HomeMy WebLinkAboutX2019-1954 - Permitsiiiiiiiiiiiiiiiiiiiii
pew „w City of Newport Beach -Building Division COMB Permit: X2019-1954
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0981-2018
ti Permit Counter Phone (949)644-3288
V $ Inspection Requests Phone (949)644-3255 Issued Date : 06/21/2019
Combination Type - BLDG
Inspection Area : 4
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: 6 INVERNESS LN NB
Description: SFR RETAINING WALL (INSIDE PIL) V X 237 LF
Legal Desc.: N TR 763E LOT 58
Owner:
WILBUR SMITH III
Address:
6INVERNESS LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MOSSMAN ERIC
Address:
2025 W BALBOA BLVD STE B
NEWPORT BEACH CA 92663
Phone:
949-500-7212
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Contractor:
UPRITE CONSTRUCTION CORP
Address:
4300 CAMPUS DR #203
NEWPORT BEACH CA 92660
Phone:
949-877-8877
Con State Lic:
932018
Lic Expire:
06/3012020
Bus Lic:
BT30062515
Lic Exp Date:
03131/2020
2016 Worker's Compensation Insurance
Carrier:
EXEMPT
U Policy No:
NO EMPLOYEES
0 Expire:
0
Building Setbacks
Rear: 15'
Front: 15'
Left: 5'
Right: 10'
y Use Zone:
Parking Spaces: 0
Building Permit Fee: $412.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$O.Oc
CA Seismic Safety:
$0.00
Disabled Access:
$0.0C
Hazardous Mat
$0.0C
Building Green Fee :
$2.00
TOTAL FEE: $414.00
PROCESSED BY:
ZONING APPROVAL:
Architect: MOSSMAN ERIC
Address: 2025 W BALBOA BLVD STE B
NEWPORT BEACH CA 92663
Phone:
949-675.1262 State Lic:CO19718
Engineer:
SKLEPKO WILLIAM
Address:
6840 INDIANA AVE #215
RIVERSIDE CA 92506
Phone:
714-685-6860 State Lic:C-046216
Designer:
Address:
Phone:
Special Conditions:
Fire
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $414.00
?uBLIC `VOPKF APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: Li Tr J 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 reasons) 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 icensure 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 (_) 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
im roved 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://w .leginfo.ca.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 000) of Divion of the Business and Pro as' �1.e
p}I force
and effect. License Class License No DateCContractor Signature G
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 HUNOREO OUSA D DOLLARS (E700,000), IN ADDRION TO THE
30ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th,
Jerformance 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the wcyk forty ich 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
Ill I should becom#subje orens ion p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of Applicant
CLARATION RE S C O LE ING AGENCY
Ireby affirm under pry 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 c rrect.
I agree to comply with all applicable city and county ordina s a at
t we relating to building construction.
I authorize representatives of this city or countyeygr 1 ab v -i aVrcpWty for inspection purposes.nj,,���L
nature of Property Owner or Authorized Agent %�l� �dG Print Property Owner's or Authorized Acent's Name n.,.
DATE BY /hEGULAT ONNS PART 61 O COMPLIANCEATICIN! OF TTLE 0 AN AQMD RULE AL FOR OFFICE USE ONLY
PERMITEXPIRED
❑I$UBMITTED ASBESTOS:NOTIFLATION TO
I - -
PERMITCANCELLEDLJEPA---
PERMIT EXTENDED
qMD
PERMITFINAL
/q
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
OCCUPANCY155UED
%f �3
1G jE
/'
PROPOSED DEMOLITION
SIGNATURE: