HomeMy WebLinkAboutX2017-3079 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 '
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
�COMB Permit : X2017-3079
Project No: 1471-2014
Issued Date : 09/25/2017
Inspection Area : 4
Construction Hours: Monday - Friday 7:00 aERMITS Pm, 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: 3621 SAConst u ti NB
Description: SFR BLOCK WALL 72 LF X 6'H & 6rX 12 LF (FOUNTAIN WALL) (INSIDE P/L) CITY STD PLAN *REVISED 11/29/2017
Legal Desc.: N TR 6229 LOT 6 - -
Owner: E GARY
$0.00
Investigation Fee:
Address: 21 SAUS
SA
Contractor:
G D M LANDSCAPE
COR DEL
CORONA DEL MAR, CA 92625
R,
Address:
31878 DEL OBISPO, STE 118#435
Phone:
Disabled Access :
SAN JUAN CAP CA 92675
Hazardous Mat
Phone:
949-433-0057
Applicant: GDM LANDSCAPE
Mechanical %:
$0.00
Address: 31878 DEL OBISPO, STE 118 4435
Con State Lic:
881282
SAN JUAN CAP CA 92675
Lic Expire:
09/30/2019
Phone: 949.433.0057
Bus Lic:
BT30048427
Lic Exp Date:
09/30/2018
Code Edit: 2016
Type of Construction:
Worker's Compensation Insurance
p
Occupancy Group: U
Carrier:
WESCO INS
Added /New sq.ft. Bldg: p
Policy No:
WWC3268893
Added /New sq. ft. Garage: 0
Expire:
03/21/2018
No of Stories: 0
No of Units : g
Building Setbacks
Rear: 6'
Bldg Height: 0
Front: 6'
Bldg Sprinklers:
Left: 6'
Flood Zone:
_
Right: 6'
Building Permit Fee: $386.00
Plan Check Fee: $342.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $769.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
$0.00
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist;
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $769.00 Fee Due at Permit Issuance
a m�� $0.00
`-�-e • IFUBLIC WORKS APPROVAL:
PLAN CHECK BY:
•APPROVAL TO ISSUE:
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Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $769.00 Fee Due at Permit Issuance
a m�� $0.00
`-�-e • IFUBLIC WORKS APPROVAL:
PLAN CHECK BY:
•APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury thaode: AnxcityPorrcounty that requires a permit to construct, for
alterf emprove,ldemol demolish, or repair epairtany structure k(prio tout Pissuance also require ced next to the ls the eapprlicant for
lection 7031.5, Business and Professions C Y Y the
'ro a ie permit
to file a sig that statement
she is exempt from si license and theant to the pursu basis for provisions
he lallegedtexe exemption. Any violationlof Section 7031.5tby any ppler 9 rcenit oWa permit subjeith Section o0ts th) ofe applicant toivision 3 of ts che g I penalty ousiness f
iot more than five hundred dollars ($500). all of or portions of the work, and the structure is not intended r offered for sale (Section,provided that the
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) (_)
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, p
mprovements 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
m roved for the purpose of sale). -
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section Contractor
Business and Professions Code: The Contease Law). State License Law does no
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuanfto the Contractors' State License Law)..
1 am exempt from licensure under the Contractors' State License Law for the following reason:
I r to completion of By
a structure that I have built as aneowne-bueder f f has not been con tructed sonal residence in iln it ich lmust have real ad entirety by licensed for
I u derstand that a copy of the happl cable law, Section 7044s covered by tof the Business his permit, I nand
not legall
lication is submitted or at the followin Web site:http://www.Ieginfo.ca.govicalaw.htmi. Date
Professions Code , is available upon request when this app'
9
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION Contractor s anatur
I hereby affirm under penalty of perjury tthatIim licensed underense INons of�Chf Chapter (commencing with Section
e700 of ivi ion 3 of the Business and Profe s od ,and my license is in fu force
and effect. License Class
ARVIN CO ILURE TTOIONCURE WOR AS S' COMPENSATION
IN SECTION TOB OF THE FUL. AND CODE, LL SUBJECT N EMPLOYER TO ATTORNEY'S FEESRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS (5700,0001, IN ADDITION TO THE
WORKERS' COMPENSATION DECLARATION
WG: FA
COST
DAMAGE
VIDED
I hereby affirm under penalty of perjury one of the following declarations:
ion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for t
I have and will maintain a certificate of consent to self -insure for workers' compensat
perfo ance of the work for which this permit is issued. Policy No.
I have and f-r7rgintain 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' compensaho
�..______- ,..n knr�II numbiII r _ Exoiration Date
ie of Agenr I
certify that, in the performance
if I should become subject to
compensation laws of California, and agree
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.— (; I ZS l
signature of Applicant
IECLARATION REGA ING CON CTION LENDING AGENCY
hereby affirm under penalty of perjury th here is a construction lending agency forLthe pe
enderrformance s Address of the work for which this permit is issued (Section 309
.ender's Name
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 and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count,',.�il�Fte h ve-identified properly for i Print Pro ertv Owner's or Authorized Agent's Namg
or
DF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
•Y
FOR OFFICE USE ONLY
• • i i
• • •• ••
PERI I LAI.' uLu
PERMIT FI NAL ASBESTOS NOTIFICATION IS NOT APPLICABLfs TO. • • • •••
PROPOSED DEMOLITION • • a
CERTIFICATE OF 2ti i • •U
OCCUPANCY ISSUED fJ SIGNATURE • • • •
Civil Code).