HomeMy WebLinkAboutX2018-1750 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
R + Permit Counter Phone (949)644-3288
. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC GRAD
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COMB Permit: X2018-1750
Project No: 1344-2018
Issued Date : 0710312018
Inspection Area : 3
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: 1046 WEST WIND WAY NB
Description: SFR YARD DRAINAGE, LOW -VOLTAGE LIGHTING
Legal Desc.: N TR 4224 LOT 188
Owner: JOHN & ALLISON PENCE
Address:
707 ST JAMES RD
Address:
NEWPORT BEACH CA 962663
Phone:
Fire R
Applicant:
WALDO DALE
Address:
59 ROCKPORT
Phone:
IRVINE CA 92602
Phone:
714-745-3952
Code Edit : 2016
Type of Construction:
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:
Contractor:
JON'S MASONARY & LANDSCAPE INC Architect:
Address:
14851 JEFFREY ROAD #358
Address:
Fire R
IRVINE CA 92618
$0.00
Phone:
949-770-8061
Phone:
Con State Lie:
431955
Engineer:
Lie Expire:
0 813112 01 8
Address:
Bus Lie:
BT30063647
Lie Exp Date:
06130/2019
Phone:
Worker's Compensation Insurance
Carrier: WESCO INS CO
Policy No: WWC3286937
Expire: 07128/2018
Building Setbacks Rear: /
Front: I
Left: I
Right: I
Designer: WALDO DALE
Address: 59 ROCKPORT
IRVINE CA 92602
Phone: 714-745-3952
Special Conditions
ood Zone:
X
Use Zone:
Parking Spaces:
0
Fire R
Construction Valuation:
$0.00
$0.00
Building Dept Adm
General Service
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee:
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant:
$48.38
SJH Trans
Record Management:
$18.00
Grading Permit Fee:
$293.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$303.62
Public Works Department -
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
P/W Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $700.50
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
State Lie:
State Lie:
C
1�t0 -j
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fpb,: $330.9Q • ° ° c • Fpt:,Due at Permit Issuance : $370.00
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PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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APA
TC,VPL TQ ISSUF:
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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:
C
1�t0 -j
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fpb,: $330.9Q • ° ° c • Fpt:,Due at Permit Issuance : $370.00
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PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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APA
TC,VPL TQ ISSUF:
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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 penally of
not more than five hundred dollars ($500).
❑ 1, 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).
❑ 1, 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 on'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)
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.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 of D'visi n 3 of the Business and Profes ions D a d my Iicegnwis="`11 ll force
and effect.'-: License Class License No Date 3 (fi 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:
111 have end 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.
have and willaintain 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 s d Volicy numbyi-r 3fe: — ",
Number
Date
Jame of Agent- w� V Phone IF
:11 certify that, 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
hat, if I should become act to the//��uu ke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�
3ignature of Applicant K A� _ Date
)ECLARATION REGAIRDING CON RUCTION LENDING AGENCY
hereby affirm under penalty of perjLIty 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
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.
1 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 ter t(7.,a abo�{e-(-I�entified property for inspection purposes. / p o e /� �3�18
\� \'ly E Vl 6 DAnr or.. 4v n...no�. nr A,:fhnrie=H AnonYc Nam �eN P . vJ kjz/ Datec/7
DATE BY Q DECLARfAT10N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED U I SUBMITTED ASBESTO' NOTIFICATION TO
PERMITCANCELLED LIEPA • ' `" ' " • "
PERMIT EXTENDED OACIMD
PERMIT FINAL % 30 /9 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOL"""• " • ••"
OCCUPANCYISSUED SIGNATURE: �! ! •� "�'
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