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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: < e oc c o 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: < e oc c o 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).