HomeMy WebLinkAboutX2020-1876 - PermitsCity of Newport Beach - Building Division
t1 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
i� Inspection Requests Phone (949)644-3255
Combination Type - BLDG
*X20201876* COMB Permit: X2020-1876
Project No :
Issued Date : 08/20/2020
Inspection Area: 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812112023 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2401 VISTA NOBLEZA NB
Description: SFR *STOP WORK* BLOCK WALLS ON THE P/L'S, 44 LF X 5'10" "CTY STD"
Legal Desc.: N TR 7062 LOT 1
Owner:
TROST RANDALL J
Contractor: OWNER/BLDR
Address:
2401 VISTA NOBLEZA
Address: TROST RANDALL
Policy No:
NEWPORT BEACH, CA 92660
Added /New sq.ft. Bldg: 0
Phone:
714-313-0520
Phone:
Applicant:
TROST RANDALL J
Con State Lic: O/B
Address:
2401 VISTA NOBLEZA
Lic Expire:
$0.00
NEWPORT BEACH, CA 92660
Bus Lic:
Phone:
714-313-0520
Lic Exp Date:
Code Edit: 2019
Worker's Compensation Insurance
Type of Construction:
Carrier:
Record Management:
Occupancy Group: U
Policy No:
$0.00
Added /New sq.ft. Bldg: 0
Expire:
Disabled Access :
Added /New sq. ft. Garage: 0
Hazardous Mat
$0.00
No of Stories: 0
Building Setbacks
Rear: /
No of Units : 0
Bldg Height: 0
$0.00
Front: I i
Bldg Sprinklers:
Left:
Right: /
Flood Zong:
Use Zone:
Parkinq Spaces; 0
Construction Valuation: $4.000.00
Grading Bond:
Building Permit Fee: $144.00
Plan Check Fee: $125.28
Overtime Plan Ck:
$0.00
Investigation Fee:
$144.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:I N S P ECTO R
Address:
Phone: 3 State Lic:
AS I fir: �-EI
EXPOSrE &Mi L;r'T,
ELECTRICKC!"PLUMBING, AN11ate Lic:
Designer.
MECHANIO.AlssCOMPONENTS
ommm
Phone: m
coec
her Special Conditions: 120-2478
OWNER/BLDR AUTH ATTACHED
HOA APPROVAL LETTER °
Planning Department -
Plan check Fee:
Fair Share :
cooc
° o
SJH Trans :
Fire Department
In -lieu Housing Fee:
$46.25
Public Works Department -
Park.Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
and Zone:N
co
cooc
° o
Fire Department
oee•
$46.25
Fire Inspection:
°
$0.00
$0.00
Fire Plan Rev
° °
m °$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
° ° 0$140
General Service
..00'.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $460.53
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Sectlon 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 signet 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 IN it 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 hund, ed dollars ($500).
❑ I, as owner of the pr,pedy, 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 Professioi a 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
i rovemfonts are not IT, ended 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 N was not built or
oved for the purpos : of sale).
I, as owner of the pnpefly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
a ly to an owner of pro )arty 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 lir ensure 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 oneyear prior to completion of the improvements cored by this permit, 1 cannot legal
sell a structure that I he,, a built as an owner -builder If it has not bfA constructed s Wifely by licensed contractors. I understand that a copy of the applicable law, Seocclon 7044 of the Business and
Professions Code, Is available upon req Cohan this app, n Is ub to a boll Ing Web site:http:/Aw .leginfo.ca.gov/calaw.html.
Signature of Property O•. mer or Authori7IAgent a /I �Zia
LICENSED CONTRA :TOR'S DECLARATION
I hereby affirm under pe. laity of perjury that I am lice ad under provisions of Chapter g (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
andeffect. License Class LicenseNo Date Contractor Signature
ORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECU'IS WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO TH
COST OF COMPENSATION, D.,.MAGE$AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under peg ally of perjury one of the following doclarations::.I.
I have anf•vyiu mail lain acertificate 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 it
performance of the work for which this permit is Issued. Policy No.
• Itlave and.wig jnainklin 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' compensalk
ins'wance carrier and po,cy number are:
• Cartier Policy Number Expiration Date
41w& of Agent*_ Phone III
•rcl,artify that, hr pe tormance the�nsatlonporrnhs'ls.n
issued, I shell not employ any person In any mannerso as to become subject to the Coo ars' Compensation laws of California, and ogre
f I should become subjec a s of Section 3700 of the Labnr Code, I shall forthwith comply with those provisions.tureoPP C�fit /� life �l ��— aO.ZQ
_.-
•• YeV1JlrVlrIV1Y�RCVXrlJIIYV VlJ1Ydr RVfI,IV1Y LC1Y VIlYV AVG1YVr
• • IP#Wby affirm Ender p& ialty 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).
• Lenders Name •- Lender's Address
• By city signa2Lg® el w, I certify to each of the following:
• •' tam the WGNCitY inner or authorized to act on the property owner's behalf.
• • • I have rltdjl;iij 6ppl cation and the information I have provide is correct.
I agree to Comply wPh all applicable city and County ordin a an ate Is relatin to building construction.
I authorize representatives of this cityunty to a he =de rop ' spection purposes.
nature of Pro
Sf ed Ov'ner or Authorized nt Print Pro Owners or Authorized A Name �J
ACTION DATE BY DECLARATIO OF COMPUANC ITH CODE OF FEDERAL FOR OFFICE USE ONLY IN
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED Epp
PERMIT EXTENDED qMD
PERMIT FINAL r ,r S NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF /� f/!'/ OPOSED DEMOU RON
OCCUPANCYl55UED t (T SIGNATURE:
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