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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 •oo°o° 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: eooQno m n o c00000 c � pope 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. �rk'�•- ��l 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 1 3 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED QAQMD PERMITFINAL II Ii, ?o ,,ff �^ ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED FM UTIO_N OCCUPANCY ISSUED SIGNATURE: "� ""