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Home My WebLink AboutX2019-2400 - Permitsw r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2019-2400 ... 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 4 0 09 project No : 1712-2019 K '_ r+s Permit Counter Phone (949)644-3288 c'"t' ;at Inspection Requests Phone (949)644-3255. T'a rw:m> ;' Combination Type - BLDG Issued Date : 0 8/011201 9 Inspection Area: 4 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: 1226 KEEL DR NB Description: (3) PILASTERS 18".X 18" @ 6' HI & BLOCK WALL (INSIDE PIL) @ 6'X 26' USING CITY STANDARD Legal Desc.: N TR 6634 LOT 55 - Owner:. TIPTON WILLIAM Contractor:. INSTANT LANDSCAPES Architect: Address: 1226 KEEL DR Address: 28562 OSO PKWY #10-243 Address: CORONA DEL MAR, CA 92625 RSM CA 92688 Phone Applicant: INSTANT LANDSCAPES Address: 28862 OSO PKWY #D-243 RSM CA 92688 Phone: - 949-347-0700 Code Edit: 2016 Type of Construction: V -B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $5.000.00 Building Permit Fee: $412.00 .Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Greed Fee : $1.00 Phone: 949-347-0700 Con State Li¢ 842586 Lie Expire: 07131/2020 Bus Lie: BT30053469 Lie Exp Date: 10/31/2019 Worker's Compensation Insurance Carrier: WESCOINSURANCE Policy No: WWC3372118 Expire: 08115/2019 Building Setbacks. Rear: 6' Front: 10' Left: 6' Right: 6' Use Zone: Parkina Soaces: 0 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Phone: State Lie: Engineer: --e 0 Address: �� v Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee; Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department- . Park Dedication : .$0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 II TOTAL FEE: $818.00 Plan Check Fee PROCESSED BY: ' `•c n ZONING APPROVAL. GRADING APPROVAL: aco o c ��` c c. c .. ° • me c, c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $818.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Yf APPROVAL TO ISSUE: Fire Department $40.00. Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $818.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Yf 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 Im roved 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 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 legall 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, Se 44 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700.0; f,Clin Ct yisior:M the Business and P fessi Co my license is in full force and effect. License Class License No Of to L� 1 ' ` Contractor Signatu e 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 THI COST 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: ❑ 1j3ve 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 tt gByt I_Apee of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date is of Agent _ I certify that, in the performa a of the work for which ' I 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 I, if I should becom su ' t to the workers' n tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Da I k CLARATION REG DI C STRUC A ENCY -reby affirm under p nalty of p a there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ivil 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 ord' nces tate laws relating to building construction. / I authorize representatives of this city or county to/er th o e identified pro art for inspection purposes. (/' mature of Prooertv Owner or Authorized Aqent Print Property Owner's or Authorized Agent's Nar1St{ x, \ Date ACTION DATE BY qEC N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE 1403 PERMITEXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO • ••• ':� •�• • • • • • : + • s • • `• `. . + • �. •• PERMITCANCELLED LIEPA PERMIT EXTENDED qMD PERMITFINALI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF j PROPOSED DEMOLITION • •� OCCUPANCY ISSUED SIGNATURE: � e °1° s • H• •• ax• •4