HomeMy WebLinkAboutX2019-1149 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-1149
100 Civic Center Drive Newport Beach, CA 92660
X 2 9 1 9 1 1 4 9
Project No : 0823-2019._
ty 4: Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type- BLDG-
-
Issued Date :. 04/11/2019
Inspection Area
: 2
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: 518:ALISO AVE NB
Description`. SFR BLOCK WALL 66 LF X 6' HIGH (INSIDE PIL) PERM MARKERS ON
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 6.-
Owner: FOSS FAMILY TRUST Contractor,
HATFIELD HARDSCAPE Architect
••'•�c+,,,-,
Address: 518 ALSIO AVE Address
1572 RAINBOW
DR : Address:.
-
ij ;a
a'
NEWPORT BEACH, CA 92663
SANTA ANA CA 92705
• • • • -
Phone: ,Phone:
714-600.9388..-
Phone:
State Lie:
•'•.. 'o•..do
Applicant: HATFIELD SEAN Con State Lie:
899809'.
Engineer:
`• •
•
Address: 1572 RAINBOW DR - Lie Expire:
0713112019
Address:.
' • °. • o.
SANTA ANA, CA 92705 Bus Lie:
BT30067128
°
o
• ° O ° • �
Phone: 714.600.9388 Lie Exp Date:
1113012019
Phone:
State Lic:
�.• o
.
Code Edit '2016 : Worker's Compensation Insurance
Designer.
0000.• °••°0
Type of Construction:Carrier:
BENCHMARK
.Address: :.
. • •o o
Occupancy Group: U- Policy No:.
CST6013563
` o.•00
'Added /New sq.ft. Bldg: 0 Expire:
0810212019
Phone:
m„®am o ° o
Added /New sq. ft. Garage: 0
No of Stories:. 0 Building Setbacks'
Rear: 5 -
Special Conditions:
- • • e o
No of Units.: 11
Front:. 20
°•o••• •OB°
Bldg Height:. 0
Left: 4
Bldg Sprinklers:
Right: 4
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone: N
Construction. Valuation:.' $9.000.00
Building. Permit Fee: $412.00 Excise Tax:.
$0.00
Planning Department -
Fire Department..
Plan Check Fee: $365.00 ' Additional Fee : ,
$0.00 '
< Plan check Fee: > $40.00
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 Feer
-$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
PM 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 i $824.00 Plan Check Fee:
$0.00 Fee Due at Permit Issuance : `
$824.00
PROCESSED BY: -
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
-
GRADING APPROVAL:
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 itsissuance, also requires the applicant for
is 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
Irofessions 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 permitsubjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 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,
lusiness 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
n roved for the purpose of sale).
1, 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
pplyto 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature belptyJ 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 legalll
ell 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
4ofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
IIblilibld of Prol!!X j!6wner or Authorized Agent - Date
.IGENgED CONTRACTOR'S DECLARATION
Der@�Y affirm undEr penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 700 ) of Division 3 of the Business and Pro ssions de, and my licens in full force
nd effect. License Claes License No Date 041-1,01q Contractor Signatur
(61111 SRW COMPENSATION DECLARATION
'QFjl�tINFL FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND DO LARS (5100,000), IN ADDITION TO THE
6SidFT,pMPENSA'MdIS, 64MAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AAr@tllfaffirm under penalty of perjury one of the following declarations:
.
I1.ha..ve. and wig 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 th
erformance of the wort for which this permit is issued. Policy No.
and will MLyntain 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:
Policy Number
Date
Jame of Agent f•none a
:1I certify that, in the a
perfo nte work for which this p it is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and
tat, if I should becomes ject te of wthorkers' compens rovisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
lignature of Applicant
)ECLARATION REGA DING C STRUCT LENDING AGENCY
hereby affirm under p o pedu .t here is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
.ender's Name - Lender's Address
ly. 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 countiordinances and state laws lating to building construction.
I authorize representatives of this city or county toknter ove-identifie roperty for inspection purposes. ��D _
linnahrre of Pmnertv Owner or Authorized ADent / Print PrODertv Owner's or Authorized ADent s Name / i� '� 1 f•" Da�,—{ i.�'
DATE
PERMIT CANCELLED
PERMIT EMENDED
PERMITFINAL
CERTIFICATE OF /
OCCUPANCYISSUED V
DECLARAT40WOF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I ASBESTOS NOTIFICATION TO
IS NOT APPLICN*E TO
FOR OFFICE USE ONLY