HomeMy WebLinkAboutX2020-2668 - Permitsv,110* City 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
COMB Permit: X2020-2668
Project No : 0951-2020
Issued Date, 12I0112020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12102/2023 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: 850 SAN CLEMENTE DR NB
Description: COMM RETAINING WALLS 13'4" MAX HEIGHT X 38 LF (INSIDE PIL)
Legal Desc.: P BK 81 PG 8 PAR 2 ,
Owner: VIVANTE NEWPORT CENTER LLC Contractor: NEXUS CONSTRUCTION SERVICES INC Architect:
HARRIER DONALD
Address: 1 MACARTHUR PL #300 Address: 1 MACARTHUR PLACE SUITE 300 Address: 1030 TEHAMA AVE
SANTA ANA CA 92707 SANTA ANA CA 92707 MENLO PARK CA 94025
Phone: Phone: 714-546-5600 Phone: 415-356-3800 State Lic:CO21353
Applicant: ERES ROBERT
Address: 1 MACARTHUR PL #300
SANTA ANA CA 92707
Phone: 7141546-5600 X220
Code Edit : 2019
Type of Construction: VB
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:
Flood Zone: X
11 Construction Valuation: $30,000.00
Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,142.58
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
767678
Engineer:
VANDERVIS JACOB
Lie Expire:
08/31/2021
Address:
701 N PARKCENTER DR
, • , ,
Bus Lie:
BT30071422
SANTA ANA CA
'
Lie Exp Date:
0313112021
Phone:
714-560-8200 State Lic:C-046301
'
Worker's Compensation Insurance
Designer:
Carrier:
OAK RIVER INS
Address:
Policy No:
NEWC009913
Expire:
07/0112021
Phone:
Building Setbacks
Rear: 5'
Special Conditions: REV20.1772
Front: 15'
Left: 5'
Right: 5'
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$46.25 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$327.18
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Grading PC Fee:
$71.82
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$43.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee : $575.58 Fee Due at Permit Issuance : $567.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
r'� APPROVAL TO ISSUE: �7 V
'A
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
is 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 Iicensure 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).
1, 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,
lusiness 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 if property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from lic ,nsure under the Contractors' State License Law for the following reason:
Iy my s'C�ature below ' icknowledge 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
all 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
1ro6ess;,tns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
;Irrgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
Fereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of D'vis n 3 of the Business and Pr ssion a and BOSS is in full force
nd effect. License Clabs License No Date Contractor Signatur"
VO PKG`RS' COMPENSATION DECLARATION
IPPNIN " FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE
CST OF COMPENSAT'ON, ri MAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undi, peralty of perjury one of the following declarations:
I have and will tnamtain 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
eyformance of the v:cd: 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'
carrier and policy number are:
Policy Number
of Agent
Date
JI 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 Egret
iat, if I should become ubject to thew rs' ebmpensatiosions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applican a I��---i�—�v`�� D
IECLARAT10N REG ❑I NMSTRUCTTON LtM7rff_GWGENtY
hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
ender'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 count ordinances an tate law lating to building construction.
I authorize representatives of this city or county o
nter the r y for inspection purposes. n /
2 Z
Signature of Property Owner or Authorized Agent
Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
BY
PtCLAIRATICN OF COMPLIANtE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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PERMIT EXTENDED
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PERMITFINAL
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