAPING INC Architect: Address: P O BOX 5606 Address: ORANGE CA 92863 Phone: 714-997-2709 Phone: Con State Lic: 895389 Lic Expire: 04130/2019 Bus Lic: BT30060490 Lic Exp Date: 09/3012019 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: RWCC64383978 Expire: 06/0112019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 6 Left: 6 Right: 6 Parkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee State Lic: Engineer: KOLODZIEJ KENNETH J Address: 400 E ESTHER PLACE PLACENTIA CA 92870 Phone: 714-996-1219 State Lic:C-064768 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $160.08 Fee Due at Permit Issuance : $185.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: M �- 1 e5 APPROVAL TO ISSUE: UWNCK-1CUILUGK IJIZ l-lull I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License I aw for ha reason(s) indicated tslow by the checkmark(s) I have placed next to the applicable item(:) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to com;trLct, altar, 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 kC napter 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 (_' all t f or (_) oo, boas �f the wo. k, 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 ownLr of prcAerty whc, thr3u0h em;ihyees' Rf 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 with one gear 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). ❑ 1 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:http://www.leginfo.ca.gov/calaw.htm]. 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) Divisio 3 of the Business and Pr ions d (ap ny 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 FINE: UP TO ONE HUNDRED THOUSAD DOLLAR: ($100,000), IN ADDITION TO THE 'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY': 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 rformance of the work for which this permit is issued. Policy No. I ave 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 ns ante carrier and policy number are: Carrier _ Policy Number Expiration Date ie of Agent certify that, in the performance of the if I should become subject to the nature of Aoolicant\lL 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 apion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dare2 l Lml( IIVIY RCVAp.LnlnvNvno, :reby affirm under penalty of perjury t at ; re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 ordina�M asaws relating to building construction. I authorize representatives of this city or county to en b I !fled property for inspection purposes. nature of Prooerty Owner or Authorized AgeM%,4 Print Property Owner's or Authorized Agent's Nam-�� ✓ y7N DATE BY DEC T N OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REG LAT NS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO ERML '+112❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF L PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Date 4'2 x5