HomeMy WebLinkAboutP2023-0334 - PermitsSEW PORT City of Newport Beach
Community Development Department- Building Division p 2 0 2 3 0 3 3 a COMB Permit : P2023-0334
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1188
Nb i Permit Counter Phone: (949) 718-1888 Issued Date: 09101/2023
a.. newportbeachca.gov/civic Final Date:
C���FOM1N`P Combination Type - Permit Status: Expired
Work Class - Other Inspection Area: 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 7 SCOTIA SEA Legal Desc : N TR 15817 ELK LOT 16
Description : PLUMB INSTALL GAS LINE BBQ, FIREPLACE, AND FIRE PIT
Owner: RONALD MADDOX
Address : 7 SCOTIA SEA
NEWPORT BEACH, CA 92657
Phone: (949)636-1911
Applicant:
GEOSCAPE LANDSCAPE CONSTR INC
Address :
555 ANTON BLVD, 150
COSTA MESA, CA 92626
Phone:
(760)969-0153
Owner/Builder :
Address :
Phone:
Contractor: GEOSCAPE LANDSCAPE CONSTR INC Architect
Address:
555 ANTON BLVD, 150
Address
COSTA MESA, CA 92626
Phone:
(760)969-0153
Phone:
Con State Lic:
632334
State Lic
Lic Expire :
05/31/2025
Bus Lic:
BT30023383
Engineer:
Bus Lic Expire : 05/31/2024
Address:
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No:
9339026
Designer:
W. C. Expire :
6/1/2024
Address:
Phone:
flu I04-A (w4T
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$0.00
Type of Construction :
Fire Hazard Zone : NO
Added/NewITl sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height :
No of Stories :
Add/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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
Ie 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
of more than five hundred dollars ($500).
11, 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,
usiness 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).
I am exempt from licensors under the Contractors' State License Law for the following reason:
y 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, 1 cannot legall;
all a structure that 1 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
rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html.
ignalure of Properly 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) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Slonature
COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORM"' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION To THE
:UST 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:
1 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
lerformance of the work for which this permit is issued. Policy No.
have 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'
rance 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lalure of Applicant Date
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)-
-enders Name Lender's Address
3y 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.
1 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 enter the above -identified property for inspection purposes.
Signature of Prooertv Owner or Authorized Anent Print Prooerty Owner's or Authorized Anent's Name
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMfTEXPIRED
PERMITEXTENDED
PERMIT FINAL LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF aZZ, r�%% PROPOSED DEMOLITION
OCCUPANCYISSUED "/�� SIGNATURE:
Date