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HomeMy WebLinkAboutS2019-0040 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIII'llllll�ll'IIIIIIIIIIII II ' 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 0 4 0 fr Permit Counter Phone (949)644-3288 ,lob Address: 34 MISSION BAY DR Floor: Suite: Bldg: 1 Permit Issuing Feer $0.00 Description of Work:SFR REMODEL (E) POOL & ADD 64 SF W/YARD DRAINAGE $0.00 Inspector Area: 4 - Plan Check No: 0575-2019 Building Dep Plan Check: $773.43 Code Edit:. 2016 Legal Description: N TR 7432 LOT 7 $0.00 WQ Compliance lnsp Fee: $0.00 Owner: MUNRO Contractor: GEOSCAPE LANDSCAPE CONSTR INC Address: 8HILLSBROUGH Address: 20372 HERMANA CIR Address: NEWPORT BEACH CA 92660 LAKE FOREST CA 92630 .Phone Phone: 949.903-2766 Phone: ' Applicant: STEVEIGEOSCAPE Con State Lic: 632334 Engineer: Address: 9261 IRVINE BLVD Lic Expire: 0513112019 - Address: IRVINE CA 92618 Bus Lic: BT30023383 Phone: 949.9164545 Lic Exp Date: 05131/2019 Phone:. Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $68,000.00 Building Permit Fee ; $889.00 Permit Issuing Feer $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $773.43 Building PC Investigation : $0.00 Plan check Ext.. Fee : $0.00 WQ Compliance lnsp Fee: $0.00 TOTAL FEE : $2,599.43 PROCESSED ZONING APPI P001 -Permit: S2019-0040 Project No: 0575-2019 Inspection Requests Phone(949)644-3255 Architect: LACHER TODD 1201 N TUSTIN AVE ANAHEIM CA 92807 714.630-6100 Worker's Compensation Insurance Special Conditions: Carrier: STATE FUND Policy No: 9027912 Expiration:. 06/01/2019 Issued Date: FEES State Lic: State Lic:C-067656 NEAR DOWN SLOPE W/LANDSLIDE 03/2812019 Record Management: $16.00... Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $312.00 Building Dept WQ Plan Check:. $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee: $294.00 .$0.00 Plan Check Fee : $629.88 yyyF,,,e,,,e Due at Permit Issuance $1,9 O p Oii O OOi •• 6i131-PaNEHECKED BY:: iAPPFYOVAL TO ISSUE: c i i iic c c w PERMIT EXPIRES 180 DAYS AFI2R ISSUAN(,E i)R LASt VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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). 1201 N TUSTIN AVE ❑ 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, 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). -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 doe__nut 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 legally 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://ww .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 hof Division 3 of the Business and Pr f ,Ions de, and my license is in full force and effect. License Class License No Date 2 a 11 Contractor Signator WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 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 IN oe formance 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 carrier ands,• iqt Tnumber are ,:/� /� ter \ ` 1 Jn . N � Ni;hd 1 Expiration Date ie of Agent Z certify that, in the p, if I should become Iature of Applicant ice 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 agrer to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ......._......_.,,.. , _,......,, .,.�....., Date �%LB�i`'1 rreby 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) 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 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 county t nter the above -identified property for inspection purposes. c1 / nature of Pronertv Owner or Authorized Aqent A � _. 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