HomeMy WebLinkAboutX2018-0157 - PermitswtY City of Newport Beach - Building Division
• 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'D �u Inspection Requests Phone (949)644-3255
Combination Type - GRAD
*X20180157* COMB Permit: X2018-0157
Project No : 1935-2017
Issued Date : 01/18/2018
Inspection Area : 4
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 omSundays or Holidays
Job Address: 1910 YACHT MARIA NB
Description: SFR. SITE GRADING t,
Legal Desc.: N TR 9260 LOT 23, i;�l yr,: Rpy
Owner: HECHT BEN Contractor: OWNER/BLDR Architect: 41'moi 7 1
Address: 1910 YATCH MARIA DR Address: HECHT BEN Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone:
State Lie:
Applicant: HECHT BEN
Con State Lie:
O/B
t Engineer:
CHEN MING-TARNG
Address: 1910 YATCH
MARIA DR
Lie Expire:
Address:
12121 CANDOR DR
NEWPORT BEACH, CA 92660
Bus Lie:
CERRITOS CA 90703
Phone:
Lie Exp Date:
Phone:
714-521-0169 State Lic:C-054011
Code Edit :
2016
Worker's Compensation Insurance
Designer:
mmmo
......
Type of Construction:
Carrier:
Address:
„m®°
m ��
Occupancy roup:
U
Policy No:
° m
omoo o'
Added/New sq.ft. Bldg:
0
Expire:
Phone:
Added /New sq. ft. Garage:
0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions: DELTA 1 (X18-0167)
No of Units : 0
Bldg Height: 0
FLeft:
o'/ r=.'t-✓Lzl'rra
om000
0 0
Bldg Sprinklers:
/
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
°-
Construction Valuation:$0.00
0 0
0 0 0
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
oom°o•
o 0
Plan Check Fee: $0.00
Additional Fee :
$33.00
Plan check Fee:
$0.00 Fire Inspection:
°
...
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
0$040
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 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 :
$0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $33.00
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance : $33.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
31�a
PLAN CHECK BY:
�' s
GRADING APPROVAL:
C.-�
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 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 th@ 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).
W, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or L) 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 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
Im roved 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
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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legal)
sell a structure that I have built as an owner-builder if it has not c nst cted in its entirely by licensed contractors. I understand that a copy of the applicable law, Se Ion 7044 The Business and
Professions Code, is available upon req tt est when this a 1' Is s d or following Web site:http://w�^x.leginfo.ca.gov/calaw.html. +�
Signature of Property Owner or Authorize ge ate 1
LICENSED CONTRACTOR'S DECL TION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi s Cc , and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURVItAEtVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,0001, IN ADDITION TO THE
COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I4tebV: ffirm under penalty of perjury one of the following declarations:
......
I hgve and will malhtain 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, or f
performance of the -work for which this permit is issued. Policy No.
hE:e and v41tiirig ruin 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
i0 agrLdb carrier and policy number are:
Gazder • _ • • _ Policy Number Expiration Date
NgMp OPAgent ' ' • Phone #
LKif•y that, in. he pgrformance of the work for hick 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 agree
that, if I should Riee.subject t wor rs o ens ' R ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Qnalilre of Applip B Dat 1 g l
DRCL•ARATIOM RDING CONS• UCTION LENDING AGENCY
I hereby affirm uncle penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 'I Code).
Lender's Name Lender's Address
By 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 provided is correct.
I agree to comply with all applicable city and county ordinances a st laws relatingto building construction.
I authorize representatives of this city or county t r the ab id fie ertyfor inspection purposes.
..:___...-_ _. ,._.............e.r�rL...hen Aoun Print Prooertv Owner's or Authorized Agent'sl4am 1$ ate
EXPIRED
CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED
TO
L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
�... PROPOSED DEMOLITION
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