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HomeMy WebLinkAboutX2019-1319 - Permits1 City of Newport Beach -Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII $296.00 Plan Check Fee: $257.52 Overtime Plan Ck: $0.00 Investigation Fee: COMB Permit: X2019-1319 T^... $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Grading PC Fee: $0.00 100 Civic Center Drive, Newport Beach, CA 92660 WQ Insp. Fee: X 2 0 1 9 1 3 1 9 Project No : 0935-2019 Permit Counter Phone (949)644-3288 PAN Plan Check: $0.00 Electrical %: $0.00 e Inspection Requests Phone (949)644-3255 $0.00 Mechanical W $0.00 NMUSD Fee: Combination Type - BLDG Plumbing %: $0.00 Issued Date: 0 412 512 01 9 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 INSTALL GLASS GUARDRAIL @ SEAWALL Legal Desc.: N TR 4003 LOT 61„ Owner:CARDIGAN PATRICK : Contractor: G N S CONSTRUCTION - Architect:`'4ax.``` Address: 61 LINDA ISLE Address: P O BOX 141 Address: ^� NEWPORT BEACH, CA 92660 BALBOA ISLAND CA 92662 Phone, Phone: 949-370-7200 Phone: State Lie: Applicant: SIMAT GEORGE Con State Lie: 486167 Engineer: ROSS SCOTT WILLIAM Address: PO 141 Lie Expire: 0113112020 Address: 1800 E 16TH STREET #B '? BALBOA ISLAND CA 92662 Bus Lie: BT30064739 SANTA ANA. CA 92701 Phone: 949-370-7200 Lie Exp Date: 0413012019 Phone: 714.835-2800 State Li¢C-045309 - 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: 06131/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions:. LIQUEFACTION AREA No of Units : 0 Front: I - Bldg Height: 0 Left: I _ Bldg Sprinklers: Right: I PI -A 7-- V H.. 7-- De Wi C--- a Pi- W-- 7- - M Construction Valuation: $14 Building Permit Fee: $296.00 Plan Check Fee: $257.52 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $596.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00- Planning Department - $40.00 Additional Fee : $0.00 Plan check Fee: Fire Plan Rev Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant: $0.00 SJH Trans: Grading Permit Fee: $0.00. In -lieu Housing Fee: Refund Deposit Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $596.52 ea. e. 4136C WORKS APPROVAL: PLAN CHECK BY: osc o. coo eo k;Ph'ROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev .$0.00 $0.00 Demolition Fee $0.00 _ Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $596.52 ea. e. 4136C WORKS APPROVAL: PLAN CHECK BY: osc o. coo eo k;Ph'ROVAL 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 is 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 Irofessions 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 at 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n 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 poly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Div' ion 3 of the Business and Pr�gff ions Co , and my licen sin full force nd effect. License Class License No Date % Contractor SignatAFa /�,, VORKERS' COMPENSATION DECLARATION 1 'ARNING: 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 (§700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, forth, erformance of the work for which this permit is issued. Policy No. policy 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' Date ame of Agerl�_,,�✓ •-'� r'none IF ]I 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, tat, if I should becomeesu/gect to the workers' compensation provisions/off Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J �j ignature of Applicant X - //� D / L DECLARATION REG D ONSSTRUC� ON LENDING AGENCY hereby affirm under penalty of perjury th 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 ordinances and state laws relating to building construction. I authorize representatives of this city or cunt enter the above-identifie property for inspection purposes. % I icnature of Property Owner or Authorized AGe ��'�a� Print Property Owner's or Authorized Agent's Nam�: ��cN C.�,2� AA,,._G . G' at _c.4�of ACTION DATE BY ` DECLAfMTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• ••• • a.• PERMIT EXPIRED U I SUaMITTED ASBESTOS NOTIFICATAN TO PERMITCANCELLED OEPA • • '• PERMIT EXTENDED L3AQMD PERMITFINALASBESTOS NOTIFICATION IS NOT APPLICABLE TO •• ••• • • ••• CERTIFICATE OF /1 P OPOSED DEMOLITION a • • • • • ••• OCCUPANCYISSUED '{ SIGNATAE: Z Q' O U w Qj (L ZZ Z t!) r d 900 �oUU W N a 0 (n 00 Loo Z N U H )o mo a N M m a Ap3m .. NN v w bad O 3 c d U U 0 0 I y� W 7 'z O �m m '4t N 8 ......................... Z .......................... ti VI a g a C m a` P7