The URL can be used to link to this page

Home My WebLink AboutX2021-1363 - Permits,wr= City of Newport Beach - Building Division . 100 Civic Center Drive, Newport Beach, CA 92660 Record Management : NEWPORT BEACH, CA 92660 Permit Counter Phone (949)644-3288 $0.00 Applicant: Inspection Requests Phone (949)644-3255 Address: Combination Type - BLDG Ililllllllllllllllllllllllllllllllllllllllllllllllllllllllll COMB Permit: X2021-1363 Project No: 1204-2021 Issued Date : 05/2712021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/27/2024 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: 1930 PORT LAURENT PL NB Description: BLOCK WALL 50 LF X 5' HI (INSIDE P/L) Legal Desc.: N TR 7031 LOT 29 Owner: ORBE TOM Address: 1930 PORT LAURENT PL Record Management : NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: COUSENS CONSTRUCTION INC Address: 1943 PORT TOWNSEND CIR Hazardous Mat NEWPORT BEACH CA 92660 Phone: 818-522-8080 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: Valuation: Building Permit Fee: $229.00 Plan Check Fee: $0.00 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: $278.25 PROCESSED BY: ZONING APPROVAL: Contractor: COUSENS CONSTRUCTION INC Address: 1943 PORT TOWNSEND CIR Fair Share : NEWPORT BEACH CA 92660 Phone: 818-522-8080 Con State Lic: 535683 Lic Expire: 11130/2022 Bus Lic: BT20052603 Lic Exp Date: 05/31/2021 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1251698 Expire: 09/01/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: 2 OR MORE TRADES BEING PERFORMED 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o� eomm �0 m e �A •mmo c 0o m m mm o 0o m c o o m o c co o m n co 0 moo m 0 00000 mom maooc m momooc 0o c o 0 0 000000 m o 0 000000 0000 o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $278.25 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o� eomm �0 m e �A •mmo c 0o m m mm o 0o m c o o m o c co o m n co 0 moo m 0 00000 mom maooc m momooc 0o c o 0 0 000000 m o 0 000000 0000 o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $278.25 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 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o J,Division 3 of the Business and fessi9ns Co I€, a icense is in full force nd effect. Licen$@ C4ass License No Date '.�L Contractor Signator VORKERS' CbMRENSATION DECLARATION e IARRIRO:FAILUREsTO.aEQURE 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 bST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Per.ebp affirm and %r penalty of perjury one of the following declarations: 7 1 Piave 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 the gfP,ryrni'altce of thpArl{forwhich this permit is issued. Policy No. 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' carries and policy number are: of Policy Number Date initle performance 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 California, and 1wT.nmPOk .. n ensation nrovisions of Section 3700 of the Labor Code, I shall forthwith complv with those provisions. Dates :reby 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) 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 c 'nances and state laws relating to building construction. I authorize representatives of this city or co tyP -enter ]taction purposes. , ACTION DATE Br DECLARA TION POF AR OMP61 TNTCE E 40TH DE OF FEDERRULE AL ( FOR OFFICE USE ONLY I RATIONS PERMITEXPIRED I I I U I SUBMITTED ASBESTOS PERMITFINAL Ir�f ayn-t �W(i/J LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF i`" PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: