HomeMy WebLinkAboutE2023-0785 - PermitsaEWPORT City of Newport Beach
o� @ Community Development Department- Building Division E 2 0 2 3 e 7 6 5 COMB Permit: E2023-0785
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2393
?� Permit Counter Phone: (949) 718-1888 Issued Date: 0910112023
« newportbeachca.gov/civic Final Date:
C�LrF00.N�P Combination Type - Permit Status: Expired
Work Class - Other Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 7 SCOTIA SEA
Legal Desc : N TR 15817 BLK LOT 16
Description: ELEC INSTALL ELECTRICAL LINE FOR BBQ
AND FOUNTAINS.
Owner: RONALD MADDOX
Contractor: GEOSCAPE LANDSCAPE CONSTR INC
Architect
Address : 7 SCOTIA SEA
Address : 555 ANTON BLVD, 150
Address
NEWPORT BEACH, CA 92657
COSTA MESA, CA 92626
Phone: (949)636-1911
Phone: (760)969-0153
Phone:
Con State Lic: 632334
State Lic:
Lic Expire : 05/31/2025
Applicant : GEOSCAPE LANDSCAPE CONSTR INC
Bus Lic: BT30023383
Engineer:
Address : 555 ANTON BLVD, 150
Bus Lic Expire: 05/31/2024
Address
COSTA MESA, CA 92626
Phone: (760) 969-0153
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No: 9339026
Designer:
Address:
W. C. Expire : 6/1/2024
Address:
Phone:
Phone:
Code Edition: 2022
Fire Sprinklers : NO
Construction Valuation :
$0.00
Type of Construction :
Fire Hazard Zone: NO
Added/NewlTI sq. ft. Bldg:
0
Occupancy Groups: U
No of Units :
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories :
Add/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone: X
Use Zone : PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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' Slate 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 Iicensure 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' Slate 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' Stale License Law).
❑ 1 am exempt from licensors 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
'ssell 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/colaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
!IWORKERS' 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 t$100A00j, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTH)N 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
'❑ 1 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 tht
1performance of the work for which this permit is issued. Policy No.
have 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'
rance carder and policy number are:
r Policy Number Expiratio
of Agent Phone ft
Date
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
)ECLARATION REGARDING 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 Lenders 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.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITFINAL
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PROPOSED DEMOLITION
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SIGNATURE:
FOR OFFICE USE ONLY