HomeMy WebLinkAboutX2018-2573 - PermitsCity of Newport Beach - Building DivisriVn . o ;I �iii�iuiit��liiiiiiiiiiiiiiiiiiigiiiiiq II COMB Permit: X2018-2573
Gt 100 Civic Center Drive, Newport Beach, CA 92660 , I� !�' Project No: 2063-2018
� Permit Counter Phone (949)644-3288 ...
"ci Inspection Requests Phone (949)644-3255
Issued Date : 0812812018
Combination Type - BLDG ee ' • • o=•
• •
°° ° • • • • Inspection Area: 4
PERMITS EXP1R916.3 OAKS AFTEA 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: 16 DEERWOOO LN NB
Description: RETAINING WALL 6'X 28'
Legal Desc.: N TR 7638 LOT 101
Owner:
DEERWOOD LLC
Address:
20151 SW BIRCH ST #150
Record Management:
NEWPORT BEACH CA 92660
Phone:
$0.00
Applicant:
MANNING HOMES
Address:
20151 SW BIRCH ST #150
Grading PC Consultant:
NEWPORT BEACH CA 92660
Phone
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. H. Garage:
No of Stories: D
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor
Address:
Phone:
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
OWNERIBLOR
MICHAEL
Ole
2016 Worker's Compensation Insurance
V -B Carrier:
U Policy No:
0 Expire:
0
Building Setbacks Rear: 20' big canyon
Front: 10' deerwood
Lek: 5'
Right: 5'
Building Permit Fee: $386.00
Plan Check Fee: $342.60
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat $0.00
Building Green Fee : $1.00
Architect:
Address:
Phone:
State Lie:
Engineer: EOSAKUL DISSAKORN
Address: 15 STUDEBAKER
IRVINE CA 92618
Phone: 949-752-1612 State Lic:8-005226
Designer:
Address:
Phone: Nv'
Special Conditions: LCTOR
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
$37.50
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
PNU Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
II TOTAL FEE: $767.00 Plan Check Fee `
PROCESSED BY: yy t I
ZONING APPROVAL: moi
$767.00 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
$767.00 Fee Due at Permit Issuance : $0.00
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' Slate License Law for the reason(a) indid%ed below by the checkmark(s) I haV@,.placed raid to the app!icatle kern(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to cogstruct, alter, improve, demolish, or repair any structure, prior to 4c 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 GGntractops' Stade 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 alleg¢d exemption. A'nyVidfatien of �actkmJ031.5 by any applicant for a permit subjects the, appli ant to exiyil 9eralty, of
not more than five hundred dollars ($500). ' •.. + •• • : ;
13I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (� portiorf3 of tovvppork, and the structure is not intended or offered for sale {Section 704x,
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 propa,ty, provided that the
impro ments 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
I ved 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 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:
By my signature below I acknowledge that, except for my personal rest a 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 itnot been n Lotted in its 9w99ty by licensed contractors. I understand that a copy of the applicable law, Section 7044 ol the B siness and
Professions Code, is available upon request when t is (cation' s tied rigrowing Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Dtk
v
LICENSED CONTRACTOR'S DECLARAAgen TI
I hereby affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1 herebymffirm,under: penalty of perjury one ;of the following declarations:
❑ I a'veand 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 Itu
p mince of the work for which this permit is issued. Policy No.
I ha a and will malntain 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' compensatior
insura ce carrier and policy number are:
Carrie Policy Number Expiration Date
Jame of Agent ' """"`
:1I certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and agree
hat, if I should become sub' I tt he rke ompensatio ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �^n � / A
signature of Applicant Dalt � d
)ECLARATION REQ CO ST TIO(' LE NG AGENCY (!!(((//////
hereby affirm under penalty of p duty that there 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
3y 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 o inan nd state I relating to building construction.
I authorize representatives of this city or county t I er th o e-identif' d roperty for inspection purposes. ,G4 ����(/_' Z�
3i nature of Property Owner or Authorized.
Print Propert Owner's or Authorized Agent's Name u � •/ � '�I Date
ACTION DATE B DEC RATION OF PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFC, LATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITFINAL (� ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF II 9A'� N >� PROPOSED DEMOLITION
OCCUPANCY ISSUED t`(/l V SIGNATURE: