HomeMy WebLinkAboutX2020-2817 - PermitsCity of Newport Beach - Building Division 1111111111i�E!EI!�o1�11111o���1!11!�11�91111 COMB Permit: X2020-2817
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0773-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date: 12/02/2020
r n. Combination Type - BLDG GRAD
Inspection Area: 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12l03/2023 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 Holidays
Job Address: 26 GONDOLIERS BLUFF NB
Description: SFR YARD DRAINAGE
Legal Desc.:
a
Owner
7 SCORE PROPERTY
Address:
26 GONDELIERS BLF
NEWPORT COAST CA 92657
Phone:
Applicant:
JONSSON JEFFREY
Address:
946 CALLE AMANECER #C
SAN CLEMENTE CA 92673
Phone:
949-412-3955
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 : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Plan Check Fee: $0.00
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: $0.00
TOTAL FEE: $429.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LESLIE SAM CONSTRUCTION
Architect:
Address:
P O BOX 58
Address:
BONSALL CA 92003
Phone:
760-468-2020
Phone:
Con State Lie:
452391
Engineer:
Lie Expire:
07/31/2021
Address:
Bus Lie
BT30072967
Lie Exp Date:
0911712021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
EXEMPT
Address:
Policy No:
No employees
Expire:
Phone:
State Lie:
State Lie:
Building Setbacks
Use Zone:
Rear: /
Front: /
Left: /
Right: /
Parking Spaces:
0
Special Conditions:
Fire Hazard Zone: N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee:
$0.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
Grading PC Consultant:
$0.00
SJH Trans:
$0.00
Demolition Fee
Grading Permit Fee:
$232.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Grading PC Fee:
$195.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
Refund Deposit
PM Plan Check:
$0.00
Grading Bond:
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
' t.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $429.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: Cc
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000000
0 0
0 0
0 0 0
00 0
0 0
0 0 0
00 0
00000
0
moo�a
000000
0 0 0
0 0
000000
0 0
0000
OWNER-BUILDERI'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 Rem(s)
(Section 7031.5, Businessand 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).
❑ 1, 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,
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 propertyjwho 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 Ilcensu el under the Contractors' State License Law for the following reason:
By my signature below [;'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 ayaillable upon request when this application is submitted or at the following Web sKe:http://Www.leginfo.ca.gov/calaw.htmI.
Signature of Pr6l56ffy owner pr Authorized Agent Date
LICENGED CO�NTRACTO;R'S DECLARATION
1-hereby^affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00� �f D,>SG3iof the Business and Prof Ionlicense is in full force
and
effect. License Class License No Date L CContractor Signature .�
DECLARATION
V f,-RNIN,-S: 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
Il
l i OF COMPENsk- �cP DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under, p€salty of perjury one of the following declarations:
have and will IT
formsnce of thew,
r c o
have and wNl and
c
11rrc
,aq Carrier and
n "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
vOich this permit is issued. Policy No.
wlorkers' 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' compensa
number are:
Policy Number Expiration Date
e of Agent Phone
N #
I certify that, in the perfo lance of �WbIP Wwhhis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agreifI should become u eet'tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
cl-
Signature of Applicant Date1
DECLARATION REGA N RUCTION LENDING AGENCY
I hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, JViI bode).
Lenders Name Lender's Address
By my signature below, I Ge try 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 i c
I agree to comply with all applicable city and coqn rdinan aws relating to building construction. G Zl
I authorize representatives of this city or countynter e-identified property for inspection purposes.e`F vi
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name DV
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE
14
PERMIT EXPIRED,llI SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT C4NCELLED UEPA
PERMIT EXTENDED QM D
PERMIT FINAL JASBEST, NOTIFICATION IS O
CERTIFIC4TEOF'�,
OSEMOLITION
OCCUPANCY ISSUED ssrnln IRF k