HomeMy WebLinkAboutX2019-1483 - Permitst City of Newport Beach- Building Division 11111111111111111111111111111111111111111111111111111111111
tia 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 4 8 3
h s Permit Counter Phone (949)644-3288.
xs... Inspection Requests Phone (949)644-3255
"u:,aaW`' Combination Type -BLDG
0 6 ?�_ S_ -S t WVA I
.Applicant:. TERRY MICHAEL.
Address: 3419 VIA LIDO #455
NB CA 92663
Phone: 949466-0900
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:
Flood Zone:.
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
PEHMIIS EXPIRE. 180 DAYS AFTER ISSUANCE OR LAST VALID INS
$0.00
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6
Job Address:
625 ST JAMES RD NB
$0.00
Description:.
RETAINING WALL (INSIDE P/L) 6'X 302 LF.
Disabled Access:
Legai Desc.:
N TR 1218 LOT 5
$0.00
Owner:
COLLINS BRIDGET
Contractor: GRAYSTONE CUSTOM BLDRS INC Architect:
Address:.
625 ST JAMES RD
Address: ` 3419 VIA LIDO STE 455 Address:
Expire:
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92663
Phone.
Phone: 949466-0900 Phone:.
.Applicant:. TERRY MICHAEL.
Address: 3419 VIA LIDO #455
NB CA 92663
Phone: 949466-0900
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:
Flood Zone:.
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
.$2.00
TOTAL FEE: $819.00
PROCESSED BY:
ZONING APPROVAL:
Con State tic
971085
Engineer:
Lic Expire:
03131/2020
Address:
Bus Lic:
BT30040057
In -lieu Housing Fee:
Lic Exp Date:.
03/3112020
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
9216106-2016
Expire:
08/15/2019
Phone:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %m:
Mechanical %m:
Plumbing %:
Rear: 10'
Front: 20'
Left: 4'
Right: 4'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
COMB Permit: X2019-1483
Project No : 2633-2018
Issued Date: 05108/2019
Inspection Area : 2
:TION.
p.m. No work on Sundays or Holidays
,y
State Lic:
FORBES DALE L s ;;
1800 E 16TH ST #B
SANTA ANA CA 92701 `sr
714.835-2800 State Lic:C-030407
HAMPTON CRAIG
5550 E QUARTERSWAN ST
BOISE ID 83716
Special Conditions:
Planning Department-
Fire Department
. Plan check Fee
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance
_ PUBLIC WORKS APPROVAL:
PLAN CHECK BY:.
GRADING APPROVAL: J IbhI_
APPROVAL TO ISSUE:
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-$a.90
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$819.00
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
_ PUBLIC WORKS APPROVAL:
PLAN CHECK BY:.
GRADING APPROVAL: J IbhI_
APPROVAL TO ISSUE:
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-$a.90
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$819.00
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
is 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
'rofessions 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
nprovements 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
n roved for the purpose of sale).
1, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell a structure that I have 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70f� f Div'sio 3 of the Business and Profes Y s e, a d m, Iicen a is in full force
and effect. License Class License No Date/ Contractor Signature
VORKERS' COMPENSATION DECLARATION Ir
IARNING: FAILURE��LLTb%VSURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:OST OF COMPENftIQd,J AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
j @"N affirm uQQ@r penalty of perjury one of the following declarations:
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 Labor Code, for the
rriance of thework for which this permit is issued. Policy No.
haye and wjJl•rAAif taIn 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' compensatiol
=sue a.r a carrier :nr}policy number are: Expiration Date
�gfrir�f Policy Number P
ry%gf•Agent •• Phone#
Z11 eellify that, in the performance of the work fo 'ch 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 agre,
:at, I s ould 4aGpplEsu/I workers mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SJrfatlh1 of APp11Gan;.G Date
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
iy 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 an a laws relating to building construction.
I authorize representatives of this city or county ter t a ov entifi d property for inspection purposes. / n,y��9 t n `
.,,.smro ..f or.,. Hu rn..n., r.r A,.fh�rhod Anan Print Property Owner's or Authorized Agent's Name Pa 1l 111
PERMITEXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLAYtATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
5 1 / 11 / I PR POSED DEMOLITION UASBESTOS ION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
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