HomeMy WebLinkAboutX2021-3055 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
1:.. Inspection Requests Phone (949)644-3255
tara, Combination Type - BLDG
*X2021-3055* COMB Permit: X2021-3055
Project No : 2859-2019
Issued Date : 02/15/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/15/2025 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: 2027 TAHUNA TER NB
Description: SFR RETAINING WALL W/ 13 CAISSONS 113 LF X 711" HIGH MAX *MARKERS ON SITE* w
Legal Desc.: N TR 2813 LOT 96
Owner:
GARNER
Contractor:
G 8. S ENVIROSCAPES INC
Address:
1927 PORT WEYBRIDGE
Address:
5069 ARROYO LINDO AVE
NEWPORT BEACH CA 92660
SAN DIEGO, CA 92117
Phone:
Phone:
858-242.2854
Applicant:
WOLF DEREK
Con State Lie:
1061626
Address:
3001 REDHILL AVE #4-215
Lie Expire:
12/31/2023
COSTA MESA CA 92626
Bus Lie:
BT30073689
Phone:
949-375-2811
Lie Exp Date:
12130/2023
Code Edit : 2019
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:
Valuation: $80,000.00
Building Permit Fee: $1,049.00
Plan Check Fee: $912.63
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$16.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE : $2,084.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: MARKEL
Policy No: MWC018434
Expire: 04/07/2022
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 10
Left: 4
Right: 4
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Q,r-I= 1,J I
State Lie
FORBES DALE L
1800 E 16TH ST #B
SANTA ANA CA 92701
714-835-2800 State Lic:C-030407
Special Conditions: REV21-1766
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
••••
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$963.38 Fee Due at Permit Issuance : $1,121.00
PUBLIC WORKS APPROVAL: / 7S-
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)
!ction 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
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
Ifessions 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
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,
siness 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
Irovements 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
/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
)ly 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:
my signature Vlow 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 legalll
I a structurothat 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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
'AdtQre of PAegf Qwner or Authorized Agent Date
:E,NSED CONTRACTOR'S DECLARATION
=rebg affirm untler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) of Division 3 of the Business and Pr ions C j re d my license is in full force
f effect. License (lass License No Date 22 Contractor Signatur
�I;tEERS' COMPENSATION DECLARATION
RNING: FAILURE�A) SECURE 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
iT& COMPEIISATIjJill,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
9ftby affirm un(jer 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
.rfomiance o?Uie%o:k for which this permit is issued. Policy No.
00
,0e and rill ViVain 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'
trice cameP and policy number are:
Policy Number
of Agent
Date
I 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 workers' compensation laws of California, and
lat, if I should becorn ssu act to the workers com enssay@�n pros _Loo a of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant l /� 0,z4d,t! — 1 / 19 Date 2 /-T 2 2
iECLARATION REGAVIN�ONSTRUCTION LENDIRG AGENCY
hereby affirm under peYlalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Code).
Ender's Name Lender's Address
y 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 cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or country o enteAe above-jdeayfiedjpropjLrty for inspection purposes.
Owners or Authorized ADent's Name
�Z
ACTION DATE BY F DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED EPA
PERMITEXTENDED AQMD
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF .iP OSED�
OCCUPANCY ISSUED �� ! . SIGNATUREgEM,�LITIO/,,27: