HomeMy WebLinkAboutX2020-1311 - Permitswr„ City of Newport Beach - Building Division IIIIIIIIIIIIIIII'll ll�lllllllllllllllllllll II COMB Permit: X2020-1311
100 Civic Center Drive, Newport Beach, CA 92660 u P X 2 0 2 0 1 3 1 1 Project Permit Counter Phone (949)644-3268 No : 1006-2020
Inspection Requests Phone (949)644-3255
`''trrou`a Combination Type - BLDG Issued Data
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: 330 LA JOLLA DR NB
Description: SFR CITY STD BLOCK WALL 5' x 26 LF, INSIDE P/L (STOP WORK 120-1244)
Legal Desc.: N TR 444 LOT 65
Owner:
PATRICK EDWARDIGABRIELA
Contractor: OWNERIBLDR
Address:
330 LA JOLLA DR
Address: PATRICK EDWARD
NEWPORT BEACH, CA 92663
Phone:
--'—
Applicant:
/ '7O/g
Address:
330LAPATRICK JOLLADR799M-e'
330 LA LLA DRNEWPORT
BEACH CA ' —I
$us Lic
Phone:
949-375-2765
Lic Exp Date:. ,.
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
-`
Worker's Compensation Insurance
Carrier.
Policy No:
i,
Expire:
Building Setbacks - Rear
Front
Left
L.. Right:
5
10 ' " tm
4
1 1-14M D
Architect:
Address:
ALL
Designer:
to vvw :
Phone:
Special Conditions: LANDSLISE AREA
STOP WORK 120-1
wuu cone: f
Use Lone: Parkin Spaces. 0 Fire Hazard Zone :
Construction Valuation:
Building Permit Fee: se Tax: $0.00 Ptamm� h D a d C r
Plan Check Fee: $365.E I.' $0.00 Plan c ec 00``0000
Overtime Plan Ck: i F $0.00 Fair Share :
Investigation Fee: Gram P Cor�s}}ttltanL,.1 $0.00 SJH Trans (no work stat9o)
Record Management: Gr1iAnl€It€�. lCl.t $0.00 In -lieu Housing Fee : $0.00
Energy Compliance: Grading PC Fee: $0.00 Public Works Department -
CA Seismic Safety, WO Insp. Fee: $0.00 Park Dedication :
Disabled Access : te: Ian Check . $0.00
Hazardous Mat Electrical %: $0.00 San Dist: skilsi5, initi`c
Building Green Fee : Mechanical %: . _ . n nn
TOTAL FEE : $1,232.00
PROCESSED BY:
ZONING APPROVAL:
NN��
�+ 'moire Inspei
Fire Plan RA
General
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
lu.
- $0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,232.00
?U3L,C WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
�s
M
4
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) Lhave placed next to the applicable item;>)
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
ifessions 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
gqiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emplo ees' or 'tds,.atrrBJroves the property, provided that the
5TaV55 ants are not intended or offered for sale. If, however, the buildin - n, a wner-Builder will have the bu den of proving that it was not built or
'roved or the purpose of sal pt�
I, as wner of the property, m exclusively contractin n P,d gnonin�Bors to construct the project (Section I T f �1{ rofessions Cade: The Co tractors' State License Law does not
:.. ..............ems Ih I., tf�s for the n__,.r..:.r;-o�i�^sed ContracTot pursuant to the Contractors' State Licen Law);
an owner of property w o no
I am exempt from licensure
nde
my signature below I ackno
edge
a structure that I have built
an
Ifessions Code, is available
on
nature of Property Owner or
uth,
I hereby affirm under penalty of
and effect. License Class
ARNING: FAILURE TO SECURE WOF
DST OF COMPENSATION, DAMAGES
hereby affirm under penalty of
] 1 have and will maintain a
erformance of the work for wh
]I have and will maintain wo
Isurance carrier and policy no
is of Agent
certify that, in the p,
if I should become
iature of Applicant,
the Contractors' to License Law for the following reason:
that, except for my personal resIdence in which I must have resided for at least r io p e Ion of t
rAwils9mr.if it een%constructed In its entirety by licensed contractors. I understand that a copy of the
uestwh Ah' lic ion isII.. submitted. or at. the following Web site: http://Www.leginfo ca. o /palaw.html.
to �Jn�.
under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro
Lidgrlse No _ Date Contractor Signature
1GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
3706 OF THE LABOR CODE, INTER_EST,AND ATTORNEY.'S€EEiL,1-
consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by
I Issued. Policy No. • 071
Ilya,
7 tlD I u((,��$$,,c qui f 700 of the abor od fo tJ& o�r rMf0d Wpf marl this Pe
I ..'i� _ t �� i._._ .., ,r17 ctA1t#fdidtlon Date "
A.
work for which thi�D�Tm� 1s issued, I shall not employ any person in any manner so as to become subject to the
.vote' rnm nsaH n.6 " nrnvid!oil& of Section 3700 of the Labor Code I sh nj5�,
hereby affirm under penalty of as g agency IUI LUU pal wuucn�c �, .,,� •.
.ender's Name t
s
3y my signature below, I certify to eac o e 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 �ord`inances and state ws relating to building construction.
I authorize representatives of this city or coun l_ bov -;dents i arty for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
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 CANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
ASBESTOS
—_1
NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
vered by this permit, I cannot legally
:ion 704 of the Business and
n� ^ 2i
Ids, and my license is in full force
DOLLARS ($100,000), IN ADDITION TO THE
on. 3700 of the Labor Code, for th
;;'; sued. My workers' compensatiol
y.
ion laws of California, and agre
ip � ��