HomeMy WebLinkAboutX2019-0180 - Permitswtar� City of Newport Beach - Building Division
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
c"r Inspection Requests Phone (949)644-3255
Combination Type - BLDG
11111 COMB Permit: X2019-0180
x 2 0 1 9 6 1 8Project No: 0144-2019
Issued Date : 01/30/2019
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: 31 ROCKINGHAM DR NB
Description: SFR BLOCK WALL 6' HIGH X 55 LF (ON PIL, ADJACENT TO CITY SIDEWALK)
Legal Desc.: N TR 11449 LOT 31 -
Owner:
WEERASURLYA RU
Contractor:
PACIFIC PARADISE POOLS
Architect:
$0.00
Address:
31 ROCKINGHAM DR
Address:
3007 S HARBOR BLVD
Address:
$0.00
Wilding Pe"
Wilding Green Pee :
NEWPORT BEACH, CA 92660
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SANTA ANA CA 92704.
Grading Permit Fee:
$0.00
Phone:
Refund Deposit
Phone:
714-437-7665
Phone:
State Lic:
Applicant:
BRADDUCK BERT
Con State Lic:
522119
Engineer:
LACHER TODD
Address:
3007 S HARBOR BLVD
Lic Expire:
0813112020
Address:
1201 N TUSTIN AVE
$0.00
SANTA ANA, CA 92704 -
Bus Lic:
BT30046344
$0.00
ANAHEIM CA 92807
Phone:.
714-376-0069
Lic Exp Date:
0 212 812 01 9
Phone:
714-630-6100 State Lic:C-067656
Code Edit : 2016
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 . 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $8.000.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime PlanrGk- - $0.00
dnvesligation`Rso�. �
$0.00
.Record Management°:
$0.00
Energy Compli�fi&P.
$0.00
C F&%ismic Safety:
$0.00
Disabled Access:
$0.00
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Mat
$0.00
Wilding Pe"
Wilding Green Pee :
$1.00
$1.00
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TOTAL FEE : $900.50
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PIedStsSSED BY: u c
ZONING APPROVAL: c
Worker's Compensation Insurance Designer:
Carrier: STATE COMP Address:
Policy No: 9123412
Expire: 0210112019 Phone:
Building Setbacks Rear: 110 Special Conditions:
Front: 16
Left: 16
Right: 1
Use Zone: Parkmo Soaces: 0 Fire Hazard Zone : N !a d %.V
Excise Tax:
$0.00.
Planning Department -.
$40.00
Additional Fee :
$0.00
Plan check Fee'.
Fire Plan Rev
Grading Bonds 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
PAN Plan Check:
$82.50
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee:
$446.25 Fee Due at Permit Issuance : $454.25
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:. APPROVAL TO ISSUE:
Fire Department
$40.00
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
$446.25 Fee Due at Permit Issuance : $454.25
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:. APPROVAL TO ISSUE:
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)
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
is 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 U all of or L) 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).
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).
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.htmi.
lignature 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 ofppivis,,'llon the Business and Professio � de, and my�.e ' full force
nd effect. License Class License No Date "i"f/"- ( Contractor Signature'
ignature c/
VORKERS' COMPENSATION DECLARATION
DARNING: 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 3108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
a 1 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 IN
rmance of the work for which this permit is issued. Policy No.
Ehave and will maintain worker 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
Is rance cadrief andDoliD/v num are:
ydier V k v Policy Number Expiration Date
lame of Agent Phone #
:1I certify that, in the performare of the work for WA 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 agre(
hat, if 1 should become subjegd he workers' c sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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Signature of Applican� /Ill ,Dateek
)ECLARATION REGAFKNd OONSTRUt ION LENDING AGENCY
•:
hereby 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). .
„•
_ender's Name Lender's Address
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3y my signature below, I certify to each of the following: •,,,,
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1 am the property owner or authorized to act on the property owner's behalf. •
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I have read this application and the information I have provided is correct. •
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I agree to comply with all applicable city and county ordinances and state laws relating to building construction. • • •
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I authorize representatives of this city or county to ter the oy identifie pr pe y ffor inspection purposes. • • • •
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Signaturerof PropertyOwner or Authorized Agent c"Y ✓2 ; V `' ` Print Property Owner's or Authorized Agent's Nam • Date,
ACTION
DATE
BY %A,
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY • •
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REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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1403
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PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT CANCELLED
EPA
PERMIT EXTENDED
OAQMD
PERMITFINAL
CERTIFIC4TEOF
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JDASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: