HomeMy WebLinkAboutX2019-1613 - Permits, City of Newport Beach - Building Division IIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1613
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 1 3 Project No : 1140-2019
r., Permit Counter Phone (949)644-3288
ns. Inspection Requests Phone (949)644-3255
Combination Type - BLDG GRAD Issued Date : 0610712019
Inspection Area : 5
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 q lidays
Job Address: 616 SEAWARD RD NB
Description RETAINING WALL 6'x44 LF INSIDE PIL WI DRAINAGE *MARKERS ON SITE*
Legal Desc.: TRACT NO 1237 LOT 167 AND TRACT NO 14795 LOT 15
Owner:
NEVO-HACOHEN TAYLA
Contractor:
C M S CONSTRUCTION INC
Architect:
'U
Address:.
616 SEAWARD RD
Address:
409 N PACIFIC COAST HWY 443
Address:
....
0
CORONA DEL MAR, CA 92625
0
REDONDO BEACH CA
SJH Trans :
Phone:
949-200-9416
Phone:
310-458-1257
Phone:
State Lie: ....
$412.00
$169.92
Plan Check Pee: $365.00
Public Works Department -
000000
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Applicant:
SCHENKERWILLIAM
Con State Lie:
740013
Engineer:.
MORALES RICKY ° °
Address:
616 SEAWARD RD
Lie Expire:
0913012021
Address:
27520 HAWTHORNE BLVD, #130 o
$0.00
CORONA DEL MAR, CA 92625.
Bus Lic:
BT30068391
NMUSD Fee:
ROLLING HILLS ESTATES CA 90274 .... ° • o
Phone:
949-200-9416
Lie Exp Date:
08130/2020
Phone:
3101541.5055 : State Lie C-040289 •0 0 0 0 0
Code Edit :
2016
Type of Construction:
Occupancy Group:
'U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
0
No of Units:
0
Bldg Height:
0
Bldg Sprinklers:
SJH Trans :
Flood Zone:
$0.00
$312.00
Construction Valuation: $10.000.00
In -lieu Housing Fee:
Building Permit Feer
$412.00
$169.92
Plan Check Pee: $365.00
Public Works Department -
Overtime Plan Ck
$0.00
Park Dedication :
Investigation Fee:
$0.00
Record Management`.
$12.00
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
NMUSD Fee:
Hazardous Mat
$0.00
$0.00
Building Green Fee:
$1.00
TOTAL FEE'. $2,086.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: EMPLOYEE SERV GROUP
Policy No: C66358008
Expire: .07/01/2020
Building Setbacks Rear: 6'
Front:. 15'
Left: 6'
Right: 6'
Use Zone: R-1-6000 Parkina Spaces: 0
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Designer:
Address:
Phone:
Special Conditions: 2 UNRELATED TRADES WILL
BE CHECKED IN FIELD
Fire Hazard Zone : N
$0.00
Planning Department -
$0.00
Plan check Fee :
$40.00
$0.00-
Fair Share:
$0.00
$774.08
SJH Trans :
$0.00
$312.00
In -lieu Housing Fee:
$0.00
$169.92
Public Works Department -
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $365.00 Fee Due at Permit Issuance : $1,721.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 reason(s) 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 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 with wages as their sole compensation, will do L) 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
ffIm 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 Iegall
sell a structure "4 Fhave 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
Professions C154%j%Available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signatere of Prqpegt Owner or Authorized Agent Date
Llt'VIZSED OONYBACTOR'S DECLARATION
I,heraby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 of the Business and Profe Ons -Code, and my license is in full force
``--------
ntlgJff?ct. Licen,'se Class License No `"— Date — Contractor Signature--�:
D AO
VR RKERSyURE:
ACOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE
SEB RE WORKERS' COMPENSATION
COST OF COMPENSATIOR,, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i gerebyaffirm eJRder penalty of perjury one of the following declarations:
JI w e and wig 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
e f rmVnce of JJe�WgrJ for which this permit is issued. Policy No.
.We and will maintain 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
' rice carriar%% policy number are:
Carrier .... Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perf9imance 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' c mpensation laws of California, and agre
that, if I should becomes Iect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
"�..�"--__..____.—, 1 1
Signature of Applicant ( / Dat
DECLARATION REGp(2DING CONSTRUCTION LENDING AGENCY
I hereby affirm under density of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil 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 and state laws relating to building construction.
I authorize representatives of this city or county t entep a above -identified property for inspection purposes.
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Signature of Property Owner or Authorized Agent"- -- -' i+ Print Property Owner's or Authorized Agent's Name"R.V �L'� D e
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
III
REGU TIONS PART61 OFTITLE 40 AND AQMD RULE
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PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMITEXTENDED
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PERMITFINAL
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ESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED FM UTIO_N
OCCUPANCY ISSUED
SIGNATURE: "� ""