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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: +...•+ ..mc LACHER TODD ...• 1201 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 State Lic:C-067656 .. e oe room meso 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: m o e. e.mc . c omo0o 0 eococ omooc r. o • 0 c o ammoco m o moot 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 m o e. e.mc . c omo0o 0 eococ omooc r. o • 0 c o ammoco m o moot 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: