HomeMy WebLinkAboutX2020-2966 - Permitsts8A�P City of Newport Beach - Building Division II'IIIII IIII I IIIIIIIIIIIIIII III II COMB Permit: M
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 9 6 6
A Y .
Project NO : 0371 -2019
Permit Counter Phone (949)644-3288
ss 'W Inspection Requests Phone (949)644-3255 �� 10
�C
O Combination Type - BLDG ' i V S P L a Issued Date : 2020
Inspection Arearea : 5
PERMIT EXPIRES 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/22/2023 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 Holida}j�. ,.:.
Job Address: 304 NARCISSUS AVE NB
'
Description: SFR BLOCK WALL 60 LF X 42"
HIGH MAX INSIDE PIL
+, '
Legal Desc.: CORONA DEL MAR BILK 241 LOT 6
rr
0'
Owner: LIS LEON
Contractor:
THE STONEHILL
COMPANY Architect: SMITH BRADFORD
Address: 699 LOMBARDY PL
Address:
2816 E COAST HWY, STE F Address: 425 30TH ST #22
SAN MARINO CA 91108
CORONA DEL
MAR CA 92625 NEWPORT BEACH CA 92663
Phone:
Phone:
949-630-2196
Phone: 949-631-3682 State LIc:C014146
Applicant: SMITH BRADFORD
Con State Lie: 917685
Engineer: GHOULI RAID ASAD
1-
Address: 425 30TH ST #22
Lie Expire:
0613012022
Address: 26040 ACERO #100
NEWPORT BEACH CA 92663
Bus Lie:
BT30025084
MISSION VIEJO CA 92691
Phone: 949-631-3682
Lie Exp Date:
06/30/2021
Phone: 949-856-2300 State Lic:C-070882
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction:
Carrier:
BENCHMARK
INS CO Address:
Occupancy Group: U
Policy No:
CST5017779
Z
Added /New sq.ft. Bldg: 0
Expire:
11113/2021
Phone:
0
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 5
Special Conditions: DETAILS ON PLANS
No of Units : 0
Front: 20
0371-2019
0
Bldg Height: 0
Left: 3
Bldg Sprinklers:
Right: 3
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $5 000.00
Building Permit Fee: $161.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $140.07
Additional Fee:
$0.00
Plan check Fee : $0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $0.00
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
WO Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PNJ Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee: $1.00
Mechanical W
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $302.07
Plan Check Fee
: $0.00 Fee Due at Permit Issuance : $302.07
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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)
iection 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
le 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness 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 al a I,ot ;r,iended 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
nnroveo for the purpose of sale).
I, as owner of tht pi operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply tu. 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).
I'am exempt from licensure under the Contractors' State License Law for the following reason:
y my signature belrw - 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,
ell E etructure 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
'ro'Pssions Corn, is a.ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
;ignatufe of Property t?wner or Authorized Agent Date
JCENSED COETRACTOR'S DECLARATION
hereby affirm under o=nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ivisi n f the Business and Pro io?sode, and mdense f ll force
nd effect. LicensE Cass License No Date Contractor Signature
YORkERS'C7MPENSATION DECLARATION
,ARNING: FAILURE T7 SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOD DOLLARS M100,0001, IN ADDITION To THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th
erformance of the work 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'
mince carrier and policy number are:
Policy Number
of Agent
Date
]I certify that, in the pe rmance 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
tat, if I should bec a ub ct to the workers' c ensation provi(si�on�s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applicant Date 41T7
IECLARATION REGAMI)IN%CIONSTRUCTION LENDING AGENCY
hereby affirm under pe alty 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).
ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act an 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 countypfYnances and state laws relating to building construction.
I authorize representatives of this city or county ti{ to h above -I Ified pr eert for inspection purposes. �e-✓� S ��,/
linnature of Pronertv Owner or Authorized ADent It "" V Print Prooertv Owner's or Authorized ADent's Name 1 X (/ I
ACTION DATE BY ✓ I RECLARATION OF jvCJaTIONS PPART061 OF IITLE 40 AND QMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED
I AU
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
µ
n'
Y'V
ASBESTO TIFICATION IS NOT APPLICABLE TO
PR OSEDD OCrT'y1ON
SIGN