HomeMy WebLinkAboutX2022-1301 - PermitsGM)"_11
vN,'r}City of Newport Beach - Building Division illi11111111111111111111111p11111111p1111111111111ilCOMB Permit: X2022-1301
100 Civic Center Drive, New ort Beach, CA 92660 x 2 0 2 2 1 3 0 1p Project No: 1201-2022
4Permit Counter Phone (949)644-3288
vInspection Requests Phone (949)644-3255
Combination Type - MFP Issued Date : 05/1012022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
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: 601 LIDO PARK DR NB
Description: MFR EXTERIOR FOAM SOFFIT DETAIL W/ SMOOTH STUCCO FINISH" f�
Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 �; a
Owner: LIDO HOA
Contractor:
GEOSCAPE LANDSCAPE
CONSTR INC
Architect:
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;
Address: 601 LIDO PARK DR
Address:
9261 IRVINE BLVD
Address:
_
NEWPORT BEACH, CA 92663
IRVINE CA 92618
- ^
Phone: 949-250-3910
Phone:
949-903-2766
Phone:
State Lic:
Applicant: SHIPPY JOHN
Con State Lic:
632334
Engineer:
Address: 9261 IRVINE BLVD
Lic Expire:
05/31/2023
Address:
�. •' ° ° -
IRVINE, CA 92618
Bus Lic:
BT30023383
Phone: 949-922-8008
Lic Exp Date:
0513112022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
GEOSCAPE
Type of Construction: V-B-SPR
Carrier:
STATE FUND
Address:
9261 IRVINE BLVD
- -
Occupancy Group: R2/U
Policy No:
9027912
IRVINE, CA 92618
�
Added /New sq.ft. Bldg: 0
Expire:
0610112022
Phone:
949-916-4545
- - - -
Added lNew sq. ft. Garage: 0
No of Stories: 5
Building Setbacks
Rear: /
Special Conditions:
No of Units: 54
Front: 20/10
LIQUEFACTION
Bldg Height: 0
Left: 15
HIGH DENSITY ZONE
Bldg Sprinklers: Y
Right: 15
Flood Zone: X-0.2PCT
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $10,000.00
Building Permit Fee: $246.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $214.02
Additional Fee :
$0.00
Plan check Fee :
$52.00 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 : $6.00
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
PAN 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: $519.02
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$266.02 Fee Due at Permit Issuance : $253.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: r
APPROVAL TO ISSUE:
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
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 U 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-Builderwill 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signatur 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 trial I nave 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
F ruf.; sions CGda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of PnpeCy Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereoy affirm under p=nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) cif -Dip' sio 3 f the Business and Pro sions Co e, cense is in full force
atoll elect. LlLeilsb 0-ass License No Da Contractor Signature l
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LARS ($100,000), IN ADDITION TO THE
:')PT CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
' hcr^hy 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
:.nnance of the work for which this permit is issued. Policy No.
have and wPI mairtain 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
Pance carrier and policy number are:
Policy Number
me of Agent
Date
I certify that, in the performance th 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
at, if I should become s bject to a wor ers provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
ECLARATION REGA DING CONSTRUCTION L GENCY
iereby affirm under penalty of perjury that there is a nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
tinder's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 a tea relating t building construction.
I authorize representatives of this city or county tgrenter the abov�pwpe, tion purposes. I00(A
Signature of Property Owner or Authorized Agent / A C / I P1' I Property Owner's or Authorized Ag
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITVODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 ND AQMD RULE
1403
PERMIT EXPIRED
1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
AQMD
FI NAL
PERMIT FINAL
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SBE TION IS OT APPLICABLE TO
CERTIFICATE
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PRO SED
OCCUPANCY ISSUED
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SIGNATURE