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Home My WebLink AboutX2019-1452 - Permitsern City of Newport Beach - Building Division *X2019-1452* Construction Valuation: $10,000.00 COMB Permit: X2019-1452 AS 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2245-2017 Permit Counter Phone (949)644-3288 y 4+ Inspection Requests Phone (949)644-3255 Building Permit Fee: $412.00 Issued Date : 0610612019 Combination Type - BLDG Planning Department - Fire Department Inspection Area : 1 - 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: 3803 MARCUS AVE NB Fire Inspection: J Cta )y , i i� r.»9 T, Description: '. BLOCK WALL 90 LF X 6'H, "INSIDE THE PIL" Overtime Plan Ck: $0.00 Legal Desc.: CANAL SECTION BLK 338 LOT 2 $0.00 Fair Share: $0.00 Fire Plan Rev ° 0$b600 Owner: UPSHALL WILIAM Contractor: INSTANT LANDSCAPES Architect Investigation Fee: $0.00 - .Address:, - 3803 MARCUS AVE Address: 28562 OSO PKWY #D-243 Address: SJH Trans : NEWPORT BEACH, CA 92663. RSM CA 92688 Demolition Fee ° o 0. • Phone:. Phone: 949.347.0700 Phone: State Lie: Applicant: INSTANT LANDSCAPES Con State Lie: 842586 Engineer. In -lieu Housing Fee: Address: 28562 OSO PKWY#D-243 Lie Expire: 0713112020 Address:. ••$0.00.: RSM CA 92688 Bus Lie: BT30053469 Energy Compliance: $0.00 Phone: 949-347-0700 Lie Exp Date: 10131/2019 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer $0.00 Type of Construction: Carrier: WESCO INSURANCE Address: - Occupancy Group: U Policy No: WWC3372118 $0.00 Park Dedication : $0:00 Added/New sq.ft. Bldg: 0 . Expire: 08/1612019 .Phone: ° $0.00 Added /New sq. ft. Garage: 0 Disabled Access : $0.00 No of Stories:. 0 Building Setbacks Rear: I Special Conditions: MARKERS ON SITE No of Units : 0 Front: 1 Grading Bond: '"LIQUEFACTION*" Bldg Height: 0 Left: / o000 Bldg Sprinklers: Right: / $0.00 San Dist: $0.00 Flood Zone: Use Zone:.. Parkina Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department ° Plan Check Fee: $365.00 Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: . ° `$°0`00 Overtime Plan Ck: $0.00 - Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev ° 0$b600 Investigation Fee: $0.00 - Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee ° o 0. • 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 PAN Plan Check : - $0.00 Grading Bond: o °'$b•0b ° Hazardous Mat $0.00. Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Feer $0.00 ° °;,$p�00 e ° • ` Plumbing %: $0.00 $0.00 TOTAL FEE : $818.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $818.00 PROCESSED BY: PUBLIC WORKS APPROVAL: - ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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) (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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 im 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 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 appl' 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 Seed 70 f D' ision f the Busines nd fessions Cc e, and y lice se is in full for and effect. License Class License No at �� Contractor ture NORKERS' COMPENSATION DECLARATION ( \ YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SAND DOLLARS (5700, 01, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 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, for the Ierformance of the work for which this permit is issued. Policy No. 5 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' compensatool nsurance carrier and policy number are: ;arrier "" Policy Number Expiration Date Jame of 4gent "" Phone # I certif that, irrlhe elf mance oft a work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the wor rs' compensation laws of California, and agre hey if I should bac a bject to the rkers' cc cation p isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignat'u of A IcapC ate_` — )i; TI 990 CTION LEN GENCY herelsyaffl m un gr Qenalt is a construction lending agency for the performance of the work for which. this permit is issued (Section 3097, Civil Code). _endona Name Lender's Address 3)1 prysWhature delo%1,'I certify to each of the following: - J vi Vie property owner or authorized to act on the pro arty owner's behalf. 10hav$ read tlli$ gppltation and the ' formation I he pro ' ed is correct. J.V4gP to comply with all applic a city and count ordinanc s and state laws relati Ilul.,,, rnnstruction ! • ,IAVIMrize repf25gnt$ ive his city or county to nter the a V• his city or county to nter the a VV y o inspection purposes. -..- � f to inspection purposes. � � l >i nature of Prop ner r thorized Agent Print Property Owner's or Authorized gen' ame ate ACTION DATE BY CLARA N OF COMPLIANCE CODE OF FEDERAL FOR OFFICE USE ONLY R TIONS PART LE 40 AND AQ MD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED ( — S' S D�/lr ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: