HomeMy WebLinkAboutx2020-2889 - Permits0port
City of Newport Beach - Building Division *X2020-2889* COMB Permit: X2020-2889
100 Civic Center Drive, NewBeach, CA 92660 Project No : 1444-2020
Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date: 01/06/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110712024 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: 29 MONTECITO DR NB
Description: SFR SHORING (15 CAISSONS) &RETAINING WALL 5' X 114'
Legal Desc.: N TR 7844 LOT 71
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Lou
Owner: STORM KIM & ANNE
Contractor:
LONGMAN CONSTRUCTION CO INC Architect: CHILDS CYNTHIA
Address: 29 MONTECITO DR
Address:
2782 CIRCLE DR Address: 2732 E COAST HWY #B
CORONA DEL MAR CA 92625
NEWPORT BEACH CA 92663 CORONA DEL MAR CA 92625
Phone: 949-230-5654
Phone:
949-722-7711
Phone: 949-718-3528 State Lic:CO22985
Applicant: CHILDS CYNTHIA
Con State Lic:
393881
Engineer: PURKIS DAVID ALAN
Address: 2732 E COAST HWY #B
Lic Expire:
0813112021
Address: 32521 CARRETERRA DR
CORONA DEL MAR CA 92625
Bus Lic:
BT00001921
SAN JUAN CAP CA 92675
Phone: 949-718-3528
Lic Ezp Date:
03/31/2021
Phone: 949-661.6381 State Lic:C-042810
Code Edit, 2019
Worker's Compensation Insurance
Designer: °,,,
Type of Construction:
Carrier:
STATE COMP
INS FUND Address:
Occupancy Group: U
Policy No:
9062475
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°
Added /New sq.ft. Bldg: 0
Expire:
0710112021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: / L 0�-4
Special Conditions:
No of Units : 0
Front: / & 1
a a ° °
BldgHeight: 0
g
Leif: /
.....
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking S acjs.
0 Fire Hazard Zone : N ° a, ° o ......
Construction Valuation: $90,000.00
,
caa°a
Building Permit Fee: $1,129.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $982.23
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 :Mae.
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
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00
PM Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $4.00
Mechanical %:
$0.00
NMUSD Fee: $0.00 $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,11 n 3
Plan Check Fee:
$0.00 Fee Due at Permit Issuance: $2,115.23
PROCESSED BY:
PUBLIC WORKS APPROVAL:
�lll�j
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: E
_.._
APPROVAL TO ISSUE: 1/�✓
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)
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
ne 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70,
lusiness 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 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
nproved 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legally
ell 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dal 164V
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ctio y0 i the Business and P s �dA;I�ic se is infull force
nd effect. License Class License No �Da ConSig Ir --
VORKERS' COMPENSATION DECLARATION 7
rARNiNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1W,000), IN ADDITION TO THE
OST OF COMPENSIMTNIR, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undempenalty of perjury one of the following declarations:
rRave apd,19l.rpiintain 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(
ra of the wdtk forwhich this permit is issued. Policy No.
d 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
rriipF eRdpolicy number are:
....
3 of Agent
$rtify that, inthe
N t should.bec`on
Policy Number Explratron Date
Phone #
Is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensapen lawe California, and agref
ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i
ING AGENCY
�J
a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners
I have read this application and the information I have pr ded is
I agree to comply with all applicable city and coSld nonce -
I authorize representatives of this city or ej th �A
of perjury that
laws relating to building construction.
ad property for inspection purposes.
Rap� Print Property Owners or
ACTION
DATE
lay,
DECLARATI000/OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIEPA
PERMIT EXTENDED
QMD
PERMITFINAL
El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
�7�17-ZL..
,DA.J`..
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE:
FOR OFFICE USE ONLY