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HomeMy WebLinkAboutX2013-2641 - PermitsiX city of NevAljort Beach - Building Division II IIIIII� IIII UI II I IIIII IIII I II 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 3 2 6 a t r •, Permit Counter Phone (949)644-3288 Combination Type - GRAD Job Address: 11 SCOTIA SEA NB Description:YARD DRAINAGE (CITY STANDARD PLAN) Inspector Area: 6 Legal Desc.: N TR 15817 LOT 18 Owner: ASHMORE BILL Address: 11 SCOTIA SEA NEWPORT COAST CA 92657 Phone: Applicant: BRAD/TUSCANY CONSTR Address: 1560 SUPERIOR AVE #133 COSTA MESA CA 92627 Phone: 949-548.3355 Code Edit : 2010 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: $0.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $5.00 Energy Compliance: $0.00 CA Seismic SOW: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $0.00 Building Green Fee: $0.00 TOTAL FEE: $252.00 Contractor: TUSCANY CONSTRUCTION CO Address: 1560 SUPERIOR AVE #63 COSTA MESA CA 92627 Phone: 949.548-3355 Con State Lic: 494601 Lic Expire: 07/31/2014 Bus Lic: BT30043219 Lic Exp Date: 05/31/2014 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9041153 Expire: 01/03/2014 Building Setbacks Rear: / Front: / Left: / Right: / Use Solar System PC: $0.00 Excise Tax: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $247.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Architect Address: COMB Permit: X2013-2641 Project No : 2267-2013 Inspection Requests Phone (949)644-3255 Issued Date : 0912612013 Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $252.00 PROCESSED BY: V� 0 PUBLIC WORKS APPROVAL: JJ2 PLAN CHECK BY: ZONING APPROVAL: --Y� GAPPROVAL TO ISSUE: GRADING APPROVAL: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 applicab,e 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 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 c vii penalty of not more than five hundred dollars ($500). ❑ 1, as owner of tl .q 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 f 14, 9usinees and Fro)essiuns 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 'mprovLd for th3 puTose of sale). 13 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 Cpiy 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). dm 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 Iegallt dell a structure tndt 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 Cope, is Lvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html, Signatire of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION bernhy affirm woer penalty of perpry that am licensed under provisions of r 9 commencing with Section 7 01 o�� Isl�ory 3 of the Business and Profess n Co d e is in f- orce {{ y %p�/�� r erlS� II-f and e4ect. License Class —7, License No Cfl Date Contractor Signature NORKERS' C OMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10` 000 N ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have an III 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 the �� tF 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: of Agent certify that, in the performance if I should become subect tog of Applicant Policy Number permit is 5reby affirm under penalty of per ry thatthereis ryconstructi ider's Name ( / my signature below, I certify to each of the following_ f I am the property owner or authorized to act on the property I have read this application and the information I have provil I agree to comply with all applicable city and county ordin I authorize representatives of this city or county t4e/Iter nature of Property Owner or Authorized Agent Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 /' Date '//� // 3 lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address ACTNMI ID9 TF f/ fly PFRA47 FXPIRFI} PEXt4IT CAPICL'II m PERbffr XTEAXED PL'RMIT RNA L CERTiFrCATECF �l 1 OCCUPAIJCy 550ED of for inspection pu'rposes. Print Property Owner's or Authorized Agent's / utrcnr_rrt[iuLa rrUNMSRARF61 WTITLEiUANO G6VORU1 7401. I sfII11,67Trn Aswsms N7?77rK--4TKIN TYi- ❑ EPA ❑ ACME, C3 ASSES TOS M07IRCATMS NOTAPVIICABLETO PROPOSEDCEEIMOIDGM- 5IGNA I Ul &: