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 °
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LAGUNA BEACH CA 92651
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949-637-8357 State Lic:C-061402 ;°°
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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
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$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: