HomeMy WebLinkAboutX2021-0665 - Permitsr City of Newport Beach - Building Division
4& 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
y.,..... Inspection Requests Phone (949)6443255
r IPa Combination Type - BLDG
COMB Permit: X2021-0666
Project No: 1849-2019
Issued Date: 0311812021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMrLE i Eu B r UX7WZUZ4 U
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
Job Address: 601 VIA LIDO SOUD NB
Description: SFR -FOUNTAIN BLOCK WALL W/(3) PILASTERS 6'MAX X 23 LF (INSIDE PIL)
Legal Desc.: N TR 907 LOT 1
Owner:
CAMPBELL ARGYLE
Address:
601 VIA LIDO SOUD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
STOLZ FRANK
Address:
13 CORPORATE PLZ STE 210
NEWPORT BEACH, CA 92660
Phone:
949-720-7022
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:
Building Permit Fee: $195.00
Plan Check Fee: $169.65
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: $411.90
PROCESSED BY:
ZONING APPROVAL:
Bb uvvnuu
Contractor:
ALLEGRE CUSTOM CONSTRUCTION Architect:
STOLZ FRANK
Address:
16131 FANTASIA LANE
Address:
13 CORPORATE PLZ STE 210
HUNTINGTON BEACH CA 92649
NEWPORT BEACH, CA 92660
Phone:
714-606-4499
Phone:
949-720-7022 State Lic:CO24409
Con State Lie:
639244
Engineer:
GHOULI RAID ASAD
Lie Expire:
03/31/2022
Address:
26040 ACERO #100
Bus Lie:
BT30074692
MISSION VIEJO CA 92691
Lie Exp Date:
03/3V2022
Phone:
949-855-2300 State Lic:C-070882
Workers Compensation Insurance
Designer:
Carrier:
NATIONAL LIABILITY
Address:
Policy No:
A9WC095534
Expire:
1112312021
Phone:
Building Setbacks
Rear: / Hi
Special Conditions:
Front: / lQ
Left: I
Right: /
I Ice 7nne:
Parkinc Soaces: 0
Fire Hazard Zone
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$46.25
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
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
Grading PC Fee:
$0.00
Public Works Department-
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
0o a
o a
$090
•� $OeOdl°
a $0.110
a a�y'PB@
a $0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $411.90
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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 Iicensure 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 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 ersdnal effort, builds or improves the property, provided that the
improved for the purpose of sale).
improvements are not intended or offered for sale. If, however, the building or improvement is sold within on year of completion, the Owner -Builder will have the burden of proving that it was not built or
❑ 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
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 Iicensure 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 iegall,
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:hftp://www.legin!g.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION.
hereby affirm under penalty of perjury that I amJicensed under provisions of Chapter 9 (commencing with Section 700 f Divi ion 3 of the Business and Pro Inode annse is in full force
and effect. License Class - License No Date Contractor SignatureNORKERS' COMPENSATION DECLARATION
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THDOLLARS IE70 00j, IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDN EMPL YER FEES.
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 IN
re ormance of fi24{ork for which this permit is issued. Policy No. -
..+
have and will Aaintain 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' compensatiol
1�1 a carter.and policy number are: -
Agent
y that' "the perform
should becggle su ' t
of Appficarft
ATION REGARDING I
affirm under penalty, of
elm.. +
III
Policy Number Expiration Date
Phone #
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
he worke e a I rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IS Date
S RUC N G CY
�u that there is a constmcti I ''g agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
13 rays Ignature below,.l certify to ea h of the following:
pplthe prole" Owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provipA is correct.
I agree to comply with all applicable city and coun ordina ces d state laws relating to building construction.
I authorize representatives of this city or cou art t a v -I tified property for inspection purposes.
Signature of PropertyOwner or Authorized Agen Print Property Owner's or Authorized Ag
ACTION DATE BY D 1 CLARA OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I I I QISUBMITTEDASBESTOS NOTIFICATION TO
PERMITCANCELLED / Foe
PERMIT FINAL 1 ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED �� %i%/ cIn_RInn Inc.
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