HomeMy WebLinkAboutX2019-1413 - Permitscq�'44,
City 0 port Belch - Building Division IIIIIIIIIIIIIIIII'100 Civic Center Drive, Newport Beach, CA 92660 COMB Pertrolt: X2U 9-�4�3
Inspecton Req ests Phonermit Counter Phone e (9 9)644-3255 .Project No : 1688-2017
Combination Type- SFP Issued Date : 05/01/2019
Inspection Area : 2
Construction Hours: Monday.
PERM/TS EXPIRE 180 DAYS AFTER SU
fSANCE OR LAST VALID INSPECTION.
Friday
Excise Tax:
Plan Check Fee: $0.00
Job Address: 311 GRAND CANAL NB
7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work 0n Sundays
$0.00
Grading Bonds Fee:
or
Description: SFR REMOVE AND REPLACE A PORTION OF THE EXISTING
Holidays
Grading PC Consultant
:Legal Desc.:. BALBOA ISLAND SEC 4 BLK 14 LOT 31
BLOCK WALL 6' HIGH X 8 LF (INSIDE P/L) -CITY STANDARD*
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety :.
$0.00
Owner JAMES MARTIN
Address: .Address: 311GRAND CANAL
Contractor.. SHEAR CONSTRUCTION Architect
0-,
NEWPORT BEACH, CA92862
Address: 31 BLAKEMORE DR Address:
Building Green fee :
.
Phone`
LADERA RANCH CA 92694
Applicant SHEAR CONSTRUCTION
Phone: 714-615-6108.:1^b.°mmo�o.
Phone: State Lic:
FEE : $145.00
Address 31 BLAKEMORE DR
Con State Lic: 760853 -
Engineer.
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o a
.
' LADERA RANCH CA 92694
LIC Expire: 07/31/2020 Address:
Bus Lic
m o m o
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°• o
Phone: 714.615-6108
BT30049686
Lic Exp Dater 01/31/2020
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'
Code Edit: 2016
Phone: State Lic
-
mmmomo
Type of Construction:
Worker's Compensation Insurance Designer.
mm000
Occupancy Group: U
. STATE FUND
Carrier:Ad dress:
..Added /New sq:@. Bldg: 0
Policy No: 9095806
m m
oomooc
Added /New sq. ft. Garage: 0
Expire: 04/11/2020 Phone:
No of Stories: p
No. of Units
Building Setbacks Rear: I
° oo
000000
: 1
Bldg Height:
Special Conditions: PLANS ATTACHED TO PERMIT
Front: /
g
Bldg Sprinklers:
Left: /
Flood Zone:
.. _ Right: f
Building Permit Fee:
$104.00
Excise Tax:
Plan Check Fee: $0.00
Additional Fee
Overtime. Plan Ck:
$0.00
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consultant
Record Management:
.$0.00
Grading Permit Fee:
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
Electrical
Building Green fee :
.$1.00
Mechanical %:
Plumbing 0/m:
TOTAL
FEE : $145.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Planning Department -
$0.00
Plan check Fee
$0.00
$0.00
Fair Share :
$0.00
$0.00
SJH Trans:
$0.00
in -lieu Housing Fee:
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
$0.00
PAN Plan Check:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Feer
$0.00
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$145.00
Fire Department
$40.00
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 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$145.00
'`rte"
OWNER -BUILDER DECLARATION om the
I hereby affirm under penalty of perjury that I amrexempt
orrcountethat requires a permit to construct. License Law alterf Bmprove,Idemol sh ororepair any structure Prior to its issuance, lsotrequ els the applicant far
action 7031.5, Business and Professions Code: Any Y Y
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 an
a e permit
t 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
3
.t more than five hundred dollars ($500). all of or portions the work, and the structure is not intended or offered for sale (Section 7044,
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) U P provided that the
Isiness 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,
Iprovements 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
(proved for the purpose of sale). --- 7044. iness and ions Code: The
ply to an owner
of t f property who builds bremprovers the eonhand who contracts for the projects with a licensedlicensed Contractors to construct the project cCont act r pursuant to he Contractors' State L ce serLaw). '.State License Law does not
I am exempt Ee"licensure under the Contractors' State License Law for the following reason:
311 ay siignature l;WQW1 acknowledge built agthat, a-buielderrf R hasenot been oo strutted ndence in l its entich I rety by I tensed t have resided fc contractors. I undersor at least one year talnd that a copy of the happl'cabla aw,tSection 7044tof the Business and
his Permit, I cannot legall
ro%aswns CoAe + saveilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
ignatyre of Propertybwner or Authorized Agent
ICEASED CONTRACTOR'S DECLARATION
' reby' affirm uAgPOE6nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section70S )of Di Division 3 of the
Connttractorr Signature
Prof
n de, and my license is in full force
nd. est. Liceriesoass License No
YO�R46 CjjIQQENSATION DECLARATION Tn
OSf dF�COMIPENSATLURE O1pN CRE R AS WORKERS' COMPS FOR IN SECTION NSATION COVERAGE
10F THE UNLAWFUL,
AND SHAL
CODE, INTEREST, AND ATTORNEY'S FEES. L PENALTIES AND CIVIL FINES UP TO ONE HUN EO THOUSAND DOLLARS (EiD0;0a01, IN ADDITION TO
THE
VIDED
Q@ID51 tifirm under pe¢alty 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, or �
orm. cce of the work for which this permit is issued. Policy No.
�....
have and will M�Irftain 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 compensa lol
Tsur nce carrier and policy number are: Expiration Date
Policy Number phnna A
is of Agent
certify that, in the p,
, if I should become
iature of Applicant -
ante of the wo k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker compensation laws of California, and agree
ctlq th s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions /Dte—S
3CONSTRUCTION LENDING AGENCYhereby affirm under pen�ty of perjury that there is a construction lending agency fo Lthe endeer Addressof the work for which this permit is issued (Section 3Civil Code).
.ender's Name
Sy 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 hav provided. is correct_
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. A e J �s iw.Ie.�a D to �f 17
I authorize representatives of this city or county to 1ntter the�bgve-identified property for i Print Prooertection v Owner's or Authorized Agent s Na IO'�"
Signature of Property Owner
or Authorized A ant
OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFIC
ACTION
DATE BY
DECLARATION
REG TIONS PART61 OFTITLE 40AND AQMD RULE
3
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXPIRED
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
RESTOS NOT (CATION IS N T APPLICABLE TO
PERMIT FINAL
OF
l o iil�
ROPO DEM ITI
CERTIFICATE
nrrflPANCY ISSUED
`
SIGNATURE:
E USE ONLY