The URL can be used to link to this page

Home My WebLink AboutX2020-2063 - Permitsyr City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 '•, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 °b yam* Combination Type - CIP ELEC COMB Permit: X2020-2063 IIIIIIIIII�IIIIII�IIII�IIIII�IIIIIIII0IIIIIIIIIII II Project No: 1690-2020 Issued Date: 02/16/2021 Inspection Area: 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211712024 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: 611 (CS) HELIOTROPE AVE NS Description: COMM CELL SITE "AT&T" Legal Desc.: CORONA DEL MAR LOT 9 BLK 634(AND LOTS 11 13 15 &17 BLK 634 Owner: CHURCH CORONA DEL MAR Contractor: METRO RF SERVICES INC Architect: Address: 611 HELIOTROPE AVE Address: 2320 S ARCHIBALD AVE Address: CORONA DEL MAR, CA 92625 ONTARIO CA 91761 Phone: Phone: 909-230.4920 Phone: State Lic: Applicant: STEPHENSON JAMO Con State Lic: 885238 Engineer: �\ LEEPER MICHAEL Address: 506 SECOND AVE ATE 1533 Lic Expire: 04/30/2021 Address: �w\ 506 SECOND AVE #1533i SEATTLE, CA 98104 Bus Lic: BT30061751 SEATTLE WA 99810 Phone: 619.780.4635 Lic Exp Date: 03/3112021 Phone: WO 442-237-3749 Lic:C-083930 Code Edit: 2019 Worker's Compensation Insurance Designer:.��®�� Type of Construction: Occupancy Group: U Carrier: Policy No: STARR INS 100000421100 Address: SJ Added /New sq.ft. Bldg: 0 Expire: 05/15/2021 Phone: Added /New sq. ft. Garage: 0 �Pa No of Stories: 0 Building Setbacks Rear: I Special Conditions: HIGH DEN AREA No of Units: 0 Bldg Height: 0 Front: / Left: / ® Bldg Sprinklers: Right: / Flood Zone: x Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $287.97 Additional Fee: $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $47.50 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $34.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $86.66 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $834.38 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee V� EOC s 0 c c 9 O $374.54 Fee Due at Permit Issuance : $459.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .y 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (—) 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 legall 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:http://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 7000) of Division 3 of the Business and ProfessignsiCode,d m 'cens is in full force and effect. License Class License No Dat ' ( -! - Z( Contractor Signaturlll / 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affiml 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 e ormance of the work for which this permit is issued. Policy No. I eve 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' compensatio ur nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the 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 agre that, if I should become subject to a worker ' compensation _provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ' "z�'Y'� Dat G`Z DECLARATION REGAFIDNIGOONSTRUCTION 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, CI it 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county t r he abov an iden' ied p party for inspection purposes. / Signature of Pro ertOwner or Authorized Agen Print Property Owners or Authorized Agent's NamC7SC (/(/'P AY'I Date rJ—)6'Zo2 ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE M' ?j" ✓✓ �� S 1403 PER IT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • �" •• PERMITCANCELLED DEPA PERMIT EXTENDED QMD i + • ` • • +� �� + •• • ` PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO . •` ` ` ` CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: • ••• • `