HomeMy WebLinkAboutX2020-1246 - PermitsrYI� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-1246
x 2 0 2 0 1 2 4 6 Project No : 1561-2019
Issued Date: 0512812020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 27 GOLETA POINT DR NB
Description: SFR BLOCK WALL 6' HIGH X 90 LF INSIDE P/L *CITY STANDARD)
Legal Desc.: N TR 7386 LOT 39
Owner:
CASSIDY DAVID
Address:
27 GOLETA POINT DR
Record Management:
CDM CA 92925
Phone:
949-244-4235
Applicant:
CORNERSTONE CONSTUCTION
Address:
15540 ROCKFIELD BLVD STE A 110
Hazardous Mat
IRVINE, CA 92618
Phone:
949-369-1979
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
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:
Contractor:
CORNERSTONE CONSTUCTION
Architect:
Address:
15540 ROCKFIELD BLVD STE A 110
Address:
$0.00
IRVINE, CA 92618
Planning Department -
Phone:
949-369-1979
Phone:
Con State Lie:
1033864
Engineer:
Lie Expire:
12/3112021
Address:
Bus Lie:
BT30061583
$0.00
Lie Exp Date:
12131/2020
Phone:
Worker's Compensation Insurance Designer:
Carrier: ACCREDITED SURETY & CASUALTY Address:
Policy No: 1ATCA16211
Expire: 11/2212020 Phone:
`-"'1'8C7-0,,
tat
1'807-tate Lie:
State Lie:
Building Setbacks
Use Zone:
Rear: 48-38
Front: 6
Left: 5
Right: 5
Parking Spaces:
0
Special Conditions: SURVEY WAIVER ATTACHED
Fire Hazard Zone: N
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Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PM Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $620.00
PUBLIC WORKS APPROVAL:
low PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
action 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
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
�fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
)rovements 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
)roved 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
)ly 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:
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, I cannot legally
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Propgegy Owner or Authorized Agent Date
TENSED GOVIPACTOR'S DECLARATION
)reby affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectioZAL
0 of ivisi!CIAL
f the Business and Profs s s , and my license is in full force
i@Tfgct. Lide'rt6etilass License No DaContractor Signature
)RKERS' tOMAENSATION DECLARATION
tylLLd: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMNALTIESANFINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
IT OF COMPENMTIQR, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
HeSyaffirm under panalty of perjury one of the following declarations:
J.Vve and Alli 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,
for m ance of tile Iluark for which this permit is issued. Policy No.
o"re 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' compensatior
.Iran* carrier and policy number are:
Policy Number Expiration Date
]I certify that, in the performan o the k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' in nation laws of California, and agre
tat, if I should become subj o t rk rs' corp
o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignalure of Applicant Dat
iECLARATION REGAR ONSTRUCTION LENDING AGENCY
hereby affirm under pen Ity 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).
ender's Name Lender's Address
y my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the property wner's behalf.
I have read this application and the information I have p i d is correct.
I agree to comply with all applicable city and co ty in c and sta a laws relating to building construction.
I authorize representatives of this city or coun o nter a ' entified property for inspection purposes.
ignature of Property Owner or Authorized A.. Print Property Owner's or Authorized Agent's Name ✓ >' Date
\CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL CERTIFICATEOF ~~+ IRROPOTUROVOLITIONNOTIFICATION IS NOT APPLICABLE TO
OCCUPANCYISSUED CII)