HomeMy WebLinkAboutX2020-1320 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
., Permit Counter Phone (949)644-3288
v ;p Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2020-1320
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I3IIIIIIIIIII II
Project No: 1938-2018
Issued Date: 06/08/2020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/09/2023 OR PERMIT WILL BE INVALID
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: 19 ST TROPEZ NB
Description: MFR BLOCK WALL 6'6" HIGH X 23 LF INSIDE P/L (CITY STANDARD)
Legal Desc.: TR 9858 LOT 4 UNIT 38 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER
Owner:
MOUTSATSON SOPHIA G & JOHN
Address:
19 ST TROPEZ
EDWC113447
NEWPORT BEACH, CA 92660
Phone:
9494004302
Applicant:
KESKY EDDIE
Address:
10841 BLOOMFIELD
Bus Lie:
LOS ALAMITOS, CA 90720
Phone:
562-795.5755
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft.Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:
KESKY EDDIE G C INC
Address:
10841 BLOOMFIELD STREET
EDWC113447
LOS ALAMITOS CA 90720
Phone:
562-795.5755
Con State Lie:
768265
Lie Expire:
09/30/2021
Bus Lie:
BT30067336
Lie Exp Date:
11/3012020
2016 Workers Compensation Insurance
Carrier:
REDWOOD FIRE
U Policy No:
EDWC113447
0 Expire:
01/01/2021
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: I
$0.00
Left: I
$1.00
Right: /
Use Zone:
Parkine Snaces: 0
Construction Valuation: $3.500.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $820.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions: NO SETBACKS
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant:
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$0.00 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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mos/
cm
m�° m
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$820.00
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
.V"
• ppa
a°,rt11d
mos/
cm
m�° m
00p°
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$820.00
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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)
lection 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
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
'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).
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,
Iusiness 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
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 licensure under the Contractors' State License Law for the following reason:
ly my signature �tlgw I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure chat 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
Irofesgions Cob€,"s` available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
�ignatere of Pj01'lktt9 Qwner or Authorized Agent Date
ICE4SED OONWRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of sion of the Business and T�a
, an license is in full farce
ndWfect. Licertse.Class License No Date j Contractor Signat
VOF%4ERS' tQMPENSATION DECLARATION d
'ARAIAG: 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 I$100,00D1, IN ADDITION TO THE
091bOF COMPENSafl9ri, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4are4affirm unger penalty of perjury one of the following declarations:
3V%e and voill 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,
eke orm9nce oft %,tori for which this permit is issued. Policy No.
31^h�ave and wilt Pas%ain 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' compensatiol
ISIfrAilce carrieraarl policy number are:
Policy Number
Date
ne of Agent r -none *
certify that, in the performance of the r wh' 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 agree
t, if I should become sub' ct rte rs` c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant Date l7 �8 r2�
CLARATION REGAR ING CONSTRU ON LENDING AGENCY
:reby affirm under pe ally of perjury at 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.
I agree to comply with all applicable city and county ordinancesat ws relating to building construction.
I authorize representatives of this city or county I ant >-1 tified property for inspection purposes. %� �(,/'� 4 // Za
nature of Procertv Owner or Authorized ADent / / Print Property Owner's or Authorized Agent's Narrfe GG'Gt'XG Zl Lte 1(,J
ACTION DATE BY DIrCLARATIOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RF9ULATIO 5 PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED i i/ I LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
CERTIFICATEOF f6�ITFINAL D 20 ~ -lJhROPOTURE:ANESTOSENO IFIO� NNS PLICABLE TO
OCCUPANCYISSUED