HomeMy WebLinkAboutX2020-0291 - Permits1II1111111111111111111111111111111111111111 Ill COMB Permit:
s 020-0291111111111Project zmizo
Issued Date :
Inspection Area : 4
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: 1708 W NEWPORT HILLS DR NB
Description: SFR CITY STD YARD DRAINAGE
Legal Desc.: N TR 7032 LOT 15
Owner: WILSON KELLAN BRADSHAW
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone(949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - GRAD
1II1111111111111111111111111111111111111111 Ill COMB Permit:
s 020-0291111111111Project zmizo
Issued Date :
Inspection Area : 4
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: 1708 W NEWPORT HILLS DR NB
Description: SFR CITY STD YARD DRAINAGE
Legal Desc.: N TR 7032 LOT 15
Owner: WILSON KELLAN BRADSHAW
Contractor:
INSTANT LANDSCAPES
Architect:
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Address: 1708 NEWPORT HILLS DR W
Address:
28562 OSO PKWY 40-243
Address:
NEWPORT BEACH, CA 92660
RSM CA 92688
Phone:
Phone:
949-347-0700
Phone:
State Lic:
Applicant: WRIGHT JC
Con State Lic: 842586
Engineer:
` J
Address: 28862 OSO PKWY #D243
Lic Expire:
07/31/2020
Address:
RANCHO SANTA MARGARITA, CA 92688 Bus Lic: BT30053469
Phone: 949-795-0648 Lic Exp Date: 1213112020
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
WRIGHT JC
Type of Construction: VB
Carrier:
SIRIUS AMERICA
INS
Address:
833 DOVER DR #24
Occupancy Group: U
Policy No:
190725-001
NEWPORT BEACH CA 92663
Added /New sq.ft. Bldg: 0
Expire:
0811512020
Phone:
949-795-4881
-
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard
Zone : N
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 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:
$312.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$312.00
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
P/W Plan Check:
$0.00
Grading Bond:
$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
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $626.00
Plan Check Fee:
$626.00
Fee
Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
G ° DUbLLC WO°RI?S APPROVAL:
PLAN CHECK BY:
�APPnotb& TO ISSUE:
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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(SII
(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 (_) all of or L) 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).
❑ 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 legal
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 to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000 f D' siol 36f the Busines and a ions Cod and m is in f force
and effect. License Class License No Dat_ Contractor at
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
IN ADDITION TO THE
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
3rmance of the work for which this permit is issued. Policy No.
have and wilytTffaiptain 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' compensa
Date
ne of Agent _11-A "I V, —V a. 1 )+C✓ rnune»
certify that, in the performance the work hich 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
I, if I should become su act to workers' action 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicanC Dates ~ z
CLARATION REG G CONSTRUC N LENDING
ireby affirm under enalty 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).
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 pro rrect.
I agree to comply with all applicable city and county or antes and ate laws relating to building construction. 1.
I authorize representatives of this city or county to a ove-ide tified property Wor Vepection purposes.
signature of Property Owner
or Authorized
AgentODE rint PropertyUwner's
or Hutnonzea Ag
ACTION
DATE
BY D IANCE WITH COF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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