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HomeMy WebLinkAboutX2020-2769 - Permitsg+tslso4,. , City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u: Inspection Requests Phone (949)644-3255 �"uroaY'` Combination Type - BLDG *X2020-2769* COMB Permit: X2020-2769 Project No : 2199-2020 Issued Date: 04/2712021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 04/27/2024 OR PERMIT WILL BE INVALID 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 or Holidays Job Address: 5 LEESBURY CT NB Description: RETAINING WALLS (2) 8' x 80 LF & 8' x 80 LF, INSIDE THE P/L'S Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 a.. Owner: ROBERTS LUKE Contractor: MICHAEL ROBERTS HOME BUILDER Architect: Address: 5 LEESBURY CT Address: 6 CALLE ALIMAR Address: NEWPORT BEACH, CA 92660 RANCHO SANTA MARG CA 92688 Phone: Phone: 949-858-7540 Phone: Applicant: SKENDERIAN TODD Con State Lic: 681116 Engineer: Address: 1100 S COAST HWY, #316 Lic Expire: 09/30/2021 Address: LAGUNA BEACH CA 92677 Bus Lic BT30060668 Phone: 949-7155461 Lic Exp Date: 09/30/2021 Phone: Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 2019 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE U Policy No: MIWC255788 0 Expire: 01/24/2022 0 Building Setbacks Rear: 10 Front: 20 Left: 5 Right: 5 Use Zone: Parkina Spaces: n Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 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 : $4.00 Designer: Address: Phone: 3rI 9 Y SKENDERIAN TODD 1100 S COAST HWY, 9316 LAGUNA BEACH CA 92677 .... 949-715-5461 State Lic:C030518 ° ° • • •' KHOURY NADER am•o �••°•� 1278 GLENNEYERE ST#201 •°B° LAGUNA BEACH CA 92651 eo 949-637-8357 State Lic:C-061402 ;°° • •• •. • ° ° os • Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department- General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PAN Plan Check : $0.00 Grading Bond: Electrical W $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 •• o • o 0000 eo 0000°• • o m • •• °ooe• 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 II TOTAL FEE: $2,264.83 Plan Check Fee : $1,051.83 Fee Due at Permit Issuance : $1,213.00 PROCESSED BY: pA � PUBLIC WORKS APPROVAL: / ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: CLL/L 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 ie 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). 1, 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, lusiness 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7G44, 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). 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 legall) ell a structure that) jl@ve 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://www.leginfo.ca.gov/calaw.htmi. lignatura of Properly Owner or Authorized Agent Date XW&D COI4M6tACTOR'S DECLARATION hereby affirm undgr'p'ehalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 000) of Division 3 of t B iness and Professions Cpde and y Ijgens� is in full force rdf?ndt. License Class License No D �/1 Co actor Signatures YpRKERS' COM@EMSATION DECLARATION Q1RAIdG:*FAILURE YGSECITRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATIOKIDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm uprler penalty of perjury one of the following declarations: I:4,1vg 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 th alce of the wo rlefor which this permit is issued. Policy No. vaand 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' compensation, 15y1 0 carriey ft pAicy number are: :arrier ' Policy Number Expiration Date of Agent certify that, in the performance 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 workqrs' compensation laws of California, and agm t, if I uld come,su�bje�tctt to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^/•/ natur pplicant /Y(�G�1 / 1_— Le Vyzhd CLARATI N REGARDING CONSTRUCTION LENDING AGENCY =.reby 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). ider's Name Lender's Address 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 orcounly46 ea theIhov en ledproperty for inspection purposes. (nature of Prooertv Owner or Authorized'ADt �l'KGL.� `0 _ _ Print Property Owners or Authorized Agent' N / Date ACTION DATE — BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED TO PERMITFINAL ly(/�Cyl IZIV 5 1 UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF `( I I PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: