HomeMy WebLinkAboutX2019-0492 - PermitsCity of Newport Beach - Building Division *X2019-0492* COMB Permit: X2019-0492
100 Civic Center Drive,. Newport Beach, CA 92660. Project No
F Permit Counter Phone (949)644-3288 )
' Inspection Requests Phone (949)644-3255
�`atxkst Combination Type - GRAD Issued Date: 02116/2019
_ Inspection Area : 5
_.. 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: 1917 SEADRIFT DR NB
Description: BFR YARD DRAINAGE "CTY STD" N
E CT "�,LegalDesc.: TR2813LOTS18&19 t
Owner:. WANDREW CIES Contractor:. M P L ENTERPRISES INC Architect: ll..
Address: 1917 SEADRIFT DR
Address:
2302 S SUSAN ST Address:
CORONA DEL MAR, CA 92625
SANTA ANA CA 92704
Phone:.
Phone:
714-545.1717
Phone:
State Lie:
Applicant: M P L ENTERPRISES INC
Con State Lie: 409169
Engineer.,
Address: 2302 S SUSAN ST
Lie Expire:
0913012019
Address:
SANTA ANA CA 92704
Bus Lie:
BT00013142
Phone: 714.545-1717
Lie Exp Date:
X0413012019
Phone:
State Lie:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
....
Type of Construction:
Carrier:
NEW YORK MARINE Address:
......
Occupancy Group:. U
Policy No:
PWC170370117204
.. ®
°•..o o.
Added /New sq.ft..Bldg: 0
Expire:
06/01/2019
Phone:.
o
Added /New sq. ft. Garage: 0
® ®•
• °
No of Stories: 0
Building Setbacks
Rear: /.
Special Conditions:.
No of Units : 0
Front: /
......
.
Bldg Height: 0.
Left: I
°
° •°
Bldg Sprinklers:
Right: I -
• ° r °
° °
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation:. $0.00.
Building Permit Fee: .$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
• • °
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee: $0.00
Fire Inspection:
$0.00
....<°
. Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev.
: s(r6o,
..... °
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans: $0.00
Demolition Fee
....
Record Management: $1.00
Grading Permit Fee:
$312.00-
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$312.00
Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PN11 Plan Check: $0.00
Grading Bond:.
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $0.0
Mechanical %:
$0.00 :
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $625.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$625.00
PROCESSED BY:
PUBLIC WORKS APP OVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:.
E -
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
Irofessions 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 (_) all of or U 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
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
Tlproved 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
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).
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 legall
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/dalaw.htmi.
signature of Property Owner or Authorized Agent
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pe uu_ry�hat�..am tic�,ns d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professi ode, and my license i n full force
Ind effect. License Class f-fR"/ G.-�� License No T I h9 Datts n ^n -a Contractor Signa
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 HUNDRED THOUSAND DOLLARS- 003, IN ADDITION TO THI
:OST OF COMPENSATJONr DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urines penalty of perjury one of the following declarations:
1 Wage and WAR pfajptain 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
e once of t"worlt 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' compensatic
Isura a carrierbod DOlicv number are:
Policy Number
pf Agent:' : v
Rify that, in tjre performance
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
naturt of Appl can
Dat
CL•RI;ATION I;FGA D1 CONST DING AGENCY
^reby affirm uhfti.pelitalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3067, Civil 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 correc
I agree to comply with all applicable city and county ordinan a e laws relating t wilding cc truction.
I authorize representatives of this city or county o above -identified pro or inspec' purposes. K ,+
nature of Prooertv Owner or Authorized ADent �V nt Property Owner's or Authorized Agent's Name %jr /(3-� G6f ,
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY REGULATIONS ON OF COMPLIANCE
O 1OFTNTE4W0ANDDE OF RULE
I FOR OFFICE USE ONLY
I SUBMITTED
TO
NOTIFICATION 15 NOTAPPLICABLE TO
DEMOLITION