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Home My WebLink AboutX2019-2982 - PermitsCity of Newport Beach - Building Division COMB Permit - X2019-2982 100 Civic Center Drive, Newport Beach, CA 92660 II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II X z 9 1 s z s a z Project No: 2085-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255. Combination Type - BLDG PLUM Issued Date 09/18/2019 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: N R 8' HIGH40033 FOUNTAIN NO CONSTRUCTION Al Legal Desc.: N TR 4003 LOT 61 CONSTRUCTION ! 1 V ' V Owner: CADIGAN PATRICK Address: 61 LINDA ISLE Overtime Plan Ck: NEWPORT BEACH, CA 92662 Phone: 949.370-7200 Applicant: G N S CONSTRUCTION Address: P O BOX 141 CA Seismic Safety: BALBOA ISLAND CA 92662 Phone: 949-370-7200 Code Edit:. 2016 Type of Construction: 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: $15.000: Building Permit Feer $312.00 Plan Check Fee: $271.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $656.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $656.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Contractor: G N S CONSTRUCTION Architect: Address: P O BOX 141. Address: ...... .... BALBOA ISLAND CA 92662 m mm o•e•o� Phone: 949-370-7200 Phone: ON T ie -L Con State Lic: 486187 Engineer: •` •°� ee ° Lic Expire: 01131/2020 Address: e e• e m m ° m ° Bus Lic: BT30064739 ° e° Lic Exp Date: 04130/2020 Phone: State Lia: .. o • • mmeoo Worker's Compensation Insurance - Designer: SIMAT GEORGE me m m ®0OO° Carrier; EVEREST NATIONAL INS CO Address: PO BOX 141 ° • • m • m ° Policy No: 7600014956 NEWPORT BEACH, CA 92662 Expire: 0 513112 02 0 Phone: 949.370-7200 • ° ..... Building Setbacks Rear:/ Special Conditions: ° .... °o • m Front: / Left: I INSPECTOR Right: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00. Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : .$0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check'. $0.00 Grading Bond: $0.00 Electrical %: - $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $28.08 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $656.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 iterri(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 L) 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). ❑ 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 ¢Qm,licensure under the Contractors' State License Law for the following reason: By my signaturepbelo w 1 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 steucture th-af Phave 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 CCnoteMOns Cogd,'ISa failable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi. SiBnatWre of Property Owner or Authorized Agent ate �IOFef SED CONTRACTOR'S DECLARATION I hereby affirm uncler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Div ion �qf the Business and Profes.. ns Co , d my license is ' II force and,effect. Licti"Isfe'Closs License No Date —' — Contractor Signature kOARERS' COMAENSATION DECLARATION / NARNING. FAILURE 30 srAURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRErI THOUSAND DOLLARS ($100,000), IN ADDITION TO THI C091Y1P COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :110rC9 affirm under penalty of perjury one of the following declarations: I have and will "idntain 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 tl �nce of tbgworrC for which this permit is issued. Policy No. I have and will 4"* ntain 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' compensati( su*ra0'ce carrier and policy number are: Tier. Policy Number Expiration Date Tie of Agent Phone # certify that, in the performafce 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' ompensation laws of California, and agre I, if I should become subjedt to the workers" compens .Wnr� Y,gcof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REGARDING CONSfflUCTION LENDING AGENCY )reby affirm under peally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). idler'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county oinances and state laws relating to building construction. 71 I authorize representatives of this city or county to a ter thh ve-identified prop y for inspection purposes. nature of Property Owner or Authorized Agent L/ Print Property Owners or Authorized Agent's Name -'� c Date TION DATE BYi DECLARAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGWTIONS PART 61 OF TITLE 40 AND AO,MD RULE LZi7 PERMIT EXTENDED LJACMD PERMITFINAL % ASBESTOSp(`�OTIFICATION NOT APPLICAB TO CERTIFICATEOF /�J l i PRO ED DEMOLITIO 5,0 y¢/LE�� OCCUPANCY ISSUED / J '/O/ ✓/' GNATURE:�L�t�li / // CD a) N O U L w. n + W U U E O M 4- iZ (/� L a) _ c o O O 0U) a w L L (] (D L Q ZacUvco ❑ W O co :3_0 ai F Q OQ Z T 0 CL U 0 0 U 03c Wo` C 3 `Q (n 7- O ❑ s � O co i1 Z N .2)D❑ O O C7 Q= = c = Z Z } co c •- 0 o OQ c-2 D- 0 V ❑ 6 0 ani d o� O cUU) Z D C) C/) 0o�76 a) o o o.Qo � O U 0 0 a)> 0 0 Z U d -0 O o O ui N U O 0 ❑ cn O. 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