HomeMy WebLinkAboutX2016-0226 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-0226
0�.. *�� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 6 9 2 2 6 Project No : 0161-2016
Permit Counter Phone (949)644-3288
'yn Inspection Requests Phone (949)644-3255 Issued Date : 0211112016
Combination Type - BLDG
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday7:00 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: 157 SHORECLIFF RD NB
Description: SITE RETAINING WALLS MAX 10'6" HI X 200 LF & 4' X 10 LF (INSIDE PIL, NARKER ON SITE) X2013-3405 _
Legal Description: N TR 1116 LOT 109
Owner: WHELAN JOHN
Contractor:
SEACREST DEVELOPERS
Architect:
$
Address:
Address:
Address:
u A
228 HAZEL DR
755 W 17TH ST
#A
Phone:
Phone: CORONA DEL MAR CA 92625
Phone:
COSTA MESA
CA 92627
State Lie:
949-760-1885
949-499.1381
Con State Lie:
Engineer:
RIOS CALEB
6; ;
Applicant:
Address: VILLALPANDO ALEX
Lie Expire:
P
803634
Address:
.. Bus Lie:
0113112020
139 AVENIDA NAVARRO
Phone: 1401 QUAIL ST, STE 120
Lie Exp Date:
BT30063675
Phone:
State Lic:
SAN CLEMENTE CA 92672
c
NEWPORT BEACH CA 92660
06/3012019
g49492-8566
yw --
949-851-8345 '
C-057587
Code Edit: 2013
Worker's Compensation Insurance
P
Designer:
Type of Construction
Carrier:
STATE FUND
Address:
Occupancy Groups U
Policy No:
9034365
Phone:
Added/NewITI sq. ft. Bldg: 0
Expire:
12/01/2019
Added/New sq. ft. Garage: p
Stories:
Building Setbacks
Build
Special Conditions: *REVISED 06/2612019
"n or
of Units: U
Front:
25
REV19-1067
Height: 0
Left:
g
ig Sprinklers:
Use Zone:
Right:
Parking Spaces:
6
p
Fire Hazard Zone:
N
Flood Zone: X
Construction Valuation: $30,000.00
Building Permit Fee: $483.00
Excise Tax:
$0.00
Planning Department -
$0.00
Fire Department
Fire Inspection:
$0.00
Plan Check Fee: $420.21
Additional Fee :
$0.00
$0.00
Plan check Fee :
Fair Share:
$0.00
Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
$0.00
Grading Bonds Fee:
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Investigation Fee:
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
$0.00
General Service
Refund Deposit
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee: $106.00
Park Dedication :
PAN Plan Check: $0.00
Grading Bond:
$0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $1,048.71
... Plan ChevK''Fee :1
$1,048.71 Fee Due at Permit Issuance :
$0.00
-
PUBLIC WORKS APPROVAL:
PROCESSED BY:
_
7
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
_
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 U 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).
❑ 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 legally
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.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) o D' isio 3 f the Business and Prafesdrde, and license is in full force
and effect. License Class License No Date Contractor Signat�
NORKERS' 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST 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:
1 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 IN
1PJ/brmance of the work for which this permit is issued. Policy No.
have and w' 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'
ranee Carrie rid Icy number e: /1
ier A _ ��e C— P IcyNumber Expiration Date
of Agent
-11 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 agre
iat, if I should become su 'act to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignature of Applicant XCIvill
IECLARATION REG DI CONST L N IN AGENCY
hereby affirm under natty of perju that th a is a construction lending agency for the performance of the work for which this permit is issued (Section 30Code).
ender's Name Lender's Address
ly 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 ate laws relating to building construction.
I authorize representatives of this city or countyt#nter the ab jp§fied, pryperty for inspection purposes.
Signature of Property Owner or Authorized Agent 11 l i°f.1f d'/Jr 7i _ Print Pro
ACTION DATE BY I DECLARA ON C - PfIANCE WITH CODE OF FEDEI
REGULAT NSPA 61 OFTITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
' AQMD
PERMITFINAL
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION
A4
OCCUPANCYISSUED
I (7
SIGNATURE:
Owner's or Authorized AD
I FOR OFFICE USE ONLY
- All ,aclu'reo warm,, latches gates ajhd fences which serve as part of a pool/spa barrier, shall
be :n place pnor rn dpprovalioj'ill,�pool/spa & shall remain in place & be maintained forthe
life of the pool. ,
City of Newport Beach - Building Division �1111 11111111111111111111111111111111111111111111111111 111
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 2 2 6
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
COMB Permit: X2016-0226
Project No: 0161-2016
Issued Date : 02111/2016
Inspection Area : 5
Job Address: 167 SHORECLIFF RD NB
A.q?
Description: SITE RETATINING WALLS MAX
10'6" HI X 200 LF (INSIDE P/L) X2013-3405
6
Legal Desc.: N TR 1116 LOT 109
Owner. WHELAN JOHN
Contractor:
SEACREST DEVELOPERS INC Architect:
Address: 228 HAZEL DR
Address:
755 W 17TH ST
#A Address:
CORONA DEL MAR CA 92625
COSTA MESA
CA 92627
Phone: 949-760-1885
Phone:
949499-1381
Phone:
State Lic:
Applicant: VILLALPANDO ALEX
Con State Lic: 803634
Engineer:
RIOS CALEB
Address: 1401 QUAIL ST, STE 120
Lic Expire:
01/31/2018
Address:
139 AVENIDA NAVARRO
NEWPORT BEACH CA 92660
Bus Lic:
BT30032302
SAN CLEMENTE CA 92672
Phone: 949-851-8345
Lic Exp Date:
06/30/2016
Phone:
949492-8586 State LicC-057587 ......
Code Edit : 2013
Worker's Compensation
Insurance
Designer:
Type of Construction:
Carrier:
STATE FUND
Address:
Occupancy Group: U
Policy No:
9034365
,
Added /New sq.ft. Bldg: 0
Expire:
12/01/2016
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
'
No of Units : 0
Front: I
Bldq Height: 0
Left: /
'
31dg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
_
Construction Valuation: $30,000.00
Building Permit Fee: $483.00
Excise Tax:
$0.00
Planning Department -
Fire Department
'
Plan Check Fee: $420.21
Additional Fee :
$0.00
Plan check Fee :
$37.50 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$106.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,048.71
Plan Check Fee :
$457.71 Fee Due at Permit Issuance :
$591.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
TVP
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
.he 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
iot 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,
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
mproved 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 Iegall�
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.ce.gov/calaw.html.
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 7000Lof D is n 3 of the Business and Professions nd my license is in full force
and effect. License Glass License No Date : d� Contractor Signature T '
VIORKERS' COMPENSATION DECLARATION
EARNING', FAILURE TO F-CIIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSAr.DN, EAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I�he,ebv'affirm und-Ir penalty of perjury one of the following declarations:
1 hive and v-II maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr
pattormance of the work for which this permit is issued. Policy No.
Iy7;N11 have and wil' m.a:rtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
inclrmrce carrier and policy number are:
le 0, Agent
cerhfy that, in the performance
,f I should jecome subjpt tql
of
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date ��J/ 115
CLARATION REGARbING CONSTRUCTION LENDING AGENCY
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinarrwts state laws relating to building construction.
I authorize representatives of this city or county tc erytery,(� -id tified property for inspection purposes. / � D 5 ��
nature of Property Owner or Authorized Agent y Print Property Owner's or Authorized Agent's Name y j� i Date I
ACTUM nATF
By
DECLARATION OF COMPLIANCE WITTR CODE OF
FUN UFR$L'E OSE UMT
FEGER4L RECULATiONS PART 61 OF TITLEa6 AND
AOMD RULE 1403.
❑ 1 SffflLflTTfndSllr'ST(.)*, M)TfrK 4T )N TO:
❑ EPA
❑ AQ110
PFRIXT FYPA?;:n
PE,7fvFT WKELLEU
PERIXTEYTEKBIED
0 ASBESTOS NO77FICATHA7LS NOTrPPLICABLE TO
PROPOSED CEMOUTION.
PEr MITTNVAL r11
CER7FrCATECF V"
SIUNA I UHL:
OCCUDANCYiSSUED