The URL can be used to link to this page

Home My WebLink Aboutx2022-1385 - PermitsCity of Newport Beach - Building Division *X2022-1385* COMB Permit: X2022-1385 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No : 1280-2022 R 9 Inspection Requests Phone (949)644-3255 "avow Combination Type - BLDG ® Issued Date : 05/13/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 Holidays Job Address: 1907 CHUBASCO DR NB Description: SFR IN) BLOCK WALL (6' HIGH X 95' LONG) ALONG P/L W/ SMOOTH STUCCO FINISH. *CITY STANDARD DETAIL 2(CAISSONS)* Legal Desc.: N TR 2813 LOT 2 •.. • Owner: PURPLE FILES LLC Contractor: ERIC D FOX Architect: Address: 1907 CHUBASCO DR Address: 2920 PEPPERTREE LANE #A Address: CORONA DEL MAR, CA 92625 COSTA MESA, CA 92626 Phone: Phone: 714-830-9088 Phone: State Lic: Applicant: AGHAZADEH MOHSEN Con State Lic: 1004314 Engineer: Address: 1140 WALL ST Lic Expire: 06130/2023 Address: LA JOLLA, CA 92038 Bus Lic: i3T300787 39 Phone: 949-289-6900 Lic Exp Date: 5 -b 1- La 22- Phone: State Lic: Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $484.00 Plan Check Fee: $421.08 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 Worker's Compensation Insurance Carrier: LIBERTY MUTUAL INSURANCE CO Policy No: 63875825 Expire: 09/27/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 10 Left: 4 Right: 4 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 II TOTAL FEE: $1,010.83 Plan Check Fee PROCESSED BY: 1-jJ ZONING APPROVAL: 04 Designer: FOX MASONRY Address: 2920 PEPPERTREE LANE UNIT A COSTA MESA, CA 92626 Phone: 714-830-9088 Special Conditions Fire Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Y Y .G9G A•^i 09 9 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,010.83 PUBLIC WORKS 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) '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 :he 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 Drofessions 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 tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved for the purpose of sale). ❑ I, as owner ofANs.property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owne'rpf prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 15.6arA exempt fiiom licensure under the Contractors' State License Law for the following reason: By my siJnaturej)elbyyl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) SO sfi ycture thatl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signati,we of Prop4%y Q rner or Authorized Agent Date LJCFN$VD CONTRACTOR'S DECLARATION I h4erVDX affirm up66r"palty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ivi ion of the Business and Professions Code and my lic nse is in full force and effeot. License E!ass License No ' e (-A211_\ Date Contractor Signature uss• VIj6R}(,F�RS' COMPENSATION DECLARATION WARI LING: iAILURE TD S€€CU E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR51$100,0001, IN ADDITION TO THE C ST, C MPENSAyrjf7 D MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY 'S FEES. I @erel! i affirm under pppalty of perjury one of the following declarations: ❑.. . . I.ha.ve and wiN mail.ttain 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 t I peg 6rmance of the work for which this permit is issued. Policy No. 1 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance 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 agree that, if I should become subject to:the/7ryorkers' comp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� Signature of Applicant /�-7,� Date %C z - DECLARATION REGARDING r0N9TRI ICTIONvLENDrNG AGENCY I hereby affirm under penalty 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). Lender's Name Lender's Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county toe ter the Bove-identif" d property for inspection purposes. X Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name o \L rR'P ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE , PERMIT EXPIRED I SIEDTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED CERMFICATEL OF I h ASTION IS NOy APPLICABLE TOCERTIFICATE PROPNOCCUPANCYISSUED SIGN