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HomeMy WebLinkAboutX2019-2969 - Permits)r City of Newport Beach - Building Division IIIIIillllllllllllllllllllllllllllllllllllllllllll COMB Permit: X2019-29691 es �* 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 9 6 9 Project No: 2538-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 '`rae<}yvx* Combination Type - BLDG Issued Date . 0 911 8/2 01 9 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 DRNB Description "SFR BLOCK WALL 6' HIGH X 35 LF INSIDE P/L *CITY STANDARD - Legal Desc.: N TR 4705 LOT 79 I � h E CTO Owner: WEBB CHRIS Contractor: UNITED CONTRACTORS Architect: fIL � Address: .2201 ALTA VISTA DR Address: : 10725 ELLIS AVE #D : Address: 7 NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY CA 92708 Phone: : 856-735-3207. Phone: 801.792-7417 Phone: --State Lie: Applicant: UNITED CONTRACTORS Con State Lie 949005 : Engineer: Address: 10725 ELLIS AVE #D Lie Expire. 06/30/2020 Address:' FOUNTAIN VALLEY CA 92708 Bus Lie: BT30053869 ° Phone: 801-792-7417 - Lie Exp Date: 0212912020 Phone:. State Lie 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: 12/06/2019 Phone:.. Added /New sq. ft. Garage: - 0 bmmm© b mmp� No of Stones 0" Building Setbacks Rear 0 Special Conditions: .morn o ,ommbm No of Units: 1 - Front B 0 cammoo .. Bldg. Height: 0 Left: 6 m m L m Bldg Sprinklers: Right: 6 ommco o 1 4' Flood Zone. Use Zone: Parking Spaces: 0 Fire Hazard Zone :N Construction Valuation: $4.500.00 .... , Building Permit Fee: $412.00 Excise Tax $0.00 Planning Department - Fire Department Plan Check Fee: $365.00`- Additional Fee: $0.00 'Plan check Fee : - $40.00 Fire Inspection: $0.00 Overtime Plan Ck $0.00 'Grading Bonds Fee: $0.00 Fair Share: - $0.00 Fire Plan Rev $0.00, Investigation Fee: - $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 - Demolition Fee Record Management $2.00 - Grading Permit Fee $0.00 In -lieu Housing Fee $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Feer $0.00 Public Works Department- General Service. $0.00 CA Seismic Safety: -$0.00 WO Insp. Fee: :,$0.00 Park Dedication: .$0.00,. Refund Deposit $0.00 Disabled Access : $0.00 - PAN Plan Check :-... $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %:.: $0.00 San Dist: $0.00 - Building Green Fee $1.00 Mechanical %:..- $0.00 NMUSD Fee: $0.00 ,'$0.00 Plumbing %: $0.00 --x.$0.00 TOTAL FEE : $820.00 Plan Check Fee: - $820.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: h PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE:. Sam �1 i 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) 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 the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Tly 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 legallt 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. nature of Property Owner or Authorized Agent Date :ENSED CONTRACTOR'S DECLARATION 'reby affirm uJar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se I 7000) Divi on 3 of the Business and Professi ode, an my license is in full force effect. License Class License No to Contract IFr Signature WRS' COMPUSATION DECLARATION '.NINQ FAILURE TS�S�G�URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HE THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE 70F OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reb: affirm umd er penalty of perjury one of the following declarations: shave and od71 rAtintain 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 'grMance of tr6 pb%for which this permit is issued. Policy No. neve 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' compensatiol i4W@ carrier artd policy number are: rier Policy Number Expiration Date :Artify that, fi j419drformance of the work for which this permit is issued, I shall not employ any person inany manners o as to become subject to the workers' compensation laws of California, and if I should become subject to the worke�mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of An20ant �,�_/e ezr reb 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). Y P Y P 1 ry 9 9 Y P P ( ) der's Name', Lender's Address ny 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 haveread this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances a d state laws relating to building construction. I authorize representatives of this city or county to e _ ov entified property for inspection purposes. �-_ _f o.,.. ,, nu-- — A,,thA'a`Anc Print Pronertv Owner's or Authorized AD s Name e:4 DATE BY DECLARATIONrrCOMPMANe1!WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE 1403 EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO EXTENDED MQMD FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO :ATE OF J,Pv PROPOSED DEMOLITION nrry rca rcn n,-n,nTnev.