HomeMy WebLinkAboutX2018-3749 - Permitswr- City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
"' r7 Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3749
x 2 6 1 6 3 7 4 9 Project No: 2911-2018
Issued Date : 10/0312019
Inspection Area : 1
PERMITS EXPIRE 980 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: 112 VIA SAN REMO NB
Description: GREENSCREEN 12.5'H WALL X 85 LF INSIDE PIL, DRAINAGE & GASLINE FOR BBQ, MARKERS ON SITE, "LIKE FOR LIKE"
Legal Desc.: TR 907 LOTS 215 TO 218 INC
Owner:
LIDO ISLE COMMUNITY ASSN
Contractor:
Address:
701 VIA LIDO SOLD '
Address:
Energy Compliance:
NEWPORT BEACH, CA 92663
CA Seismic Safety:
Phone:
Disabled Access:
Phone:
Applicant:
RAHN DAVID & SULLIVAN TIM
Con State Lic:
Address:
701 VIA LIDO SOLID
Lic Expire:
Demolition Fee
NEWPORT BEACH, CA 92663
Bus Lic:
Phone:
949-606-3341
Lic Exp Date:
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
OWNERIBLDR
AUTH AGENT:
DAVID RAHN
O/B
2016 Worker's Compensation Insurance
Carrier:
U Policy No:
0 Expire:
Building Permit Fee: $636.00
Plan Check Fee: $553.32
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$26.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,062.31
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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:
4' VIA TRESTE
Front:
0'
Left:
1.5 VIA LIDO S
Right:
0'
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
$0.00
$0.00
$0.00
$57.24
Plan Check Fee
Architect: 1 � `-.,. t�.r r: rn
Address: �® t I�
Phone: State Lic:
Engineer:
Address:
e m
memomm
Phone: / V ®Sggtate Lic:
Designer: SULLIVAN TIM
Address: 3195 RED HILL AVE 81RU
m o m r
NEWPORT BEACH, CA 92663
Phone: 714-754-4500
A` ®
Special Conditions: LIQUE gjo IQ EA m `° m ` /
PERMIT REVI /IVI9 °O t�
$2,062.31 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
m mo 0 0
0 o eeom
Planning Department-
Fire Department
0
oomo
Plan check Fee:
$40.00
Fire Inspection:
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $123.75
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$2,062.31 Fee Due at Permit Issuance : $0.00
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)
lection 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
Ie 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
rofessions 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 a vil penalty of
of 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,
usiness 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
IArovements 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
c�le R3F'the purpose of sale).
'(vas 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
pply 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:
y 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)
all a structure that I have built as an owner -builder if it has not en constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, action 7044 of the Business and
rofessions Code, is available upon request hen this app11 10 mitted or the following Web site:http://v�.leginfo.ca.gov/calaw.html.
.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authoriz gent Date
ICENSED CONTRACTOR'S DECL TION
hereby affirm under penalty of perjury th I licensed un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, and my license is in full force
nd effect. LicwlQ "as License No Date Contractor Signature
TION DECLARATION
IU;:AILURE.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
OCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'4Y affirm under penalty of perjury one of the following declarations:
have and A"aistain 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
r"hce of the worlefor which this permit is issued. Policy No.
iskoe and wil �maintsin 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
once carrier anrfpolicy number are:
X.. Policy Number Expiration Date
Willi that, the p%forman' a 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
1 !it't'sh
D
uFgTpsuss bjep to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'J
ignature cant // D f�li�
IECLARAEGA DING CONSTRUCTION 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, Civil Code).
Ender's Name Lender's Address
y 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 ordi ances and state laws relating to building construction.
I authorize representatives ofis or county to e r /ya above -identified property for inspection purposes.
ionature of ProOertv Owner orAut ed.Agent //vl/ Print Property Owner's or Authorized s Name
ACTION
DATEJI! -.--:'. BY v
bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
-
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
��L3" �It-
PROPOSED DEMOLITION
OCCUPANCYISSUED
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