HomeMy WebLinkAboutX2013-1848 - Permits%,Icy of Newport Beach - Building Division
4-9)100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
klCombination Type - BLDG ELEC
Job Address::'1 SCOTIA SEA NB
Description:SFR- RETAINING WALLS 5'H MAX x 100 LF AND WATER FEATURE LIGHT INSTIL
Inspector .a: 6 Legal Desc.: N TR 16817 LOT 18
Owner:
ASHMORE BILL
Address:
11 SCOTIA SEA
NEWPORT BEACH CA 92660
Phone:
949-795-1576
Applicant:
SAVAGE MICHAEL
Address:
1125 SHEPPARD DR
FULLERTON CA 92831
Phone:
714-878-0335
Code Edit : 2010
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
X 2 0 1 3 1 8 4 8�� II
Contractor: TUSCANY CONSTRUCTION CO
Address:
1560 SUPERIOR AVE #B3
COSTA MESA CA 92627
Phone:
949-548-3355
Con State Lic:
494601
Lie Expire:
07131/2014
Bus Lie:
BT30043219
Lie Exp Date:
- 06/31/2014
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9041153
0 Expire:
01/03/2014
0
Building Setbacks
Rear: /
Front: /
Left: I
Right: /
Construction Valuation: $20,000.00
Building Permit Fee:
$365.56
Plan Check Fee:
$263.20
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$92.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $778.60
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Solar System PC : $0.00
Excise Tax: $0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical W $25.59
Mechanical %: $0.00
Plumbing %: $0.00
COMB Permit: X2013-1
Project No: 1575-2013
Inspection Requests Phone (949)644-3255
Date :
!NS'fE=R
Architect
Address:
Phone: State Lie
Engineer:
SKUDLARSKI JASON
Address:
4400 CAMPUS DR
NEWPORT BEACH CA 92660
Phone:
949-752-1612 State Lic:C-067712
Designer:
SAVAGE MICHAEL ,
Address:
1125 SHEPPARD DR ,
FULLERTON CA 92831 ,
Phone:
714-878-0335
Special Conditions
Planning Department -
Plan check Fee'.
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $700.00
Zone:
Fire Department
$31.25
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
$0.00
$0.00
Fee Due at Permit Issuance : $78.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
//--)
APPROVAL TO ISSUE: l.L
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
OWNER -BUILDER DECLARATION -
ancealso requires the applicant for
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(sj
(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 issu, 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 7 anc Division ir 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 U 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).
❑ 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
Drofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sext on 7 0) f DIVI on 3 of the Business nd Profe C d nd my license is in full force
and effPct. License Class License No �[�y Y(a / D , Contract nature -
NORKSRS' COMPENSATION DECLARATION /�
VARNIPG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR =' T OF COMPENSA"', ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
hereby affirm under penalty of perjury one of the following declarations:
e 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 thf
nce 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:
Icno,Y Agent
certify that, -r to=.performance
if I should becgme subject tgA
Policy Number
Date
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 agre
i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�ate�[/ J
4GEN ///
113
areby affirm under pe It erjury thatlfaere is� construction le ding agency for the performance of the work for which this permit is issued (Section 3097, 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 provi d is correc .
I agree to comply with all applicable city and count oPI n e and a laws relating to building construction.
authorize representatives of this city or county t n r t Identified property for inspection purposes. r // I / /
nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Na a B�l�a e,I, Dat' @1�7�• 30 /3
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