Loading...
HomeMy WebLinkAboutX2019-3120 - Permitsv i!a City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3120 a'- 100 Civic center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 1 2 0 Project No : 2178-2019 ai.. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 I - y3* Combination Type - GRAD GRAD ELEC PLUM Issued Date: Area 4/2019 4Mrntt Inspection Arrea : 3 Added /New sq.ft. Bldg: 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - 02/01/2020 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 Added /New sq. ft. Garage: ' Job Address: 2316 PRIVATE RD NB Description.- SFR YARD DRAINAGE. GAS LINE (BBQ/FIRE PIT), 4 RECEPTACLES (BBQ); IRRIGATION - Building Setbacks Legal Desc.:. N TR 2513 LOT 11 Special Conditions: - Front: Z�/'� Owner: CROOKALL CHUCK Contractor LOS PINOS LANDSCAPES Architect: Address: 2319 PRIVATE RD Address: - 10661 FRANCES AVENUE Address: c � Right: p NEWPORT BEACH, CA 92660 GARDEN GROVE CA 92643 19 Phone. X Phone: - 714-791-5120 Phone: State Lic; Fire Hazard Zone : N Construction Valuation: $0.00 mV '! ' Applicant. SANDOVAL JAIME Con State Lic: 796989 Engineer: Address 10661 FRANCES AV Lic Expire: 07/3112021 Address: - - GARDEN GROVE CA 92843 Bus Lic. BT30069136 `^, 1. Phone: 714-791-5120 Lic Exp Date: 10/3112020 Phone: State Lic -1 Code Edit: 2016 Worker's Compensation Insurance Designer: SKINNER BRIDGET O Type of Construction - Carrier: FALLS LAKE FIRE Address: 1315 SUSSEX LN Investigation Fee: Occupancy Group: U Policy No: FLA008317 NEWPORT BEACH CA 92660 $0.00 Added /New sq.ft. Bldg: 0 Expire: 02/01/2020 Phone: 949-697-6277 Added /New sq. ft. Garage: 0 No of Stories: 0 - Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: Bldg Haight: 0 Left: Bldg Sprinklers:.. - Right: p Flood Zone: X : Use Zone: Parking S aces:. 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $24.32 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 - Grading Bonds Feer $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 : $8.00 Grading Permit Fee: $312.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $312.00 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: $41.25 Grading Bond: $0.00 Hazardous Mat -$0.00 Electrical %:. $0.00 San Dist: $0.00 .. .Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %f. $0.00 $0.00 TOTAL FEE: $737.57 Plan Check Fee : $393.25 Fee Due at Permit Issuance : $344.32 PROCESSED BY: `- =PK1BtiIC tlVORKSAPPROVALr n.� ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APIPR©VAL' gISSUE: OG& 41G !u J 0 4uU u0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the. Contractors' State License Law for thereason(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, priorto 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 theapplicant 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 (_) 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 -Builder will 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 signature below I acknowledge that, except for 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 legall, 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED 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 Pr fesi Code, d my license is in full force and effect. License Class License No Date Contractor SignaturNORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRES ND DOLLARS ($100,000), IN 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 ve 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 th le rmance of the work for which this permit is issued. Policy No. have a aintain 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' compensati rance c ier nd policy numb@r are: (1 r'n Ic Number Expiration Date of Aoent _ Phone # 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 agre t, if I should become sapbject o workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. nature of ApplicantX l\ Da CLARATION REG G ONS RUCTION LENDING AGENCY rreby affirm under eralty. o r that there is a construction lending 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 provided is correct ,� ul yv�,E �av"O d VLC I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or coun,`,�,/.{4 ents;khe above- entified property for inspection purposes. nature of Prooertv Owner or Authorized ADent iV T above - Print Prooertv Owner's or Authorized Acent's Name Y /O l Date A G,� ^14 ACTION DATE BY REGLARATONS OF COMT 61 OF NILE 40 AND CODE OF RED ERAL FOR OFFICE USE ONLY remvui cAVIntU LJ I SUBMITTED ASBEST(;7,.NOTIFJCATIOtP.TO • k PERMIT CANCELLED OEPA : : • • ° PERMITEXTENDED OMD PERMIT FINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF —'6•Z� PROPOSED DEMOLITION •• ••• v OCCUPANCYISSUED • • SIGNATURE: : :. : ° ° • • ° •••