HomeMy WebLinkAboutX2019-3989 - Permitsrywho4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3989
100 civic center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 9 8 9 Project No: 2747-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 11211212019
Combination Type - BLDG PLUM Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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. ork on Sundays or Holidays
Job Address: 2365 BAY FARM PL N13
Description: SFR YARD DRAINAGE, GAS LINE TO BBQ AND FIREPLACE (UNDER 42" H)
Legal Desc.: N TR 6407 LOT 27 b�e Owner: DICKENS
R.CARROLL B Contractor, COSTDS \Address,"act:
1000/0
Address: BAY R4VENIDA DEL0(�Cp.c`Nv FCTO
NEWPORT BEACH, CA 92660 O NA CA 92882 To
- r
Phone: 347.8 hone: State Lic 4*..
Applicant: COSTA AZUL LANDSCAPE ,�'� 43357 ; Eng��,�QCn•
Address: 2288 AVENIDA DEL VISTA ire 09/30{2020 � •r �l6drs:
CORONA CA 92882 M1e�pv; Bus Lic ,-„ 1;30068905
Phone: 951-347-8430 - Lic Exp Date:: 01913012020 ' Phone: State LIc:
Code Edit . 2016 Worker's Compensation Insurance esigner:
Type of Construction: n .Carrier. EXEMPT.,, ddress: ,
Occupancy Group: Policy No
Added/New sq.ft. Bldg: 0 Expire iV Fi' hone: `A
Added /New sq. ft. Garage: 0 �M1
No of Stories: 0 Building Setbacks 'Rear .< Special Conditions'
;
No of Units : 0 `y' Front /
: �d t�
Bldg Height: 0 LeftI
Bldg Sprinklers: t"� Y- Right: I !
Flood Zone: one: Parkin S aces: 0 PreHaz �¢�re
Construction Valuation: $0.00 Ack
$"
0 Planning Department- Fire
Building Permit Fee: $0.00 Excise T , 9$0.00
Plan Check Fee: $0.00 Addition I e$9 36 Plan check Fee
Fair Share : $0.00 OjS�Fire $0.00
Overtime Plan Ck: $0.00 Gradi o ds ��' 0 I Ion Fee
Investigation Fee: $0.00 Grading onsu��'(� SJH Tra[I $
Record Management: $4.00 Grading ermit Fe $312.00 ousmo Fee : $0. Building Dept Adm $0.00
Energy Compliance: $0.00 Grading C Fee: $312.00 Public Works D ent - General Service $0.00
CA Seismic Safety: $0.00 WQ Insp Fee: Par cation .00 Refund Deposit $0.00
Disabled Access: $0.00 AN P c $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical °/ ar' $000 Ist: $0.00
Building Green Fee : $0.00 Mechanical %: $0.0 NMUSD Fee: $0.00 $0.00
Plumbing %: _ .00 $o.oa
TOTAL FEE: $637.36.
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $637.36
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated '3elow by the checkmark(s) I have placed next to the applicable items) y
ction 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 penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct th as and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon c s with a licensed Contractor pursuant to the Contractors' State License 06w).'
J I am exempt from licensure uI
ly my signature below I acknowle
ell a structure that I have built as
'rofessions Code, is available up(
lignature of Property Owner or At
.ICENSED CONTRACTOR'S
hereby affirm under penalty of�P�E
nd effect. License CI'nss / ,
COMPENSATION
RE 10 SECI IRE WORKER
NSATnN. C_\MAGES AS I
hereby,affirm and€r penalty of perjl
I have and wid rr iiltain a certi
�nrfrmi of the work for which tt
Jhave and will Ti it in workers'
isurari carrier and policy number
Te of Ngent , '-
ca-V. that, in tl
if I Should bcG
that, except for my per�gtf w f�_ wave reside least or
rwniif it has n re Nave
licensed contractors. I
qu en this applicaltiorms submitted or at the following Web sfe:http:Qrww.le
ized
CL N
r th I am Ilcensed under provisions of Cha�ppter 9 (commencing with Sectlo 7000
License: No a/$'/ f jx- Date
:f`I 2A TIll�.l `Rku>�ji1
)MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED'
IDEDTOR IN SECTION 3706 0FJHF, LABOR pODEl UETEREST, AND ATTORNEY'S FEES
one of the following declarations
r
Ite co seLit;p self -insure for workers': compensation, issued by the DtFecior of Industrial Relations as provided for
)er I Iss PollckNo. —
as required by Section 3700 of the Labor Code, for the performance of thew rk for wjo ilic
Number _ " _ �° O
Phone# .,
IEOLAIiAnOMREG GCONSTL:L:L
NDING AGENCY
hereby affirm under Ity of perjurya construction Ien,
ender's Name ly my signature below, I certify to eachI am the property owner or authoriz eI have read this application and the
I agree to comply with all applicable city and count ordinance r
I authorize representatives o his city or count r t above
P Y
signature of Property Owner mr uthorized ADent
ACTION
PERMIT EXPIRED
BY
I not employ any person in any ma(t(sa�jydh(S1b I6eo*Q'stbjZ&to the
3700 of the Labor Code, I shall forthwith comply with those provisions,
nce of the work for which this pert is jgsrmi f,'y
Lender's Address bb lF'��
state laws relating to building construction.
lentified property for inspection purposes.
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMIT FINAL '-'O. /i/tIJ�� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF "//A u'(D� / J/ PROPOSED DEMOLITION
OCCUPANCY ISSUED ar.Iuen Ioa.
I r
this permit, I cannot
of the Business and
End my license is in full force
($100,000), IN ADDITION TO THE
of the Labor Code, for
My workers'
of California, and