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HomeMy WebLinkAboutX2022-1027 - Permitswrr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2022-1027 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 0 2 7 Project No : 0638-2020 r, * Permit Counter Phone (949)644-3288 a #� Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : /07/2022 Area �raY Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410712025 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: 417 HELIOTROPE AVE NB Description: SFR RETAINING WALLS 42" HIGH MX X 152 LF INSIDE P/L *MARKERS ON SITE* REV22-0578 Legal Desc.: CORONA DEL MAR LOT 13 BLK 334(NELY 5 FT LOT 11 BLK334 Owner: BILLINGS THOMAS Contractor: BJ SCOTT & ASSOCIATES INC Architect: Address: 13681 NEWPORT AV #8-316 Address: P O BOX 297 Address: TUSTIN CA 92780-4689 YORBA LINDA CA 92885 Phone: Phone: 714-779-8886 Phone: State Lie: Applicant: HAMPTON CRAIG Address: 5500 E QUARTERSAWN ST BOISE ID 83716 Phone: 949-209-8883 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 : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $15 000.00 Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $673.97 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 718333 Lie Expire: 01/31/2024 Bus Lie: BT30067214 Lie Exp Date: 04/3012023 Workers Compensation Insurance Carrier: NO EMPLOYEES Policy No: BRADLEY SCOTT Expire: Building Setbacks Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 15 Left: 3 Right: 3 king Spaa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Address: Phone: Special Conditions: Fire 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 Plan Check Fee : $0.00 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 Fee Due at Permit Issuance : $673.97 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 not 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, 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). 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 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 Iicensure 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 pennit, 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 P•c?.rty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herby affirm linder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Prof ions Code and my license is in full force 'aim Pffect. License Class License No Date z z Contractor Signater WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMP,FNSATIO:I, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,hereJy affirm under 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 the ,perforance of the work for which this permit is issued. Policy No. I have and will ms'ntain 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' urabce camar wid j)olicy number are: Policy Number of Agent _ Date 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 )ecome4ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of ;reby affirm under p@nklty oT perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section ider's Name VV Lender's Address 3y 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 and state laws relating to building construction. I authorize representatives of this city or county niter the above -identified pro. rty for inspection purposes. signature of Property Owner or Authorized Agent,. - _--- Print Property Owner's or Authorized Ag ACTION DATE BY V I D RATION OF COMPLIANCE WITH CODE OF FEDERAL 7FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL L —VILp-r CERTIFICATE OF \ �' OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EPA SIGNATURE: IS NOTAPPLICABLE TO laws of California, and >l 7/�