HomeMy WebLinkAboutX2018-0650 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-0650
at r 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 0 6 5 0 Project No : 0534-2018
Permit Counter Phone (949)644-3288
v ar Inspection Requests Phone (949)644-3255
Issued Date: 0310712018
Combination Type - BLDG Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2848 CAROB ST NBA /IRa
Description: RETAINING WALL 66" x 50 LF INSIDE PIL f
Le al Desc.: N TR 5018 LOT 118
g HAYFIELD HARDSCAPE Architec*,
Owner.
STEFFANS NATE
Address:
2848 CAROB ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
HATFIELD SEAN
Address:
1572 RAINBOW DR
SANTA ANA CA 92705
Phone:
714-600-9388
Code Edit: 2016
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:
Construction
Building Permit Fee: $386.00
Plan Check Fee: $342.50
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:
$ilm
FEE: $771.00
PROCESSED BY:
ZONING APPROVAL:
Contractor.
Address:
2414 FRENCH
SANTA ANA CA 92706
Phone:
714-600-9388
Con State Lie:
899809
Lie Expire:
07131/2019
Bus Lie:
BT30057128
Lie Exp Date:
1113012018
Workers Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
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: I
Front: I
Left: /
Right: /
larkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Address
Phone: State Lie
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone:
714-630-6100 State Lic:C-067656
Designer:
Address:
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
$0.00
PUBLIC WORKS /
PLAN CHECK BY:
79
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $771.00
"DING APPROVAL: / APPROVAL TO ISSUE:
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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Usiness 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).
1, 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
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).
7 1 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 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
'rofessions Code, '3 available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw. MITI.
signature of PropArry nwner or Authorized Agent Date
(C5NSED CONTRACTOR'S DECLARATION
nereby affirm uodur penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section j(1g) of Division 3 of the Business and Professions deiand m nse is in full force
nJ effect. License Class License No DateK—, Jo3—o7 ZO/gContractor Signatur e=
COMPENSATION DECLARATION
IN(,: FAILURE TO SECLRE 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
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hArilw affirm under penalty of perjury one of the following declarations:
i,r,ve 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
:r:rance of the work for which this permit is issued. Policy No.
have and wul 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' compensa
, al,:e carrier and policy number are:
Policy Number Expiration Date
Phone #
6 that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
should become subje5tA"he workers' cgippensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date�� b?-O `7-Z,9(S
DECLARATION REGIARDINGI ONURIUCT10N LENDING AGENCY
I hereby affirm under ena ty of pegq'r fyy that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 ordina s and state la -r elating to building construction.
I authorize representatives of this city or count to en he above-ident' d property for inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam
ACTION DATE BY DECLARATI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIO PART 610E TITLE 40 AND AQMD RULE
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
OAQivio
PERMITFINAL
/Q.
S fir'U
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
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/
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: