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HomeMy WebLinkAboutX2017-3478 - Permitslwlcr r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-3478 *r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 3 4 7 84 Project No : 2818-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 10/27/2017 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: 1915 YACHT COLINIA NB : N TR 9261 LOT 22 Description: 36" HI 60 LF @TOP OF SLOPE `STOP WORK` r rA G � %v S - I "re V c.^�o It Sr6 4r Owner: HAMILTON PHILLIP DOUGLAS Address: 1915 YACHT COLINIA NEWPORT BEACH CA 92660 Phone: Applicant: EASTMAN JEFF Address: 2 ENTERPRISE #9304 CST5010833 ALISO VIEJO CA 92656 Phone: .- 949.683-6398 L Code Edi' : T, I _. 3onstruction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Contractor: NEW HORIZON CONSTRUCTION Address: 2 ENTERPRISE #9304 CST5010833 ALISO VIEJO CA 92656 Phone: 949.683-6398 Con State Lie: 452773 Lie Expire: 07131/2019 Bus Lie: BT30061688 Lie Exp Date: 12/31/2018 2016 Worker's Compensation Insurance Carrier: BENCHMARK U Policy No: CST5010833 0 Expire: 08/16/2018 0 CA Seismic Safety: Building Setbacks Rear: 3' $0.00 Front: 5' $0.00 Left: 5' $3.00 Right: / Building Permit Fee: $386.00 Plan Check Fee: $342.50 Overtime Plan Ck: $0.00 Investigation Fee: $386.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,155.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: State Lie Engineer: ISRAEL MICHAEL RYAN Address: 2336 PASEO SAUCEDAL CARLSBAD CA 92009 Phone: State Lic:C-077167 Designer: $0.00 Address: $0.00 Phone Special Conditions: 117-3536 & C2017-0195 INSIDE P/L Fire Hazard Zone : N 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 PfW 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 : $1,155.00 PkJ0_IC WbRK$ APPROVAL: o®o y• • •s O O y gOU • PL AN CHECK BY: APPROVAL TO,15SUE: G n V 00 V ' O � ©GO UO UU t C[< V0 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 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 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 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, Wsiness 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 Tlprovements 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 reproved 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 Ip Iy 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: 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 legally yell 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 ) of Division 3 of the Business and Profe sions Code, and my license is in full force Ind effect. License Class License No Date ontractor Signat YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RE THOUSAND DOLLARS ($100,000), IN ADDITIO TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provide or by Section 3700 of the Labor Code, for the ie rmance of the work for which this permit is issued. Policy No. I have and will ntaln workers' copRensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol isurance carrier an licv number are: trier y Nvtum r Expiration Date me of ADen �$ / Y 1 Phone # I certify that, in the performan 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' compensation laws of California, and agree t, if I should becomes ject f the workers' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REG DING NSTROCT N LEN GENCY ;reby affirm under penalty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -_.Ider's Name Lender's Address 3y my signature below, I certify Iki 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 count ordinaces and stat laws relating to building construction. I authorize representatives of this city or count t enter th ve-ide If d propert nspection purposes. ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLA I N O COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU IONS PART 61 OFTITLE 40 ANDAQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NO:IFICATI RTO• �. PERMITCANCELLED EPA • • " ' • • PERMIT EXTENDED qMD �° • �•' •• PERMIT FINAL iy • ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ye CERTIFICATE OF �rj-�J-FT PROPOSED DEMOLITION.: OCCUPANCYISSUED •�� SIGNATURE: a •• ••• • • ••• ••• • 1•b X2•(IV 0` 1 �e N K N P 1 47 F W N LL m w z a >0 eN O N O Ud0 L Q U e �U c LCD O O CD (? Lo N N °) Uoo Ll � �, CL cr. Cl > z 0 C U 7 XIL d 9 a 0 O Q C L1 C _ > ? Ci A • j N ci � . U Ll 1 C o i V) O N P 1 Lw OL Ci' O O � d 0 O Q C L1 Ci .m�,) j N ci � . 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