HomeMy WebLinkAboutX2019-0418 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-0418
` 100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9 0 4 1
8
Project No . 1926-2018
F' Permit Counter Phone (949)644-3288
At . Inspection Requests Phone (949)644-3255
Combination Type - BLDG
Issued Date: 02/07/2019
Inspection Area : 1
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
- JobAddress: 400 VIA LIDO NORD NB.
:. Description: SFR RETAINING WALL 4' HIGH X 52 LF "INSIDE P/L* MARKERS
ON SITE
Legal Desc. NTR 907 LOT474
Owner - LEVINILAUERLEVIN
Contractor
S C HOMES INC Architect:
TEALE MARK
• • •,
:Address:'. 9825 SUNRISE LN
Address:
3050 PULLMAN ST Address:
2900 BRISTOL ST BLDG A203.
SANTA ANA CA 92705
COSTA: MESA
CA 92626
COSTA. MESA CA .92626
o
Phone: 949.975.0123..
Phone:
949-723-4243
Phone:
949.975-0123 State Lic:CO22162'
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Applicant: ANDERSON ROBERT
Con State Lic 828216 '-
Engineer:
BURKETHOMAS
o°
• �a: e'.°°.
Address: 5102 BLACKPOOL RD
Lic Expire:
12/31/2019
-Address:
.312 OCEAN AVE
• • • • ;_.„ °
`m o � "�..°
WESTMINISTER, CA 92683
Bus Lic:
BT30002421
LAGUNA BEACH CA 92651
c o• ' ;
Phone: 949-500-2293 :
Lic Exp Date:
0212812019
Phone:
949494-0776 State Lic:S-005088
... •=°
Code Edit: .2016
Worker's Compensation
Insurance
Designer:
° •�
Type of Construction.
.Carrier
STATE FUND
Address:
Occupancy Group: U.
Policy No:
1763760_
°,� °•e �°
:Added /New sq.ft. Bldg 0
Expire.
01107/2020.
Phone:
Added/New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 4'
Special Conditions:
°° 6� � 0`•oc °
No of Units : 1 '
Front 0
-4
Bldg
Bldg. Height:0
Left: 4'
Bldg Sprinklers:
Right 4'
'Flood
Zone ..
Use Zone: Parking Spaces: `
0 Fire Hazard Zone : N
Construction Valuation: $3.000.00
-
-
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
Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
, WQ Insp. Fee:
-. $0.00
Park Dedications $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 W
$0.00
NMUSD Fee: $0.00
-
$0.00
Plumbing %:
$0.00
- -
$0.00
TOTAL FEE : $818.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $818.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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: Anycity or county that requires a permit to construct, alter, improve, demolish; or repair any structure,. prior to its 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 Contractors' State 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 alleged exemption. Any violation of Section 7031.5 by any. applicant for a permit subjects the applicant to a civil penalty of:
not more than five. hundred dollars ($500):
❑.. I, as owner of the property, or my employees withwages 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,.
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 property; provided that the -
improvements arenot 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
improved for the purpose of sale). -
- ❑. 1, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
applyto 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).
❑ lam exemppt from licensure. under the Contractors' State License. Law for the following. reason:
By, my signatg a tielow 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 legal)
sell a structure'tA2Pl 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
lgfgtsions Code.is?vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Isroperty.Owner or Authorized Agent Date
110ENSED CONTRACTOR'S DECLARATION
I hisraby affirm urs penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Division 3 of the Business and Pro salons Code and my licensg 'is In full force
It effect.: LiBE:rjsp Class License No Date Contractor Signatur
W RAERS' �OIIpBENSATION DECLARATION
BRIG: FAILURE Ib SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE
COST OPCOMPEITSiUION, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
RE Ky affirm under penalty of perjury one of the following declarations:
e
'I haileand •wdiR frt'�Qntain 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
Sjrpance of the wore for which this permit is issued. Policy No.
••
"we and wlll:. Zipiain 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' compensatio
nsu ce carrier and policy number are:
Carrier .Policy Number Expiration Date
Name of Agent Phone #
f certify that, in the pert mance 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 mpensation laws of California, and ogre
that, if I should becomes ject to the workers' compe�ti n visions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions.
Signature of Applicant D a_:Z
DECLARATION REGA DING CONSTRUCTION LENDING AGENCY -
I hereby affirm under salty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code).
Lender's Name Lender's Address
By�my signature belov,4 I certify to each of the following:
I am the property owner or authorized to act on the pro arty owner's behalf. -g
I have read this application and the information I hav rovided is correct Aypyry
I agree. to comply with all applicable city and county rdinances and state laws relating to building construction
I authorize representatives of this city or county to Mer the above -ides Ie arty for inspection. purposes... --yyte
Signature of Property Owner or Authorized Agent " Print Property Owner's or Authorized A ent's Na 4 at, e
ACTION DATE BY / DECLARATION OF COMPLIANCIE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AND AQMD RULE
PERMITEXPIRED
01 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMIT EXTENDED
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PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
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