HomeMy WebLinkAboutX2019-3517 - Permitst. City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3517
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 5 1 7 :
01 p Project No :1988-2017
.Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - GRAD Issued Date: 1110412019
Inspection Area : 6
Phone: 949-347-0700
Lie Exp Date:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Phone:
State Lie:
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 $ro
Job Address:
262 MORNING CANYON RD NIB
Designer:
WRIGHT JC
A
Description:.
SFR YARD DRAINAGE (CITY STD PLAN)
SIRIUS AMERICA INS
Address:
28562 OSO PKWY #D-243
Legal Desc :
N TR 1116 LOT 85
Policy No:
190725-001
Energy Compliance:
RSM CA 92668
-
Added /New sq.ft. Bldg:. 0
Expire:
0811512020
Owner
CL PROPERTIES 2017 TRUST
Contractor
INSTANT LANDSCAPES Architect:
Address:.
233 ENERALD BAY
Address:
'. 28562 OSO PKWY #D-243 Address:
No of Stories: 0
Building Setbacks
LAGUNA BEACH CA 92651
Special Conditions:
RSM CA 92688
mm....
Phone
Plumbing %:
Phone:
949-347-0700 Phone:
State Lie:
Applicant
JCANSTANT LANDSCAPES `
Con State Lie:
842586 Engineer.
/ ®y ,
Address:
28562 OSO PKWYC
#D-243
Lie Expire:
0713112020 Address:
J
RSM CA 92688
Bus Lia
BT30063469
'Ti
Phone: 949-347-0700
Lie Exp Date:
12/3112019
Phone:
State Lie:
Plan Check Fee: $0.00
Code Edit 2016
Worker's Compensation
Insurance
Designer:
WRIGHT JC
A
Type of Construction.
Carrier
SIRIUS AMERICA INS
Address:
28562 OSO PKWY #D-243
"
Occupancy Group: U
Policy No:
190725-001
Energy Compliance:
RSM CA 92668
-
Added /New sq.ft. Bldg:. 0
Expire:
0811512020
Phone:
949-347.0700
Disabled Access:
Added /New sq. ft. Garage: 0
Hazardous Mat. ,.
$0.00
Electrical %:
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
FUEL MODIHAZARD REDUTION
No of Units : 0
Plumbing %:
Front: /.
TOTAL FEE : $664.00
ZONE
Bldg Height: 0 - Left:. I -
Bldg Sprinklers: Right:
Flood Zone: X Use Zone: Pnrkinn Snacesr 0 Fire Ha7arrl 7nna V
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
Plan check Fee:
Plan Check Fee: $0.00
$0.00
Additional Fee
Overtime Plan Ck::
$0.00
Grading Bonds Fee:
$312.00
Investigation Fee:
$0.00
Grading PC Consultant:
Public Works Department-
Record Management:
$2.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
San Dist:
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
Disabled Access:
$0.00
Hazardous Mat. ,.
$0.00
Electrical %:
Building Green Fee:
$0.00
Mechanical %:
Plumbing %:
TOTAL FEE : $664.00
IK
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Planning Department -
$0.00
Plan check Fee:
$0.00
Fair Share :
$0.00
SJH Trans `.
$312.00
In -lieu Housing Fee
$312.00
Public Works Department-
$0.00
Park Dedication:
$0.00
PNV Plan Check :
$38.00
$0.00
San Dist:
$0.00
$0.00.
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
Plan Check Fee $0.00 Fee Due at Permit Issuance
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o PLAN CHECK BY:
APPeQVA`Lf0`,195UE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00'
$0.00
$664.00
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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
'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
of 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 U 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
nproved for the purpose of sale). - - - - - - - -
1 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
pply 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:
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent a
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) p PITin qpf the Business and Pr I s Code, an y licens II force
nd effect. License Class License No Date I " '1 ' l l Contractor Signatu
IIORKERS' COMPENSATION DECLARATION
'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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations: -
I 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
erJbrmance of the work for which this permit is issued. Policy No.
have and will InGlIntain 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'
Date
re of Agent _ *
certify that, in the performa a of th ork 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 agree
, if I should become sub'ec to the work s' compensati 'sieRs-ef-Seetiea-37-00. of the Labor Code, I shall forthwith comply with those provisions.�j
iaturs of Applicant Da/ l
ILARATION REGA ON U LENDI CY
reby affirm under nalty of perjury th struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
der's Name. Lender's Address
ny signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope ner s behalf.
I have read this application and the information I have p vided 's correct.
I agree to comply with all applicable city and county Ord nances tate laws relating to building construction. I ��
I authorize representatives of this city or county to ante the o e-iden P' o art for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name --� L- w D
ACTION
DATE
BY DEC MPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
',.
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403. •• ••. • • u+
•••
PERMIT EXPIRED
I SUBMITTED ASBFLTOS NOTIFICA71IXJ TO
••
PERMITCANCELLED
a--•—rr—s�—
EPA • • +• • • • ••
PERMITEXTENDED
LJACMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION: ••: •�
OCCUPANCYISSUED
••• •'• ,••
SIGNATURE:
-H