HomeMy WebLinkAboutX2019-2213 - Permits�wno
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - BLDG
11111111111111111111111111111111111111111p111p1111JillCOMB Permit: X2019-2213
Project No: 0227-2019
Issued Date : 12/18/2019
Inspection Area : 8
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: 2201 ALTA VISTA DR NB
Description: SFR BLOCK WALL 6' HIGH MAX x 44 LF INSIDE PIL "MARKERS ON SITE* (POOL EQUIPMENT WALL) ALegal Desc.: N TR 4705 LOT 79 ,®
Owner: WEBB CHRIS & SYDNI
Contractor:
UNITED CONTRACTORS
Architect:
Address: 2201 ALTA VISTA DR
Address:
10725 ELLIS AVE #D
Address:
NEWPORT BEACH, CA 92660
$0.00
FOUNTAIN VALLEY CA 92708
$0.00
Phone:
Phone:
801.792-7417
Phone:
Applicant: ZALAR DOUG
Con State Lie:
949005
Engineer: JAMIL BASHAR S
Address: 10725 ELLIS AVE STE D
Lie Expire:
06/30/2020
Address: 751 SHASTA DR
FOUNTAIN VALLEY, CA 92708
Bus Lie:
BT30053869
CORONA CA 92881
Phone: 714-853-9696
Lie Exp Date:
0212912020
Phone: .714.883-4124
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STATE FUND
Address:
Occupancy Group: U
Policy No:
9119462
Added /New sq.ft. Bldg: 0
Expire:
12/0612020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 0
Front: 6
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone:
Use Zone: Parkinq Spaces: 0
Fire Hazard Zone : N
Building Permit Fee: $412.00
Plan Check Fee: $365.00
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 -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee:
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share:
General Service
Grading PC Consultant :
$0.00
SJH Trans
Grading Bond:
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
PAN Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
State Lie:
State Lic:C-083129
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Plan Check Fee : $405.00 Fee Due at Permit Issuance : $415.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: C.=i
APPROVAL TO ISSUE:
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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:
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$0.00
$0.00
$0.00
Plan Check Fee : $405.00 Fee Due at Permit Issuance : $415.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: C.=i
APPROVAL TO ISSUE:
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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 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 L) all of or U 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).
❑ I, 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 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 700 f ivisi 3 of the Business and Prof essio my license is in full force
and effect. License Class License No Date Contractor Signature
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?-thr�ereby affirm un er penaltyuof perjury one of the following declarations:
,�0.1'114 and Wftl TAiQtain 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�prnlance of theworhfor which this permit is issued. Policy No.
ave 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
gp.lragpe carn%agdgJIicy number are:
1*.,.`,_1 - • Poll c Number Expiration Date _.
if
fAgentm'�••
ify that, in the p
of
y
I 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
�the work�/ra�c� mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CCAQATION ¢EGAING CONSTRUCTION LENDING AGENCY
4¢try affirm T ldg� et-nalty 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).
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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and count ordinances and state laws relating to building construction.
I authorize representatives of this city or countyXenter t tified property for inspection purposes.
i
Signature of Property
Owner
or Author
ACTION
DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Print Propertv Ownel
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
U I SUBMITTED ASBESTOS NOTIFICATION TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION