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Home My WebLink AboutX2019-0851 - Permits�tw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0851 a. +� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 8 5 1 Lie Expire: 05/31/2019.. Project No: 0575-2019 1201 N TUSTIN AVE IRVINE CA 92618 e Permit Counter Phone (949)644-3288 $0.00 ANAHEIM CA 92807 Phone: 949-916-4545 Inspection Requests Phone (949)644-3255 Phone: 714-630-6100 State Lic:C-067656 Code Edit : 2016 Worker's Compensation Insurance Issued Date: 2019 $0.00 Type of Construction: Combination Type - BLDG rea WQ Insp. Fee: Occupancy Group: U Policy No: 9027912 Inspection Area 4 : Hazardous Mat $0.00 PM Plan. Check: Building Green Fee : $1.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - San Dist: $0.00 Mechanical %: 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 NMUSD Fee: Job Address: 34 MISSION BAY DR NB $0.00 Description: SFR DEMO (E) SPA, CITY STD METHOD'A' - - Legal Desc.`. N TR 7432 LOT 7 Owner: MUNRO Contractor: GEOSCAPE LANDSCAPE CONSTR INC Architect _. Address: 8HILLSBROUGH Address: -20372 HERMANA CIR Address:,- NEWPORT BEACH CA 92660 LAKE FOREST CA 92630 Phone: Phone. 949-903-2766 Phone: State Lie: 17 Applicant: STEVEIGEOSCAPE Con State Lie: 632334 Engineer: LACHER TODD Address: 9261 IRVINE BLVD Lie Expire: 05/31/2019.. Address: 1201 N TUSTIN AVE IRVINE CA 92618 Bus Lie: BT30023383 $0.00 ANAHEIM CA 92807 Phone: 949-916-4545 Lie Exp Date: 05/31/2019. Phone: 714-630-6100 State Lic:C-067656 Code Edit : 2016 Worker's Compensation Insurance Designer: $0.00 Type of Construction: Carrier: STATE FUND Address: WQ Insp. Fee: Occupancy Group: U Policy No: 9027912 $0.00 Hazardous Mat 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: IL - PROCESSED BY: Expire: 0 610112 01 9 Building Setbacks Rear: I Front: I Left: I Right: 1. Phone: Special Conditions: NEAR DOWN SLOPE W/LANDSLIDE NEAR Fire Hazard Zone : N Excise Tax: Construction Valuation: $12.0 Planning Department - Building Permit Fee: $264.00 $0.00 Plan Check Fee: $229.68 .Demolition Fee Grading Bonds Fee: Overtime Plan Ck: $0.00 General Service Investigation Fee: $0.00 SJH Trans Record Management: - $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access.: $0.00 $0.00 Hazardous Mat $0.00 PM Plan. Check: Building Green Fee : $1.00 IL - PROCESSED BY: Expire: 0 610112 01 9 Building Setbacks Rear: I Front: I Left: I Right: 1. Phone: Special Conditions: NEAR DOWN SLOPE W/LANDSLIDE NEAR Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee: $0.00 Plan check Fee: .Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department- WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan. Check: $0.00 Electrical 'le. $0.00 - San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE $494.68 ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Fhack Flee : I. 0$(t00 0 0 0 Fee Due at Permit Issuance i $494.68 PUBLIC WORKS APPROVAL: o;.o c a 'PLAPt%QHE6K BY: B G V CG Z o o c v o A`,+PR`,Q`OVPsL. to ISSUE: owe ao .oma mo goo ou Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 .Demolition Fee $0.00. Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Fhack Flee : I. 0$(t00 0 0 0 Fee Due at Permit Issuance i $494.68 PUBLIC WORKS APPROVAL: o;.o c a 'PLAPt%QHE6K BY: B G V CG Z o o c v o A`,+PR`,Q`OVPsL. to ISSUE: owe ao .oma mo goo ou VYYIYCM-OUILUCR UQVL MMI IWIY 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 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 (_) all of or U 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 Coder The Contractors' State License Law does a-'_ 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 from licensure under the Contractors' State License Law for the following reason: By 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 cannul iegaliy sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Di mon 3 of the Business and Profes ' s Code, and my license is in full force and effect. License Class License No Date Contractor Signature) -- WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN performance of the work for which this permit is issued. Policy No. have 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' ,ance carrier ar MI!cv number are;, of Agent Expiration Date Phone # certify that, in the performance 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 agrei if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of 3/ZSF CLARATION REGARM CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countt enter the above -identified property for inspection purposes. -1 nature of Prooertv Owner or Authorized Acent s Print Prooertv Owner's or Authorized Aqent's NIrl�e SfC�t.1 ACTION DATEI _ BY REGULATIONS PARTDECLARATION OF 061 O MPLIATILT E 40 AN AQMD RULECE WITH CODE OF RAL I FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS VgTIFICATION TO • -e •-• PERMIT CANCELLEDLIEPA � � • • • • �• � � PERMIT EXTENDED UAQMD PERMITFINAL EIASSESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION • OCCUPANCYISSUED SIGNATURE: • • • • • e •• ••• • 0 11 •• •t• Civil Code).