HomeMy WebLinkAboutX2020-1462 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
w rs Permit Counter Phone (949)644-3288
i Inspection Requests Phone (949)644-3255
a p,' Combination Type - BLDG
COMB COMB Permit: X2020-1462
Project No: 1129-2020
Issued Date : 06/24/2020
Inspection Area : 8
Hours:
r o rry ❑a - FridaCE :0 LAST VALID INSPEC""'. PROJECTS MUST BE COMPLETED BY 06/25/2023 Ohl PERMIT WILL BE INV,
CHARD R NIB 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: 1591 ORCHARD DR NB
Description: RETAINING WALL (SEE X2020-1461)
Legal Desc.:
Owner:
FUSOWINKEL STEVEN
Address:
1591 ORCHARED
Bus Lic:
NEWPORT BEACH CA 92660
Phone:
714-717-1237
Applicant:
BLUM SETH
Address:
1600 S ANAHEIM BLVD #F
Grading PC Consultant:
ANAHEIM CA 92805
Phone:
949.506-7575
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor: COASTLINE OUTDOOR SOLUTIONS Architect:
Address: 2714 S ARCHIBALD AV
ONTARIO CA 91761 Address:
Phone: 949-506-7672
Phone:
Con State Lic:
581970
Lic Expire:
12/31/2021
Bus Lic:
ST30071490
Lic Exp Date:
03/31/2021
Worker's Compensation Insurance
Carrier: WESCO INS CO
0 Policy No: WWC3384006
0 Expire: 12/12/2020
Engineer:
Address:
Phone:
Designer:
Address -
Phone:
State Lic: +...•+
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LACHER TODD ...•
1201 N TUSTIN AVE
ANAHEIM CA 92807
714-630-6100 State Lic:C-067656 ..
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Building Setbacks Rear: 26 m m m
Special Conditions:
Front: 20 ,.
m 00
Left: 5 O e m
Right: 5 m
Jse 7nnn
Building Permit Fee:
Plan Check Fee: $134.86
$155.00
Excise Tax:
$0.00
Planning Department
Overt Plan Ck.Additional
$0.00
Fee :
Grading Bonds Fee:
$0.00
-
Plan check Fee :
Investigation Fee:
Record Management :
$0.00
$0.00
Grading PC Consultant:
$0.00
$0.00
Fair Share
SJH Trans
Energy Compliance:
$0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
In -lieu Housing Fee:
CA Seismic Safety :
$0.00
WO Insp. Fee:
$O.OD
Public Works Department -
Disabled Access :
$0.00
$0.00
Park Dedication $0.00
Hazardous Mat,.06-
-
Electrical %o:
P/W Plan Check:$0.00
Building Green Fee
Mechanical m/.:
$0.00
San Dist :.00 $0.00
Plumbing %:
$0.00
$0.00T
NMUSD Fee:$0.00
: $290.85
Plan Check Fee
$0.00 Fe
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS A PF
GRADING APPROVAL:
PLAN CHECK BY:
\
APPROVAL TO ISSUE:
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Fire Department
$0.00
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
lue at Per
�t Issuance :
$290.85
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have pissuance, also laced next to the applicable item(s)
its
Section 7031.5, Business and Professions Code: Any city or county that requires provisions permit to construct, alter, improve, demolish, or repair any strifor it perm i subjects the appl calnt to aec vPpenalty of
he a rmit to file a signed hatement that he or she er she is exempt from f licensed pursuant
and the bato the sis fo he al egedfexe ption. the Any v olat onractors' State lof Section 7031.5 by any applicant f with Section subjects
of Division 3 t the Business and
not more than five hundred dollars ($500). onions of the work, and the structure is not intended or offered for sale (Section 7044,
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (, p
Business and are not mendeessions d or offered tractors' State
Livens, the building
ng or improvement snsoldfwithneone year of tempt t oln, the Owner-Buildeeffort I have d the burden of provings or Improves the t that itpwasn of built od that r
for
improved for the purpose 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 no
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' Stale License Law for the following reason:prflorto ll
applicable law, Section 7044 of the Business and
Bell aystructurer thatlthave built ew I ls aneownerexcept f If i y pens nal residence consin in it I must have by licensed oontractors.l understand that a copy of the app cable law, covered by this permit, I cannot lege
der
Professions Code 'it %fl�ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
Sjgnature.of Proprir 3wner or Authorized Agent Been a is in force
11C�NSFD CQfd'FRACTOR'S DECLARATION ' 7� Contractor Signature
I eEl affirm undergenalty of per ury that I am licensed under
cense Iso ns of e 9 commencing with SecDate7000) of 'v' io 3 f the Business and Pro ession e n avid et: fat. License Class �— e 43IF
WQRFtERS' COLUREMPENSATION DECLARATION
C STIGF'COMIPENSt1jI DAMAGES AS PROVIDED RAT SECTION COVERAGE70610E THE`LA90R CODE, INTEREST. AND ATTORNEY'S FEES.
RIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$700,0001, IN ADDITION TO T
OR IN
th
17,9l affirm undgr;ren alty of perjury one of the following declarations: labor Code, for
•..
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
ante of thy wojKfor which this permit is issued. Policy No.
• •.
@ � and wilNlnainkeln workers' compensation insurance, as requir d by Section 3700 of the Labor Code, for the performance of the work for which this is issued. My workers' compensa Io
I �u�r; am lid policy number are: Expiration Date X
�,. Cp+ C e= Number
r phone#
car'
Name o Agent
I certify that, in the performance of the work for .111j: 'mit is issued, I shall not employ any person in any manner so as tl became subject to the worker e tib ia, an agree
ars' tom ensation provisions o 3700 of the Labor Code, I shall forthwith comply with those provisions.
that, if I should become subject t _ P Dat
nature of Applicant Civil Code
CLARATION REGA DING CO QCTIi7N*ENBk16-Ar6EN�Y�
:reby affirm under pen Il of perjury that there is a construction lending agency fo the pes Arimance ddress of the work for which this permit is issued (Section 3097,
Len
Ider's Name
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 havordina cZand,tate laws relating building construction.
I agree to comply with all applicable city and�a Yr a nnnrt r Ins action purposes.I authorizerepresentatives of this city or c unty to 'Rk " Y P rt 6�ap r Authorized Agent's Na —
of Proped Owner or Authonzea mclent
DATE BY R OFFICE USE ONLY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FO
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
. _.._...R-...coccrnc nInTIFIfATION TO
PERMITEXTENDED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT FINAL
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY IS -SUED SIGNATURE: