HomeMy WebLinkAboutS2019-0040 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIII'llllll�ll'IIIIIIIIIIII II
' 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 0 4 0
fr Permit Counter Phone (949)644-3288
,lob Address: 34 MISSION BAY DR Floor:
Suite: Bldg: 1
Permit Issuing Feer
$0.00
Description of Work:SFR REMODEL (E) POOL & ADD 64 SF W/YARD DRAINAGE
$0.00
Inspector Area: 4
-
Plan Check No:
0575-2019
Building Dep Plan Check:
$773.43
Code Edit:.
2016
Legal Description: N TR 7432 LOT 7
$0.00
WQ Compliance lnsp Fee:
$0.00
Owner: MUNRO
Contractor:
GEOSCAPE LANDSCAPE CONSTR
INC
Address: 8HILLSBROUGH
Address:
20372 HERMANA CIR
Address:
NEWPORT BEACH CA 92660
LAKE FOREST CA 92630
.Phone
Phone:
949.903-2766
Phone:
' Applicant: STEVEIGEOSCAPE
Con State Lic:
632334
Engineer:
Address: 9261 IRVINE BLVD
Lic Expire:
0513112019 -
Address:
IRVINE CA 92618
Bus Lic:
BT30023383
Phone: 949.9164545
Lic Exp Date:
05131/2019
Phone:.
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Valuation: $68,000.00
Building Permit Fee ;
$889.00
Permit Issuing Feer
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$3.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$773.43
Building PC Investigation :
$0.00
Plan check Ext.. Fee :
$0.00
WQ Compliance lnsp Fee:
$0.00
TOTAL FEE : $2,599.43
PROCESSED
ZONING APPI
P001 -Permit: S2019-0040
Project No: 0575-2019
Inspection Requests Phone(949)644-3255
Architect:
LACHER TODD
1201 N TUSTIN AVE
ANAHEIM CA 92807
714.630-6100
Worker's Compensation Insurance Special Conditions:
Carrier: STATE FUND
Policy No: 9027912
Expiration:. 06/01/2019 Issued Date:
FEES
State Lic:
State Lic:C-067656
NEAR DOWN SLOPE W/LANDSLIDE
03/2812019
Record Management: $16.00... Water Quality ---
Building Dept Inspection Fee: $0.00
Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $0.00
Drainage Plan Check: $312.00 Building Dept WQ Plan Check:. $0.00
Grading Consultant Fee: $0.00 Others
$0.00
Additional Fee: $294.00 .$0.00
Plan Check Fee : $629.88 yyyF,,,e,,,e Due at Permit Issuance $1,9
O p Oii O OOi ••
6i131-PaNEHECKED BY::
iAPPFYOVAL TO ISSUE:
c i i iic c c w
PERMIT EXPIRES 180 DAYS AFI2R ISSUAN(,E i)R LASt VALID INSPECTION
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(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). 1201 N TUSTIN AVE
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
-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 doe__nut
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 cannot legally
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:http://ww .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 700 hof Division 3 of the Business and Pr f ,Ions de, and my license is in full force
and effect. License Class License No Date 2 a 11 Contractor Signator
WORKERS' COMPENSATION DECLARATION
NARNING: 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:
❑ 1 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
oe formance 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'
rance carrier ands,• iqt Tnumber are
,:/� /�
ter \ ` 1 Jn . N � Ni;hd 1 Expiration Date
ie of Agent Z
certify that, in the p,
if I should become
Iature of Applicant
ice 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 agrer
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
......._......_.,,.. , _,......,, .,.�....., Date �%LB�i`'1
rreby 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, 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 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 county t nter the above -identified property for inspection purposes. c1 /
nature of Pronertv Owner or Authorized Aqent A � _. Print Propertv Owner's or Authorized Agent's Nam J7Z-�e✓I r"10 -
ACTION
EXPIRED
POOLALARMS
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