HomeMy WebLinkAboutX2019-2403 - Permitst (0 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2403
i� 100 Civic Center Drive Newport Beach, CA 92660�n X 2 0 1 9 2 4 0 3
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Combination Type -BLDG Project No: 0057-2019
r. Permit Counter Phone (949)644-3288 X 2q1 l ^�
- Inspection Requests Phone (949)644-3255
.e : ` Issued Date : 08101/2019
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W D of (/\ V Inspection Area : 1
PERMITS EXPIRE 180 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: 3506 W OCEAN FRONT NB - - -
Description: BLOCK WALL 6'X 48 LF (INSIDE PIL, MARKERS ON SITE) *CHANGE OF CONTRACTOR" -
Legal Desc.:. NEWPORT BEACH CITY BLK 35 LOT 4 r,
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Owner. 3508 W OCEANFRONT LLC Contractor 6F��f/ SAILHOUSE HOMES INC Architect: JEANNETTE BRION S "/gam!'^` `
Address: 620 NEWPORT CENTER DR #100 Address: 170 NEWPORT CENTER DR #260. Address: 470 OLD NEWPORT BLVD
7.
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 926630.
Phone: Phone: 949-281.6045 Phone: 949-645-5854 State Lic:0008012 to
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Applicant:- RODGERS KATELYNN Con State Lic: 1007531 Engineer: BURKETHOMAS eeae ma
Address:. 470 OLD NEWPORT RD Lie Expire: 09130/2019 Address: 312 OCEAN AVE ' °
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NEWPORT BEACH CA 92663 Bus Lia BT30036603 LAGUNA BEACH CA 92651 m m • °
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Phone: Lie Exp Date: 08/31/2019 Phone: 949-494-0776 State LicS-005068 mmm•ee .ammo
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Code Edit: 2018 Worker's Compensation Insurance - Designer.
Type of Construction::. Carrier: STATE COMP. INS Address: m a a m <
Occupancy Group; U Policy No: 9213113 fammum m
Added /New sq.ft. Bldg: 0 Expire: 12/29/2019 Phone:
Added/New sq. ft.. Garage: b : o a°Om ammmo
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No of Stories: 0 Building Setbacks Rear: 0 - Special Conditions: LIQUEFACTION AREA
No of Units : 1 Front: 5
Bldg Height: 0 Left: 3
Bldg Sprinklers: : Right: 3
Flood Zone: Use Zone: Parking Spaces: 2 Fire Hazard Zone : N
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
Plan Check Fee: $0.00
Fair Share:
Additional Fee:
Overtime Plan Ck
$0.00
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consultant
Record Management [
$0.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WQ Insp. Fee:
Disabled Access:
$0.00
$0.00
Hazardous Mat
$0.00
Electrical %:
Building. Green Fee:
$0.00
Mechanical%:
Plumbing %:
TOTAL
FEE : $35.00
PROCESSED BY:lll
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Planning Department -
$35.00
Plan check Fee
$0.00
$0.00
Fair Share:
$0.00.
$0.00
SJH Trans :
$0.00
In -lieu Housing Fee
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication:
$0.00
$0.00
PAN Plan Check:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00.
$0.00.
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
..Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
r
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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
he 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
lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
m 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
Ipply to an owner of properly 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 fldh'I Arensure under the Contractors' State License Law for the following reason:
my signature bBtWl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements c ered by t ' ermit, I cannot legal
Ie*oskacture that kneve 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, S ion 704 th Business and
irofessi8ris Code• is,ay1ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ygVhfrg of Properjy Owner or Authorized Agent ate
?ICENSED COUTLR44CTOR'S DECLARATION
h erebga affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 o iv ion 3 of the Business and Profe� io Co , a my lic.nse is in full force
xld effect. License"ass License No Date Contractor Signature -
reERS' COMPENSATION DECLARATION /
M. NIRS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PE LTIES AND CIVIL FINES UP TO ONE HUNDRED T SAND DOLLARS ($100, 0(, IN ADDITION TO THI
$,9j QF.fOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lief4by Vffirm gVIr.pellalty of perjury one of the following declarations:
;Lagaue and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided f r by Section 3700 of the Labor Code, for tl
i ifp�dnce of Ql%1Wrt for which this permit is issued. Policy No.
••••
have and will maintain workers' compensajte insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which Is permit is issued. My workers' compensatic
n'u're carrier and policy numberkre: //
1e of Agent
certify that, in the p
, if I should become
Iature ofApplicant -
hereby affirm underpenalty
ender's Name �
ly my signature below, I cert
I am the property owner I
I have read this applicatil
I agree to comply with all
I authorize representative
EXPIRED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCVISSUED
Number
Date
ianc ggqqqqlf the ork dr whit this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation I ws of California, and agre
ct tCIM
�e rker compen anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e
Datq//
3 C STRUCTION LEN ING AGENCY
of ury that there is a onstruc ion lending ncy for the performance of the work for which this permit is issued (Section 309 , Civil Cod ).
Lender's Address
fy o each of the f owing:
authorized to act on the prop y owner's
and the information I hie p ided is cc
)plicable city and county ord' nce and
of this city or county t; ente t e at�ove I
DATE I BY
relating to building construction.
operty for inspection purposes.
Print Prooertv Owners or
OF COMPLIANV WITH CODE OF FEDERAL
PART 61 gWfFLE 40 AND AQMD RULE
'.DTOS NOTI CATION TO
r 0
NOTIAICATIQUISNOTAPpIRCABLE TO
FOR OFFICE USE ONLY