HomeMy WebLinkAboutX2018-3694 - Permitsa
City ofNewport Beach - Building Division IIIIIIIIIIIillllllllllllllllllllllllll COMB Permit: X2018-3694
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 6 9 4 Project No:
Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date : 12/07/2018
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 61 LINDA ISLE NB
Description: SFR BLOCK WALL 10 LF X 6' HIGH INSIDE P/L `CITY STANDARD*
Legal Desc.: N TR 4003 LOT 61
Owner: CADIGAN FAMILY TRUST
Contractor:
G N S CONSTRUCTION
Architect:
Address:. 61 LINDA ISLE
Address: -
P 0 BOX 141
Address:
• -'"
•
NEWPORT BEACH, CA 92660
BALBOA ISLAND CA 92662
; ° „`,
Phone:
Phone:
949.370-7200
Phone:
State Lie:
ee mJr eeeo°e
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Applicant: G N SCONSTRUCTION
Con State Lie:
486187.
Engineer.
JG:O
• •� �, • G
Address: P 0 BOX 141
Lie Expire:
01/31/2020
Address:
°� :�., • °
BALBOA ISLAND CA 92662
Bus Lie:
BT30054739
o • e "'"�` • °
Phone: 949.370-7200
Lie Exp Date:
04/30/2019
Phone:
State Lic:
`e ° e •`Q t'� ° ° ° o
Code Edit: 2016
Worker's Compensation Insurance
Designer.
Type of Construction:
Carrier:
EVEREST NATIONAL INS CO
Address:
Occupancy Group: U
Policy No:
7600014956
Added /New sq.ft. Bldg: 0
Expire:
05/31/2019
Phone:.
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear:. water 10'
Special Conditions:
LIQUEFACTION AREA
No of Units : 1
Front: linda is 25'
° ° • ° i ° °
Bldg Height: 0
Left: 4'
Bldg Sprinklers:.
Right: 4'
Flood Zone: 0.2
Use Zone: Parking Spaces:
0
Fire Hazard Zone :
N
Construction Valuation: $5.000.00
Building Permit Fee: -. $412.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Feer $365.00
Additional Fee :
$0.00
Plan check Fee:
$40.00
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: $2.00
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 %:
$0.00
$0.00
TOTAL FEE : $820.00
Plan
Check Fee :
$0.00
Fee Due at Permit Issuance `.
$820.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 (_) 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
i�m roved 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 legall)
cell a structureatdgt l JZve 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:
Profes%ions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi.
9igrralure of Property Owner or Authorized Agent pate
LICEPiSED CGaIYR:aCTOR'S DECLARATION
ilereiry 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 Profess' ns Co and my lice 'n full force
and Lffect. LicWp Class License No Date / Contractor Signature
NORXERS' CCHIPPIMSATION DECLARATION
RARMAG: FAILURE TOVGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMiN4L PENALTIES AND CIVIL FINES UP TO ONE HUNG D THOUSAND DOLLARS (S700,000), IN ADDITION TO THE
XCOOF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.he"; affirm under penalty of perjury one of the following declarations:
�POve 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
le nce ofthewo?k for which this permit is issued. Policy No.
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' compensatiol
ce carrlb; Arld policy number are:
farrier Policy Number Expiration Date
Vame of Agent Phone #
❑1 certify that, in the pe nuance 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' c mpensation laws of California, and agre
hat, if I should become bject to the workers' compen anon 'sions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. 1 ))
signature of Applicant — Dat_/
)ECLARATION REG DING DNS T CTION LENDING AGENCY
hereby affirm under enalty of ped that there is a construction lending agency for the performance of the work for which this permit is issued (Section3 7, Civil 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 rOvided is correct.
I agree to comply with all applicable city and county dinances and state laws relating to building construction.
I authorize representatives of this city or county J ter t ove-identifi roperty for inspection purposes. -
31gnature of Property Owner or Authorized Agent =Property Owner's or Authorized Agent's Name �.tN l ' Date �2
ACTION DATE BY DECIARA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULADONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED ' UI SUBMITTED
PERMITCANCELLED LIEPA 1
PERMITEXTENDED -I c _ LIAaMD
PERMIT FINAL �I�l BESTO NOTIFICATION IS NOTAPPLICAB TO
CERTIFICATEOF q SIGNATURE: MOLITIO�
OCCUPANCYISSUED /