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HomeMy WebLinkAboutX2019-1536 - Permits1Dp City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 rQy vv Combination Type - BLDG "X20191536* COMB Permit: X2019-1536 Project No : 1094-2019 Issued Date : 05/1512019 Inspection Area : 5 - 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: 1901 CHUBASCO DR NB Description: RETAINING WALL 8'x 80 LF - Legal Desc.: N TR 2813 LOT 1 11 - -- t:� _ Owner:. CLOSE MICHAEL Address: 428 32ND ST NEWPORT BEACH CA 92663 Phone: $412.00 Applicant: BRANDON CHRISTOPHER Address: 151 KALMUS DR #G-1 $0.00 COSTA MESA CA 92626 Phone: 714-754-4040 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 : Bldg Height: 0 Bldg Sprinklers: Building permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE k $824.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00. NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $824.00 PUBLIC WORKS APOVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a 1;. Contractor: INSTANT LANDSCAPES Architect: BRANDON CHRISTOPHER Address: 28562 OSO PKWY #D-243 Address: 151 KALMUS DR #G-7 est W RSM CA 92688 COSTA MESA CA 92626 Phone: 949-347-0700 Phone: 714-754-4040 State Lic:C031637 Con State Lie: 842586 Engineer: MANSHADI FARHAD ...... Lic. Expire: 0713112020 Address: 1800 E 16TH ST UNIT B Bus L'Ic: BT30053469 SANTA ANA CA 92701 e Lie Exp Date: 10/3112019 Phone: 714-835-2800 State Lic:C-036840 Worker's Compensation Insurance Designer. Carrier: WESCOINSURANCE Address: amm.om m . Policy No: WWC3372118 mm:° Expire: 08/15/2019 Phone: m m mm . mmooc m Building Setbacks Rear: 10 Special Conditions: e o m o Front: 10. Left: 4 Ci 6`08'C G 6 Right: 4 mmemsu Use Zone: Parking Spaces: 0 Fire Hazard Zone : N a oo m m a m . • m , Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00. NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $824.00 PUBLIC WORKS APOVAL: PLAN CHECK BY: 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) lection 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' Stale 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). 1, 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, 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 reprovements 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 n roved for the purpose of sale). 1, 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.html. ignature of Property Owner or Authorized Agent Date, .ICENSED CON-TRACTOR'S DECLARATION hereby affirm u,neeepe`nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ' 'si�3 gfithe Business and Professi ode, my ice a s n fu arce� ),pagept. Lic%W Gass License No Date l contractor Signatur VORKERS' cbFAPENSATION DECLARATION AltUIN84FAILURE TOWSECURE 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 ®RCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uedoMmnalty of perjury one of the following declarations: N�A a 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 the i ce of qie ViVor which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date �I certify that, in IlVaerfor ance of the ork for which this pe issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Hat, if I should become su act to the wor ers' for rov' ns of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ignature of Applicant DECLARATION RE RDING STRUCTION DING AGENCY hereby affirm unde 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 y 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 fnarces correct. I agree to comply with all applicable city and county or an sta s relating to uilding construction. I authorize representatives of this city or coun mabov a ed roparty for ins action purposes. ignature of Property Owner or Authorized Agent `5int Property Owner's or Authorized A 1CTION DATE BY k DECLARA COMPLIANCE WITH C015E OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED PERMITEXTENDED LIAQMD PERMIT FINALU ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �- ��.T) / ,G PROPOSED DEMOLITION OCCUPANCY ISSUED ` (/ / SIGNATURE: Name