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HomeMy WebLinkAboutX2019-2326 - Permits1=r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�'IIIIIIIIIIIIIIIII� Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: IICOMB Hazardous Mat Permit: X2019-2326 Building Green Fee : 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 3 2 6 $0.00 Project No: 1665-2019 ) $0.00 Permit Counter Phone(949)644-3288 Right: 4' Inspection Requests Phone (949)644-3255. Issued Date : Combination Type - BLDG :2019 Inspection Area 1 Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. 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: 501 VIA LIDO SOUD NB Description: SFR WEST SIDE BLOCK WALL 88 LF X 6'H, (INSIDE THE PIL) *CITY STANDARD" Legal Desc.: TR907 LOTS 456 AND 457 Owner: GUIDA JOHN Contractor: M P L ENTERPRISES INC Architect: . Address: 501 VIA LIDO SOUD Address: 2302 S SUSAN ST Address: NEWPORT BEACH, CA 92663 SANTA ANA CA 92704 Phone: Phone: .714.546.1717 Phone: State Lic Applicant. DACK KYLE Address: 1660 ORANGE AVE COSTA MESA CA 92704 Phone: 949-400-8037 Cade Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage:. 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $412.00 Plan Check Fee:: $365.00 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 PROCESSED BY: Con State Lic. 409169 Lic Expire: 09/30/2019 Bus Lic: BT30066406 Lic Exp Date: 04/30/2020 Worker's Compensation Insurance Carrier: GUIDEONE MUTUAL INS CO Policy No: 010009607 Expire: 06/0112020 Building Setbacks Rear:. 4' $0.00 Front: 10' $0.00 Left: 4' Right: 4' Use Zone: Parkina Spaces: 0 TOTAL FEE: $818.00 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 Engineer Address: TnRUC t4oks Phone: N® �'®NS'State Lic: �'O� Designer: t`1 Address: -{LjF `�Ilty' �/ Phone: ON -Tvie t °� " ��f ���D Special Conditions: LIQUEFACTION Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Sharel Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 P/WPlan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $818.00 .Y Yoe Ym Y rETK sa wdrzz Fee Due at Permit Issuance ° Y oPWBLId ORAS APPROVAL:: o e o 0 0 PLAN CHECK BY: 0C 41U�'. O Y O ". <. APAQVAL°TO ISSUE: C e °ec eco 0 0 00 °u° Yom $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance ° Y oPWBLId ORAS APPROVAL:: o e o 0 0 PLAN CHECK BY: 0C 41U�'. O Y O ". <. APAQVAL°TO ISSUE: C e °ec eco 0 0 00 °u° Yom $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 he 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 '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 iot more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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 nproved for the purpose of sale). I, 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 does not pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html. , signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)jof Divi ' n 3 of the Business and Prgfession Co -rand my licenss ' In ful force nd effect. License Class License No Dat Contractor Si natures VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Vomance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 agree t, if I should become subject tot worker ' co penstion pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D�C CLARATION REGARDINGSTRUCTION LEN MNG AGENCY Ireby affirm under penalty o 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 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to buildingeonstruction. I authorize representatives of this city or county to enter the a -Id t�ifis party for inspection purposes. Signature of Property Owner or Authorized Agent \ / &int Property Owner's or Authorized Ag ACTION DATE BY W DfcLAKATjoN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED A913ESTOS NOTIFICATION TO • •• PERMIT CANCELLED OEPA • • • + • • • • •• s PERMIT EXTENDED 0AQMD PERMITFINAL / DCIAS6ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITIOIQ:• ••+ ••+ ••• �•• OCCUPANCYISSUED SIGNATURE: • • • • • •_ Date