HomeMy WebLinkAboutX2020-0785 - PermitsCity of Newport Beach - Building Division
vr. 100 Civic Center Drive, Newport Beach, CA 92660
[" Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - BLDG
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0785
X 2 0 2 9 0 7 8 5 Project No: 0561-2020
Issued Date : 04/0312020
Inspection Area : 8
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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1592 PEGASUS ST NB
Description: BLOCK WALL USING CITY STANDARD. 6'X 65' (INSIDE PIL)
Legal Desc.:
Owner:
ABRAHAM MICHELLE
Address:
1592 PEGASUS ST
Record Management:
NEWPORT BEACH CA 92660
Phone:
714-717-1237
Applicant:
BLUM SETH
Address:
1600 A ANAHEIM BLVD UNIT
Hazardous Mat
ANAHEIM CA 92805
Phone:
949-506-7572
Code Edit: 2019
Type of Construction:
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:
Construction Valuation:
Building Permit Fee: $412.00
Plan Check Fee: $0.00
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: $413.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: COASTLINE OUTDOOR SOLUTIONS Architect:
Address: 2714 S ARCHIBALD AV Address:
ONTARIO CA 91761
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Eng#,&pppJj,(,ab t
Address:
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Designer.
rem Whom,
Phone:
State Lic:
100% refund
%lilloffiffiling Setbacks Rear: 25'al Conditions:
kn
Us one:
Fire Hazard Zone : N
Excise Tax: $0.00 Planning Depa men
and
Additional Fee : $0.00 Ian check F0 Fit
Grad,,d e 00� air Share : (Sia!''GraC t nt : r$.00 EEEEEE SJH Trans : rlo �tl�d DemGrami $0.0 In -lieu Housing Fee: $0.00 Bi
GraFee: (( r e �IAed) Public Works Department - G
WQ Insp. Fee: \W�� $0.00 Park Dedication : $0.00 Ri
PNV PI ek 0.00
lectrical %:$0.0 an Dist: '$'0._0�0fn5�3.9�
+40'ta.°/' $0.00 NMUSD Fee:
lumbina %: So.00
i Fee
Dept Adm
7"o
$0.00
$0.00
$0.00• . ° ° ° Fee °Due at Permit Issuance: $413.00
— . . . —�—
PUI30O`XV0RKtAPPkOVAL: _m
PLAN CHECK BY: 1
OG OOC O cC°
APPRtiVAL�fC,ISSU�7:°
e° o0 0 0 o a o
• • o • ° ° e o
00 000 0 0 00 00 000
I hereby affirm under penalty of: perjury that 1 am Exempt from the Contractors': State License Law for the reason(s) Indicated below by thecheckmark(s) I:have placed: next to: theapplicable dem(s)
etion 7031.5, Business and Professions Code:. Any city or county that requires a pennit to construct, alter, Improve, demollsh,: or repair anystmcture; prior to its issuance;: also requires the applicant for
permit tofile a signed statement that heOr she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with'Section .7000) of Division 3othe Business and
Fessions.Code) or that he or she Is exempt. from licensure and the basis for the alleged exemplioh: Any violation of Section 7039.5 by any applicant for a, permit subjects the applicant to.a civil penalty of
more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will do (_i'all ofor U portions of the work; andahe structure is not intended or offered for sale (Sactlon 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of. property who, through:.employeas' or personal effort, bullds or Improves the property; provided that the
rovements are not intendedor offeredfor sale:. If, however, the building: or Improvement Is sold within one year of completion, the Owner -Builder will have the burdenofproving 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 town owner of property who builds or improves' thereon, and who contracts for the projects with: a, licensed: Contractorpursuant to the Contractors' State License Law)..
I amexempt from licensure under the Contractors' State License Law for the following reason:
ny signature below I.acknowledge that; except for my personal residence in which I'must have resided fir at least one year prior to completion of theimprovements covered by this permit: I cannot legally
a structure that have built as em.owner bulder if:it has not been constructed in as entirety by.licensed Contractors. l understand eats. copy of the applicable law, Section 7.044 of Business and
essions'Code. Is available upon request when this application is submitted or at the following Web sleethttpi/Mriww.leginfo!ca.goWcalaw.hbnL.
nature of Property Owner or Authorized.Agent Date -.
V.1 Vn J YGV LNIW I lV1Y.
hereby affirm under penalty of perjury that am licensed under provisions of Chapter (Commencing with Section 7000) of Division 3 of the: Business Ase is in full fame
Intl effect
.ioenseClass C-27 License No 581970 Date V4/3� /20 ContractorSignatuend.Prtriesslo ,.Intl:
YORKERS' COMPENSATION bECLARATION.
IARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGa IS UNLAWFUL, AND SHALL;SUMECT' AN EMPLOYER TO CRIMINAL PENALTIES ANDDNIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (0100,000), IN ADDITION TC THE
DSr OF COMPENSATION, DAMAGES A6 PROYIOED FOR INeECT10N slDfi aF THE LAe0RC00p tNTERE5T,AND ATTORNEY%FEES:
hereby affirm under penalty of perjury one of the following declarations:
I
have And will maintain a pertificate of consent toself-insure for workers' compensation, Issued by the Director of. Industrial .Relations as. provided for by Section, 3700 of: the Labor Cade, for
a -nuance ofthework for whlehthls permit is issued. PolicyNo..
I have end -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' compensatipi
Is Ace' caller and policy number are;
er Wesco l nsurance Co PolicyyNumbwWWC3384 Expiration Date.. 8/20/20
lame of Agent - Phone #
I certify that, in the perfonnanoe 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 Callfomla, and. agree
Iat, if I should becomesFpbject to thew nation provisions of Section 3700 of the. Labor Code, I shall forthwith comply with those provisions.
ignature ofAoollcanllA, r, -W' 4/3/20
affirm under
I.am the property owner or authorized to act on the. property owner's behalf:.
I have read: this: application and the Frlformabon I have provided is: correcL
I agree to complywith all applicable city:and:county. ordinances and state Is
I Authorize representatives of this city orcounty to enter theatiove.idehtifiei
ACHM DAW BY
.. 1_ .. • .�r ..
CEN77FICATEOF • • • • • • • • •
OCCUPA'NGYISSf7ED • i • i 0 • i VVAWJWi
this, permit isissued(Section 3097, Civil Code)..
Seth Blum
4/3/20