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HomeMy WebLinkAboutX2018-3849 - PermitsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3849 x 2 0 1 8 3 8 4 9 Project No : 2971-2018 Issued Date : 04/0512019 Inspection Area : 4 City of Newport Beach - Building Division Con State Lic: 603661 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 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 SFR DRAINAGE AND GAS/ELEC FOR BBQ AND FIREPIT Combination Type - BLDG GRAD PLUM ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3849 x 2 0 1 8 3 8 4 9 Project No : 2971-2018 Issued Date : 04/0512019 Inspection Area : 4 Applicant: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Con State Lic: 603661 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: 1991 PORT TRINITY CIR NB Lic Expire: Description: SFR DRAINAGE AND GAS/ELEC FOR BBQ AND FIREPIT 1800 E 16TH ST #B Legal Desc.: N TR 7031 LOT 14 Bus Lic: Owner: COHEN MICHAEL & BETH Contractor: MDZA LANDSCAPE ARCHITECTURE / PLANNING Architect: t� - g r� INSPECTOR L_ �,J Address: 1991 PORT TRINITY CIR Address: 2320 SECOND AVENUE Address: �i@ 04/30/2019 NEWPORT BEACH, CA 92660 CORONA DEL MAR CA 92625 714-835-2800 State Lic:C-030407 0 0 0 o m s ® o Phone: 702-249-1292 Phone: 949.697-2358 Phone: State Lic: Applicant: DILLEY MICHAEL Con State Lic: 603661 Engineer: FORBES DALE •°•••• Address: 2320 2ND AVE Lic Expire: 05/31/2019 Address: 1800 E 16TH ST #B Hazardous Mat NEWPORT BEACH, CA 92625 Bus Lic: BT30008793 $0.00 SANTA ANA CA 92701 • • °e s •eon Phone: 949-697-7358 Lic Exp Date: 04/30/2019 Phone: 714-835-2800 State Lic:C-030407 0 0 0 o m s ® o 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 : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $312.00 Plan Check Fee: $271.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE Policy No: FLA002719 Expire: 1210412019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Elpctrlcal %: Mechanical %: Plumbing %: Rear: 10' Front: 20' Left: 5' Right 5' �arkina Spaces $0.00 $0.00 $0.00 $0.00 $312.00 $312.00 $0.00 $21.84 $0.00 $28.08 Plan Check Fee Designer: DILLEY MICHAEL Address: 2320 2ND AVE CORONA DEL MAR CA 92625 Phone: Special Conditions: PERMIT REVISED 01-22-20 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 P/N/ Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,353.61 Fee Due at Permit Issuance: $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: i APPROVAL TO ISSUE: ---�'� oomoo 0 oomoo 000mo;; o m 0000mo o c 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,353.61 Fee Due at Permit Issuance: $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: i APPROVAL TO ISSUE: ---�'� oomoo 0 oomoo 000mo;; o m 0000mo o c 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(a) 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 1e 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://v✓ww. leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION L/ hereby affirm upa&loenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S$C 000) of Divi son 3 of the Business an Professions Cod a d"}�lI e I in full force nd effect. Lice mao0ass License No (D//�1ja �.72� Contractor Sign tP` �M VORARS' COMPENSATION DECLARATION T 'ARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE MST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under Qgnalty of perjury one of the following declarations: 1 horse and* ill 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 the erfoTlTa�nce of the wpr(I for which this permit is issued. Policy No. raeryrie a71d wil044ain 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' compensation e carrier Bed policy number are: Policy Number Expiration Date gaily that, IAN Pgrformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to thew rkers' compensation laws of California, and if I should beltbn subject to the �w(orlAers''cq��/ pe atio/nprovlsions of Secti r�`3700 of the Labor Code, I shall forthwith comply with those provisions, ry ri iture of Appli nt / v `\ lJ'✓+M L _/ It I [� ate_ , - [_L ` M )ECLARATIOWRE�GARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agencyfdr the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly 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/end county ordinances and state laws relating to building construction. I authorize representatives of this ;46r county to enter the pbp*-ideAtiiigAVoperty for inspection purposes. 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