HomeMy WebLinkAboutX2018-3808 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3808
+r• 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 8 0 6 Project No: 2094-2018
r+ Permit Counter Phone (949)644-3288
x" Inspection Requests Phone (949)644-3255
Gr trrc : Combination Type - BLDG Issued Date : 2018
. Inspection Arearea : 2
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 )I A
Job Address: 224 PEARL AVE NB
Description: RETAINING WALL 6' MAX x 124
LF 8: TX 24 LF (INSIDE PIL)
c s h,.Aft
Legal Desc.: BALBOA ISLAND RESUB SEC 1
BLK 8 LOT 36
Owner: LEONETTI MATT
Contractor:
DEVCO HOMES Architect: HARRISON IAN J.N.
Address: 224 PEARL AVE
Address:
1000 QUAIL ST #260 Address: 220 NEWPORT CENTER DR
BALBOA ISLAND CA 92662
NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660
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Phone: 818-262-3473
Phone:
949.212.3262
Phone: 949-723-1091 State Uc:0006947
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Applicant: HARRISON IAN J.N.
Con State Lic:
773220
Engineer: REZAEI ALI
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Address: 220 NEWPORT CENTER DR
Lie Expire:
0113112020
Address: 2575 MC CABE WAY STE 240
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NEWPORT BEACH CA 92660
Bus Lie:
BT30001683
IRVINE CA 92614
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Phone: 949-723-1091
Lie Exp Date:
0212612019
Phone: 949.872-2040 State Lic:C-041068
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Code Edit: 2016
Worker's Compensation Insurance
Designer:
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Type of Construction:
Carrier:
WC EXEMPT
Address:
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Occupancy Group: U
Policy No:
(NO EMPLOYEES)
Added /New sq.ft. Bldg: 0
Expire:
Phone:
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Added /New sq. ft. Garage: 0
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No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
......
No of Units: 0
Front: /
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Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $7.000.00
Building Permit Fee: $412.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $365.00
Additional Fee :
$0.00
Plan check Fee : $40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management : $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public WoYks Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat - $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
.$0.00
TOTAL FEE : $818.00
Plan Check Fee:
$818.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
l
1./
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 items)
Iction 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3iness 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
movements 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
moved 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
)ly 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:
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 legall3
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
Ifessions Code *is mailable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
parpge of Property,Qwner or Authorized Agent Date
TENSED CC"TR4CTOR'S DECLARATION
retfy�affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o. Divi :on the Business and essions de, lid nse is in full force
iefiect. License Class License No Date /Z �F7 Contractor Signal
;RKfRS' 00MPFNSATION DECLARATION
INING: 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
V.08 COMPENSATKIMEAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
gPjty'affirm drltler 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 th,
Pormance of a e wwCC for which this permit is issued. Policy No.
•h`aVf and wilj,rnpjptain 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
xance carrier a n d eolicy number are:
Tier Policy Number Expiration Date
TVs of Agent Phone #
certify that, in th ormance of the work for h 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
at, if I should beco b'act to the worke pe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date/
)ECLARATION REG DING CTI NDING AGENCY
hereby affirm under pe 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
3y my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I haveread this application and the info ave prove rrect.
I agree to comply with all applicable cit and county ordinances and s aws relating to building construction.
I authorize representatives of this city o unity to ter the -I entifie property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY=REOGLA
RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ATIONS PART 610E TITLE 40AND AQMD RULE
PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LJAQMD
PERMITFINAL
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OFZ� 9q
PROPOSED DEMOLITION
OCCUPANCYISSUED /0
SIGNATURE: