HomeMy WebLinkAboutX2018-1915 - Permitswhc City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIllillllllllllllllllllllII COMB Permit: X2018-1915
#' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 9 1 5 Project No: 2848-2017
F * Permit Counter Phone (949)644-3288
F"S Inspection Requests Phone (949)644-3255
Combination Type - BLDG - Issued Date: Area
: 2018
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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 an Sundays or Holidays
Job Address: 37 BURNING TREE RD NIB �-
Description: SFR BLOCK WALL 6'X 260 LF (INSIDE P/L, MARKERS ON SITE)
Legal Desc.: N TR 7638 LOT 56 - ; •:i -.,,w
Owner:
CANNERY SAILHOUSE LP
Address:
37 BURNING TREE RD
9118909
NEWPORT BEACH, CA 92660
Phone:
949-887.4750
Applicant:
LINSDAY BRANDON
Address:
1571 ORANGE AVENUE'B'
Bus Lic:
COSTA MESA, CA 92627
Phone:
714-754.4040
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
LEGACY CUSTOM HOMES INC
Address:
1000 QUAIL ST, STE 220
9118909
NEWPORT BEACH CA 92660
Phone:
949-887.4750
Con State Lic:
986194
Lic Expire:
08/31/2019
Bus Lic:
BT30045036
Lic Exp Date:
1 0131 /2 01 8
2016 Worker's Compensation Insurance
Carrier:
STATE COMP
U Policy No:
9118909
0 Expire:
1 210 2/201 8
0
CA Seismic Safety:
Building Setbacks
Rear: 15'
$0.00
Front: 10'
$0.00
Left: 5'
$1.00
Right: 5'
$22.620.00
Building Permit Fee: $386.00
Plan Check Fee: $342.50
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 Green Fee :
$1.00
TOTAL FEE: $767.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax: $0.00 Planning Department - Fire Department
Additional Fee : $0.00 Plan check Fee : $0.00 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
P/W 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 %: $0.00 $0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $767.00
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Architect:
Address:
LINSDAY BRANDON R
151 KALMUS DR #G-1
COSTA MESA, CA 92627
_-•'
Phone:
714-7544040 State Lic:C035799
4
Engineer:
MOSER BRADLEY CHARLES
-
Address:
116 OAKSIDE LN
TORRANCE CA 90505
Phone:
State Lic:C-068803
Designer:
Address:
Phone:
Special Conditions:
Excise Tax: $0.00 Planning Department - Fire Department
Additional Fee : $0.00 Plan check Fee : $0.00 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
P/W 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 %: $0.00 $0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $767.00
C u f C
u o o RUBLIC WORKS APPROVAL:
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' y o PLAN CHECK BY:
eeo a APFROVAI, TOISSUE:
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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(;)
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 fpr
he 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 apd
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
lot 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,
3usiness 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
mprovements 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
m 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
Ipply 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),
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 leg -all:
;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 Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) f Division 3 f the Business and Professio , an€ d : 6e is in full f rce
Ind effect. License Class License No Date I Z I �I Contractor Signa
VORKERS' COMPENSATION DECLARATION I'
IARNING: 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 th
erformance of the work for which this permit is issued. Policy No.
2rhave and wil�jnaintain 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' compensatiol
Carrier E \ Ric r Expiration Date
Name of Agent - Phone #
❑I certify that, in the performance of the work for ich 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
that, if I should become sub' ct to the wo pensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C/
Signature of Applicant Date�/� I .,//b
DECLARATION RE ING CONSTRUCTION LENDING AG
I hereby affirm under perfalty of perjury that there is a construdion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 pd state laws relating to building construction.
I authorize representatives of this city or Count to me ove-idents roperty for inspection purposes. �� Z \/�
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name IML- G Date
ACTION DATE BV DECLA N OF COMP CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
LII SUBMITTED ASBESTOS N(ZfIFICAT NTO • •
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PERMIT CANCELLED
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PERMIT EXTENDED
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PERMITFINAL/
CERTIFICATE OF
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n ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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,ll" PROPOSED DEMOLITION •• ••• _
OCCUPANCYISSUED
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