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HomeMy WebLinkAboutX2018-2778 - PermitsIIIIIIIIIIIIIIIIIIIIulllllllllllllllllllllllu II COMB Permit: X2018-2778 Project No: Issued Date : 0911412018 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 RE -PIPE (2) (E) KITCHEN ISLANDS Legal Desc.: N TR 4003 LOT 61 City of Newport Beach - Building Division L4 100 Civic Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3288 cf Inspection Requests Phone (949)644-3255 snwiP '' Combination Type - SFP PLUM IIIIIIIIIIIIIIIIIIIIulllllllllllllllllllllllu II COMB Permit: X2018-2778 Project No: Issued Date : 0911412018 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 RE -PIPE (2) (E) KITCHEN ISLANDS Legal Desc.: N TR 4003 LOT 61 Owner: CADIGAN FAMILY TRUST Contractor: G N S CONSTRUCTION Architect: 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: G N S CONSTRUCTION Con State Lie: 486187 Engineer: Address: P 0 BOX 141 Lie Expire: 01/31/2020 Address: BALBOA ISLAND CA 92662 Bus Lie: BT30054739 Phone: 949-370-7200 Lie Exp Date: 04/3012019 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EVEREST NATIONAL INS CO Address: Occupancy Group: R31U Policy No: 7600014956 Added /New sq.ft. Bldg: 0 Expire: 0513112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: 0.2 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2.000.00 Building Permit Fee: $97.00 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: $0.00 - Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 - $0.00 Plumbing %: $8.73 $0.00 TOTAL FEE : $106.73 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $106.73 c c m a -a PROCESSED BY: -E r i m PIoBLIC'WORKS APPROVAL: • m ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: c( • • A'YPf{DVAL TO ISSUE: m ccy occ cc e ` c� � cc< cc 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 he 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 civil penalty of lot more than five hundred dollars ($500). 1, 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 Tlprovements 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 Tlproved 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 Ipply 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: iy 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Nvww.leginfo.ca.gov/calaw.html. signature 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 700) Divjsin 3 he Business and Profgs�'ons Cocom and m lice a Is in full force Ind effect.. License Class License No Date 7 C / Contractor Signature VORKERS! COMPENSATION DECLARATION IARNING: 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 :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: I haveiand 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 ormance ofthe'wor or which this permit is issued. Policy No. have and will mai ai 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 lsurance carrier and p c umber are: „ Date lame of Agent X0,1` VA 1L _ �1 X 7 � _Phone # 3 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 iat, if I should becomesu 'ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Da IECLARATION 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 Lender's Address ly 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 cou"to�enter th}ove-identified property for inspection purposes. 1 `///_ lirinature of Pmnertv Owner or Authorized ADent �L. /!� Print Prooertv Owner's or Authorized Agent's Na mAC '1%4,t ' Dal - DATE I BY I REGULATIONS OF COMT 61 L TNT E CE ITH AND DE OF FEDERAL FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIDGjTIOQTO • • • e e• e PERMIT CANCELLED UEPA +�• :• ' ' ' • • • PERMITEXTENDED 7 [3AQMD • • �' PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABL TO CERTIFICATE OF / PR POSED DEMLI ION OCCUPANCY ISSUED l SIGNATURE: p/�• 0 0 c C 0 u O cu m r Q O O Z ._ Y Y Y 0 E OO_ O N C G a a Z� -o w m fn CL zj� 0a c �oUU ao wOPmEs am C7 cA 00 o H LO co z LL C rl W F to � o � N M h�M m C Haz3� oZID (�n0 O ® V x U CO U W A U�o W °- o [� C z O C U U O U U o r 0 0 c C 0 u O cu m r Q O O Z ._ Y Y Y 0 E OO_ O N C G a a m o 7 LL C �