HomeMy WebLinkAboutX2019-3940 - Permitsr"'s City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIlll�lllllll�lllllllq II COMB Permit: X2019-3940
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 9 4 0
P Project No: 1293-2018
r+ ' � Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
° >,a",� ,i. Combination Type - BLDG Issued Date : 1211112019
6
Inspection Area : 3
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: 1915 HOLIDAY RD NB
Description: SFR BLOCK WALL 6' HIGH X 39 LF INSIDE P/L *CITY STANDARD*
Legal Desc.: N TR 3763 LOT 59
Owner: KINSTLER LYNDSAY
Contractor:
OWNERIBLDR
Architect:
Address: 1915 HOLIDAY RD
Address:
KINSTLER LYNDSAY
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone:
Applicant: KINSTLER LYNDSAY
Con State Lic:
O/B
Engineer:
Address: 1915 HOLIDAY RD
Lic Expire:
Address:
NEWPORT BEACH, CA 92660
Bus Lic:
Phone: 714-932-0776
Lic Exp Date:
Phone:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6'
Special Conditions:
No of Units : 0
Front: 20'
Bldg Height: 0
Left: 6'
Bldg Sprinklers:
Right: 6'
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone
11 Construction Valuation: $2.500.00
Building Permit Fee: $412.00
Plan Check Fee: $366.00
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: $820.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PNV Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
If SPLU I VI lQ�mmo.
State Lic:
State Lic:
Fire Department
$40.00
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:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$820.00
PLAN CHECK BY: A
APPROVAL TO ISSUE: vT
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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 items)
action 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
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
�fessions 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 peipy of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C-) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
)rovements 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
)roved for the purpose of sale).
I, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7C
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
I am exempYfidtt3 licensure under the- Contractors' State License Law for the following reason:
my,signature below I acknowledge that, except for my personal residence in which I must have resided for at least o
!a %tructureihati lave built as an owner -builder if' has not been constructed in its en ' = r by licensed contractors.
ifessions Cotla, is lavailable upon request when t s app cati slsubmitted or at the follyWll g eb site:http://www.k
nAtylre of Property Owner or Authorized Agent
MNSED CONTRACTOR'S DECLARAT N
:rAby affirm'uncrer penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 700
l.effect. License Gass License No Date
)R1jERS' CMPtNSATION DECLARATION
UHAG: FAILURE TD SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE
IT�QF.COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
!reb):affirm mader-dlnalty of perjury one of the following declarations:
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot legall7
riderstand that a copy of the applicable law, Section 70 f the Business and
nfo.ca.gov/calaw.html. / a �C �
Date
of Division 3 of the Business and Professions C e, and my license is in full force
Contractor Signature
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
A•heee and v4%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
"wance of4 l�JgfR for which this permit is issued. Policy No.
have 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' compensa
trance Carrier and policy number are:
"ier Policy Number -
ie of Agent
certify that, in the perfor ance of the work for which this permit is issued, I shall not employ any person in any
if I should becomes ject to hew compensation provision f 'on 3700 of the Labor Code, I shall
lature of Applicant .A n -�
rreby affirm unde0enalty of perjury that there is a construction lending agency for the performance of the work for w
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 county rdinances and state laws relating to building construction.
I authorize representatives of this city or county to nt r t ove-identified op rt\y r inspection purposes.
nature of Prooertv Owner or Authorized AGent 1 Print Prooertv Owner's or
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
OF COMPLIANCE WITH CODE OF FEDERAL I FOR
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPP-LICABLE TO
Date
so as to become subject to the workers' compensation laws of California, and agre
t comply with those provisions. I
i this permit is issued (Section 309 Civil Code).
USE ONLY