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HomeMy WebLinkAboutX2022-0522 - Permits„ .,,,`;�, City of Newport Beach - Building Division *X2022-0522* COMB Permit: X2022-0522 �„ '*-r 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0469-2022 r 1% Permit Counter Phone (949)644-328B iY Inspection Requests Phone (949)644-3255 �`'*;. A �-� f'� s . Issued Date : 02122/2022 �:;�;�..µ,,,� Combination Type - BLDG 1 i �d % '" �ti-JT0 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 02/22/2025 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: 520 CARNATION AVE NB " Description: SFR RETAINING WALLS 6' HIGH X 60 LF INSIDE P/L *MARKERS ON SITE* - • - Legal Desc.: CORONA DEL MAR BILK 531 LOT 22 FOR ABAND ST . Owner: SITYLL KEITH/JANETTE Address: 520 CARNATION AVE CORONA DEL MAR, CA 92625 Phone: Applicant: HUSBAND TIM Address: 833 DOVER #7 NEWPORT BEACH, CA 92663 Phone: 949-795-4881 Code Edit : 2019 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: Building Permit Fee: $331.00 Plan Check Fee: $287.97 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 : $1.00 Contractor: INSTANT LANDSCAPES Architect: Address: 833 DOVER DR STE7 Address: NEWPORT BEACH CA 92663 Phone: 949-347-0700 Phone: State Lic: Con State Lic: 842586 Engineer: FORBES DALE L Lic Expire: 07/31/2022 Address: 1800 E 16TH ST #B Bus Lic: ST30072973 SANTA ANA CA 92701 Lic Exp Date: 09/30/2022 Phone: 714-835.2600 State Lic:C-030407 Worker's Compensation Insurance Designer: Carrier: PREFERRED PROF Address: Policy No: ON1166201 Expire: 08/15/2022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 2.5 Front: 10 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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 Zone: N Fire Department $52.00 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 TOTAL FEE: $675.97 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $675,97 PROCESSED BY: �- PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING 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 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 sale 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 iimproved for the purpose of sale). I, Ps owner or 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 to an owner at 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: % 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 t. at 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 Corte, Is Pvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prooertv Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I `•,:-shy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Division 3 oche Business and Pro ion and my lic n e is in full force and eff=ct. License Class License No Date ontractor Signature WORKERS' COI\,Pn-NSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAHS ($100,0 ), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm m ioer 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 thi jperformance 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 Expiration Date me of Agent I certify that, in the performance of thh1work for which th4 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 It, if I should become u ct to ers' compensati n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )nature of Applicant Date2—ZZ-2Z_ :CLARATION REGA6ING bQXSTVUCTION LENDING GENCY 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 ode). nder'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 beha f. I have read this application and the information I have provided is Correct I agree to comply with all applicable city and co rdin c s and state aws relating to building construction. I authorize representatives of this city or coup to en thhi ve-idenf d property for inspection purposes. A ACTION DATE BY " DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED AQMDIFIC PERMITFINAL (,—'�—ti'i �(_ SBESTI$S \ ION IS OT NPLICABLE TO CERTIFICATE OF ROP D OU OCCUPANCY ISSUED SIGNATURE: