HomeMy WebLinkAboutX2018-0055 - Permitsax'1w City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Eti b Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
Job Address:
Description:
Legal Desc.:
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$0.00
Investigation Fee:
Address: SA
°
G D M LANDSCAPE
COR
COR ONA DEL MAR,
, CA 92625
Address:
31878 DEL OBISPO, STE 118 #435
Phone:
Disabled Access :
SAN JUAN CAP CA 92675
Hazardous Mat
Phone:
949-433.0057
Applicant: G D M LANDSCAPE
Address:
1201 N TUSTIN AVE
Address: 31878 DEL OBISPO, STE 118 0435
0
881282
SAN JUAN CAP CA 92675
Lie Expire:
09/3012019
eee
COMB.Permit : X2018-0055
o00r ect Mo- 0042-2018
° e Issued Date : 01/04/2018
Inspection Area : 4
°a o m e
PERMITS EXP/RE 160 DAYS.4FTER ISSUANCE OR LAST VALID PELT/OAr. a °®
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. tri °0 e
3621 SAUSALITO DR NB 8 4Ae+n. N6,Work t�'in St:r�dayes�car Holidays
RETAINING WALL (INSIDE P/L) APPROX 15" H X 200 LF CMU STEM WALL FOR BASE OF GLASS WALL
N TR 6229 LOT 6
Owner: EDWARDS GARY
$0.00
Investigation Fee:
Address: SA
Contractor:
G D M LANDSCAPE
COR
COR ONA DEL MAR,
, CA 92625
Address:
31878 DEL OBISPO, STE 118 #435
Phone:
Disabled Access :
SAN JUAN CAP CA 92675
Hazardous Mat
Phone:
949-433.0057
Applicant: G D M LANDSCAPE
Address:
1201 N TUSTIN AVE
Address: 31878 DEL OBISPO, STE 118 0435
Con State Lie:
881282
SAN JUAN CAP CA 92675
Lie Expire:
09/3012019
Phone: 949.433-0057
Bus Lie:
ST30048427
Lie Exp Date:
09/30/2018
Code Edit: 2016
Type of Construction: V -B
Worker's Compensation
Insurance
Occupancy Group: U
Carrier:
WESCO INS
Added/New sq.ft. Bldg:0
Policy No:
WWC3258893
Added /New sq. ft. Garage: 0
Expire:
03/2112018
No of Stories: 0
No of Units : 0
Building Setbacks
Rear: /
Bldg Height: 0
Refund Deposit
Grading Bond:
Front: /
Bldg Sprinklers:
$0.00
Left: /
Flood Zone:
.. _
Right: I
Building Permit Fee: $386.00
Plan Check Fee: $342.50
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $767.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
$0.00
$0.00
Planning Department -
Address:
Fire Department
Grading Bonds Fee:
Phone:
Plan check Fee :
Fair Share:
State Lie:
$0.00
Engineer:
LACHER TODD
Grading Pe Consultant:
$0.00
Address:
1201 N TUSTIN AVE
$0.00
Fire Plan Rev
$0.00
ANAHEIM CA 92807
$0.00
:
In -lieu Housing Fee :
Phone:
714-630-6100
State Lic:C-067656
Designer:
$0.00
Public Works Department
Address:
$0.00
WQ Insp. Fee:
$0.00Park
Phone:
-
$0.00
General Service
Special Conditions:
9rF i l i V
$0.00
PAN Plan Check :
, 3f
Refund Deposit
Grading Bond:
$0.00
$0.00
Mechanical %:
$0.00
Excise Tax:
Additional Fee:
$0.00
$0.00
Planning Department -
Fire Department
Grading Bonds Fee:
$0.00
Plan check Fee :
Fair Share:
$0.00
Fire Inspection:
$0.00
Grading Pe Consultant:
$0.00
SJH Trans
$0.00
Fire Plan Rev
$0.00
Grading Permit Fee:
$0.00
:
In -lieu Housing Fee :
$0.00
$0.00
Demolition Fee
Grading PC Fee:
$0.00
Public Works Department
Building Dept Adm
$0.00
WQ Insp. Fee:
$0.00Park
Dedication :
-
$0.00
General Service
$0.00
Electrical %:
$0.00
PAN Plan Check :
$0.00
Refund Deposit
Grading Bond:
$0.00
$0.00
Mechanical %:
$0.00
San Dist :
NMUSD Fee:
.
$000
$0. 0
Plumbing %:
$0.00
$0.00
$0.00
i
Plan Check Fee:
$0.00
Fee Due at Permit
Issuance
$767.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 14 -
APPROVAL TO ISSUE:
OWNER-BUILDERDECLARrE1rION; ". •••he
I hereby affirm under penalty of p$r1LQ'1's Cr�od� Arai xc por•c Lnty$tlat requ�es atpermit to co st uct,ra
Iter, improve, indicated demol sh orbelow by the checkmark(s) I have
any structure, prior to its pissuance, lso requirelaced next to the s the applicant for
lection 7031.5, Business and Professlen • , Y $Y' 8
re permit to file a signed statement thaf'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 an
'rofessions 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
of more than five hundred dollars ($500). • all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
I, as owner of the property, or nTyernplQlkeg wjth$va�ey� as the�'ar/'so�mpepnsation, will do (_)rty who, through
mprovements are not hte dedeo o Q�edio .sale. sf howe�er, the be dirg or imprlo ement snsoldfwith
one year of completion, lthe Owner -Builder II havbuie the burden of proving ns or improves the t hat itpwas not built ord that e
myJproved for the purpose of sale). -- w
apply to an property who exclush a oremprovely rs the eonhand who contracts for the projects licensed Contractors to construct tw tproject tensed Contract r pursuant to he Contractors' State License rLaw)s'
owner
of the
State License Law does no
acting
I am exempt from licensure under the Contractors' State License Law for the following reason:
Sella signature
ign t structure below
l have built lean owner -builder for
f k has not nal re cion tructed dence in mit` le iisety by licensed t have resided contracto sr at least r I understand that copy of theapplicable law, Section 7044tof the Business andhis permit, I cannot legall
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
Don Contractor Signet
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of i Ion 3 of the Business and of si s d nd my license is in u force
and effect. License Class License No
WORKERS' COMPENSATION DECLARATION
WARNING:
COST F COMPENSATION,ILURE TO
OURE WOR AS PROVIDED FOR INN COVERAGE IS
SF THE LFUL AND SH LL SUBJECT AN EMPLOYER
TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN LLARS ($100,000), IN ADDITION TO T
DAM
AND
S.
I hereby affirm under penalty of perjury one of the following declarations:
I 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 t
ormance of the work for which this permit is issued. Policy No.
I ave 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' compensahor
insu agce carrier and policy number are: Expiration Date
C ler ' Policy Number Phone #
Name of Agent to
that, f I Is that bethat, in the "performanc
rk pomporation ermiiisis issued, I ions of Secton113700 ofnot the Laboany r Code,erson ln any manner so as to l hall forthwith c mplybwith hose pI ovtisons.workers' coip nsati laws of California, and agreI cc rs'
Signature of AppliDECLARATION RTION LENDING AGENCYI hereby affirm unthere is a construction lending agency for the per Address of the work for which this permit is issued (Section 3097, Cavil Code).
Len
Lender's Name
By 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 provi d correct. I Q
I agree to comply with all applicable city and county ordi n a d state laws relating to building construction. Date U
I authorize representatives of this city or coun enter t e -identified property for i P?nt Propert Owner's or Authorized Agent's Name
Si nature of Property Owner or Authorized Agent
ACTION DATE BY �DECLARAT F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
aFr:i II ATIr]NS ART 61 OF TITLE 40 AND AQMD RULE
TO
VtttnuI ��,�,•���
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT FINAL
PROPOSED DEMOLITION
CERTIFICATE OF
SIGNATURE
OCCUPANCY ISSUED
/