HomeMy WebLinkAboutX2020-0207 - Permitsrog City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter phone(949)644-3288
v n Inspection Requests Phone (949)644-3255
'�raxrx' Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0207
x 2 0 2 0 0 2 0 7 Project No: 2443-2019
Issued Date : 01/23/2020
Inspection Area : 8
PERMITS EXPIRE 980 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: 1672 PEGASUS ST NB
Description: SFR BLOCK WALL (CITY STANDARD) 6' HI X 3 LF
Legal Desc.:
Owner: BERNARD KYLE
Address: 1672 PEGASUS ST
NEWPORT BEACH CA 92660
Phone:
Applicant:
ELLISON PAUL
Address:
24642 VIA RAZA
Bus Lic:
LAKE FOREST CA 92630
Phone:
949.683-9861
Code Edit : 2019
Type of Construction: V -B
Occupancy Group: U
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
SWAN POOLS OF SOUTHERN CA
Address:
24512 BRIDGER ROAD
Bus Lic:
LAKE FOREST CA 92630
Phone:
949-859-8466
Con State Lic:
440333
Lic Expire:
03/31/2020
Bus Lic:
BT96008994
Lic Exp Date:
0713112020
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9228545
0 Expire:
04/01/2020
0
Building Setbacks
Rear: /,tj b
$0.00
Front: /lop p
$0.00
Left: /S
$0.00
Right: /_% d
Building Permit Fee: $104.00
Plan Check Fee: $90.48
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
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
TOTAL FEE: $235.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
v
Architect:
Address:
Phone:
State Lic:
Engineer: LACHER TODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630.6100 State Lic:C-067656
Designer:
Address:
Phone:
Special Conditions:
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
PAN 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:
$235.48
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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 the applicant to a civil penalty of
not 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 (_) 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).
❑ 1 am exempt from licensure 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 one year prior to completion of the improvements covered by this permit, I cannot legal)
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:hhp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) ov' 3 of the Business a d Prof s ' ode, a 21icse is in full force
and effect. License Class License No Date Contractor Signa
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have 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
p rmance of the work for which this permit is issued. Policy No.
I h v d 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' compensatio
nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perfor a of the for his permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compens tion I�y�'s of California, and agre
that, if I should become Lit
t e orke ' co pe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da
{,Signature of Applicant �- _ `L.�
DECLARATION REGA90ING CONS ION LENDING AGENCY
I hereby affirm under penalty 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on ropertne 's behalf.
I have read this application and the informatio I he ided corre . %%% ///
I agree to comply with all applicable city and c un ty Inanc and s t ws relating to building construction. /„
I authorize representatives of this city or count t nt r t bove-i ified inspection purposes. ' ( /n—_-3
Signature of Property Owner or Authorized t Print Property Owner's or Authorized Agent's Name ��� Date
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 +
PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO • • . °+ • i • • ••
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PERMITFINAL((�� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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