HomeMy WebLinkAboutX2018-0800 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
*X20180800* COMB Permit: X2018-0800
Project No : 0674-2018
Issued Date : 05110/2018
Inspection Area : 6
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: 19 VISTA LUCI NB
Description: SFR REPLACE FRENCH DOORS W/ BI -FOLDING DOOR SYSTEM
Legal Desc.: N TR 14070 LOT 2
� 44 RR
Owner: VAKILI MARK Contractor: GEOSCAPE LANDSCAPE CONSTR INC Architect:
� a
Address: 19 VISTA LUCI Address: 20372 HERMANA CIR Address: N _'F Vw
NEWPORT COAST, CA 92657
Phone
Applicant: LEYTON MARK
Address: 20375 HERMANA CIR
LAKE FOREST CA 92630
Phone: 949-903-2766
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
LAKE FOREST CA 92630
Phone: 949.903.2766
Con State Lic:
632334
Lic Expire:
05131/2019
Bus Lic:
BT30023383
Lic Exp Date:
05/31/2018
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9027912
Expire:
0 610112 01 8
Building Setbacks
Rear: 10
Designer:
Front: 10
Address:
Left: 0
Right: 0
Phone:
State Lic:
Engineer:
ZHANG YAO
Address:
15375 BARRANCA PKWY, H106
IRVINE CA 92618
Phone:
949.788-0424 State Lic:C-074572
Designer:
Address:
Phone:
Special Conditions:
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Construction Valuation:
$15.000.00
°`_•"m °.mmm°
00
Building Permit Fee:
$292.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $254.04
Additional Fee :
$0.00
Plan check Fee :
$37.50
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$8.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service -
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $592.54
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $161.04 Fee Due at Permit Issuance : $431.50
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
Qom
APPROVAL TO ISSUE: 9===
OWNER -BUILDER DECLARATION Z"
- 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)3
(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
the 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
Professions 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
not 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,
Business 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
improvements 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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent i Date
LICENSED CONTRACTOR'S DECLARATION �
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 9ectidl 7000) of -Division 3 of the Busin d Professions C e and my license is in full force
and effect. License Class License No Dat — o — I Contr ctor gn lure _
WORKERS' r,QUPENSATION DECLARATION
NARNING: FAILURJ,[(L CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OE COMPEN A`fr[ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I41 Wf affirmVriter penalty of perjury one of the following declarations:
..
0 I Mave ad wUl 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 thi
jgF(grinance of the work for which this permit is issued. Policy No.
t ne and Irl MSiatain 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' compensatior
insurance carrie;W,policy number are:
Perrier • ' Policy Number Expiration Date
Agent
if I%
Ice 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
to the workkeraLcDmpensatlon-previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date_ 5—f c — r
!V—
CIL ARATPOR-RE6SICRDING CONSTRUCTION LENDING AGENCY
;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se 97, Civil Code).
ider's Name Lender's Address
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 county to ente ve-identified property for inspection purposes.
nature of Prooertv Owner or.Authorized AGent Print Property Owner's or Authorize Agent's Name' vr.e_ n 1" ,Q,
ACTION C;�-T _'SQTE I BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
UAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
77
61 0
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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