HomeMy WebLinkAboutX2022-1202 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
111111111111111111111111111111111111111111111111111111COMB Permit: X2022-1202
x 2 0 2 2 1 2 9 2 Project No : 2544-2019
Issued Date :
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 506 FERNLEAF AVE NB
Description: SFR RETAINING Tx 50 LF, INSIDE P/L
0
Legal Desc.: CORONA DEL MAR BILK 533 LOTS
Owner:
RUCK KRISTIN
Address:
31961 LINDA LADERA ST
YUCAIPA CA 92399
Phone:
Applicant:
TRUAXJAY
Address:
206.5 ABALONE AV
BALBOA ISLAND CA 92662
Phone:
949-285-5594
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $161.00
Plan Check Fee: $140.07
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 : $1.00
TOTAL FEE: $302.07
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
DAVID LOTTIE CONSTRUCTION
Address:
1002 S SHASTA ST
WEST COVINA CA 91791
Phone:
949-235-6400
Con State Lic:
599746
Lic Expire:
08131/2023
Bus Lic:
BT30078595
Lic Exp Date:
04/30/2023
Worker's Compensation Insurance
Carrier: CLEAR SPRING
Policy No: CWC00113400
Expire: 0812812022
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 16'
Front: 15'
Left: 3'
Right: 3'
$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:
9 J
Phone:
State Lic:
ni
Engineer:
LU TA-WEI
Address:
411 E HUNTINGTONDR #107-370
ARCADIA CA 91006
Phone:
626-462-9302 State Lic:C-064216
Designer:
Address:
Di
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $302.07
PUPLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: Yy
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-Builderwill 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).
❑ I 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.govtcalaw.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 f Isio of the Business and Pr ions od an Ice 'a#ull force
and effect License Class License No DateL Contractor Signature
VVORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS I$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.
hereby affirm under 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
`gfmance of the work for which this permit is issued. Policy No.
have 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'
"ance carrier a po y number are
ier A /n Poky tflumt r e2 Expiration Date
of Agent
JI Certify that, in the performance of the work for which this p It is issued, I shall not employ any person in any manner so as to become subject to the workers' ¢ompensati n laws of California, and agre
iat, if I should becogLe spbject to thevaar(cers' compere a W pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a / _ /
E ureof Applicant' Dat _
ICLJ
ECLARATION REG RDING CON TR ON LENDING AGENCY �
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 Co e).
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
I authorize representatives of this city or cou
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
k ordin and state I relating to building construction. rt,, 9p
enterth property for inspection purposes. Jr" l�
nn roperty Owner's or Authorized Agent's Nam i Cat / �Z
D LAR OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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