HomeMy WebLinkAboutX2016-3807 - Permits1Ytro City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
' Inspection Requests Phone (949)644-3255
"`41tnu'",p Combination Type - BLDG
COMB Permit: X2016-3807
IIIII�IIIIIIIIIIII�IIIIIII�IIIIIIII�IIIIIII II
Project No: 2648-2016
Issued Date:
Inspection Area : 3
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: 6304 W OCEAN FRONT NB
Description: SFR BLOCK WALL 6'X 65 LF (ON PIL, MARKERS ON SITE,AGREEMENT W/PERMIT)
Legal Desc.: P M 198-08 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 45-094-17 TOGETHER
Owner: CALACCI GARY E
Address: 6304 W OCEANFRONT
NEWPORT BEACH CA 92663
Phone
Applicant: WINE RICK
Address: 264 N SHAFFER ST
ORANGE CA 92866
Phone: 714-488-6393
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Contractor:
VALLEY MASONRY
Address:
264 NORTH SHAFFER
EIG167791607
ORANGE CA 92866
Phone:
714-488-6393
Con State Lie:
390882
Lie Expire:
01/31/2021
Bus Lie:
BT30052400
Lie Exp Date:
09130/2019
2013 Worker's Compensation Insurance
Carrier:
EMPLOYERS COMP
U Policy No:
EIG167791607
0 Expire:
1010112019
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: /
$0.00
Left: I
$1.00
Right: I
Building Permit Fee: $386.00
Plan Check Fee: $342.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $771.00
PROCESSED BY:
ZONING APPROVAL:
Architect
Address:
$0.00
Planning Department -
Phone:
Additional Fee :
State Lie:
Engineer:
FORBES DALE L:
r�
-
Address:
1800 E 16TH ST #B
Grading PC Consultant:
SANTA ANA CA 92701
Phone:
714-836-2800
State Lic:C 04
$0.00
In -lieu Housing Fee:
Refund Deposit
Designer:
WINE RICK
Public Works Department -
Address:
264 N SHAFFRE ST
®t
$0.00
ORANGE CA 92866
MPhone:
PNV Plan Check:
714-488-6393
Electrical %:
Special Conditions: LIQUEFACTION AREA -
Excise Tax:
$0.00
Planning Department -
$37.50
Additional Fee :
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bands Fee:
$0.00
Fair Share :
Grading PC Consultant:
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PNV Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee : $771.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $771.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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(:)
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
1e 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
got 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,
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).
1 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
only 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:
ly 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class... License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain 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 tht
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
Date
le of Agent Phone #
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant Date_
reby 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)
ider's Name Lender's Address
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 to enter the above -identified property for inspection purposes.
nature of Pronertv Owner or Authorized Aaent Print Prooertv Owner's or Authorized Aaent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I U 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF—eZ3—�% �2 PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: