HomeMy WebLinkAboutX2021-3132 - Permits$w o� City of Newport Beach - Building Division
1 100 Civic Center Drive, Newport Beach, CA 92660
., Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r#w �� Combination Type - BLDG PLUM
*X2021-3132* COMB Permit: X2021-3132
Project No: 1998-2020
Issued Date : 1111812021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111812024 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: 1627 HARBOR CREST CIR NB
Description: SFR BLOCK WALL 6' HIGH X 19 LF "INSIDE PIL" & GASLINE TO FIRE PIT
Legal Desc.: TRACT NO 7247 LOT 13 AND POR ABAND STREETS (HARBOR CREST CIRCLE AND p1�` p�
Owner: HEGENERJOSEPH Contractor: DANIEL GARRISON MAC BETH Architect: I1 SPr- � 6-@
Address: 1627 HARBOR CREST CIR Address: 37 PARKCREST Address: � t
CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92657
Phone: Phone: 949-5B4-4999 Phone: State Lie:
Applicant: MACBETH DANIEL
Address: 37 PARKCREST
NEWPORT BEACH, CA 92625
Phone: 949-584-4999
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:
Building Permit Fee: $195.00
Plan Check Fee: $169.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $489.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
700795
Lie Expire:
12/3112022
Bus Lie:
BT30047260
Lie Exp Date:
05/31/2022
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 55
Left: 6
Right: 6
parking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17.55
Plan Check Fee
01
0
Engineer: MANSHADI FARHAD a°°°°•
Address: 1800 E 16TH ST UNIT B
SANTA ANA CA 92701 ......
Phone: 714-835-2800 State Lic:C-036840
0
Designer:
Address:
Phone:
Special Conditions: REV21-1818
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W 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:
o m
m0000°
o° o
o a o
0 00
0
000°
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$272.40 Fee Due at Permit Issuance : $217.55
PUBLIC WORKS APPROVAL: AJ
PLAN CHECK BY:
APPROVAL TO ISSUE:
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0
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0 0 0
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0
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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)
(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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent to
LICENSED COATR&TOR'S DECLARATION
Iberebyefnrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectlo 7 )r DjyisioF f the Businte and Profpsnsde, and my license is in full force
@Pflt?f8Ct. Licg*g��$s License No )at !! XX << Contract gnature
W'II��ORKERS' COMPENSATION DECLARATION
4RIAIWCy.1FAILURE TO 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm under pewalty of perjury one of the following declarations:
and WTlea9gtain 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
;e of the Wb?k for which this permit is issued. Policy No.
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'
carrie6and,f1'oLcy number are:
Policy Number Expiration Date
certify that, in the per, orm�efor or
which this permit is issued, I shall not employ any person in any manner so as to become subject to the
if I should become subje , to the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of A (cant � v
CLARATI GARDING 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
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 hav91theove-identified
Is corr ,G--�—
I agree to comply with all applicable city and countyand state laws relating to building construction.
I authorize representatives of this city o co ty toe r property for inspection purposes.nature of Prooertv Owner or Authorized nt Print Property Owners or Authorized Agen[;yNpme�A.f7/F/
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED
OEPA
PERMIT EXTENDED
OAQMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
-I- Z,
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:
compensation laws of California, and
( - /A - Li
Civil Code).