The URL can be used to link to this page

Home My WebLink AboutX2017-1610 - Permitsy",wtur City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 H r Permit Counter Phone (949)644-3288 v ,x Inspection Requests Phone (949)644-3255 `+jriiu'+"g Combination Type - BLDG COMB Permit: X2017-161 Project No : 2823-2015 Issued Date : 08/22/2017 Inspection Area : 5 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: 4615 BRIGHTON RD NB Description: ADD 30LF X 42" HI RETAINING WALLS CHANGE OF ENGINEER it rkL' E Legal Desc.: N TR 3357 LOT 147 J I Owner SHILOH LLC Contractor: DYER J C COMPANY INC Architect: BALL STEPHEN � � °'? $ L I Address: 4615 BRIGHTON RD CORONA DEL MAR, CA 92625 Phone: 949-419-5266 Applicant: BALL STEPHEN Address: 3B N STONINGTON LAGUNA BEACH, CA 92651 Phone: 949-338-2679 Code Edit : 2016 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: Construction Valuation: $12 Building Permit Fee: $386.00 Plan Check Fee: $342.50 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 : $1.00 FEE: $806.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Address: 1540 S COAST HWY #205 LAGUNA BEACH CA 92651 Phone: 714-809-3258 Con State Lic: 586784 Lic Expire: 03/3112018 Bus Lic: BT98042174 Lic Exp Date: 02/2812018 Worker's Compensation Insurance Carrier: EVERST NATIONAL Policy No: 7600012640 Expire: 02/02/2018 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbina %: Rear: I Front: / Left: / Right: / 'arkina Spaces $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Address: P.O. BOX 9156 LAGUNA BEACH CA 92652 Phone: 949-415-1145 State Lic:C019781 Engineer: TOAL ADAM „ Address: 139 AVENIDA NAVARRO ' SAN CLEMENTE CA 92672 , Phone: State Lic:C-059275 a' Designer: ' Address: Phone: 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 $0.00 PUBLIC WORKS PLAN CHECK BN APPROVAL TO I! 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 Fee Due at Permit Issuance : $806.00 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 items) 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 le 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 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 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 pply 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 Iicensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTR4CTOR'S DECLARATION hereby affirm under penalty of perr �t1ry that I am licensed under provisions C,,hapter 9, commencing with Se io QO of Di' isio 3 of the Business and Profess' e, lic a fLill force id effeet. License Class ,C�� License No �( Contractor Signatyra gff VORKERS' C'OMPFNISATION DECLARATION IA'kNING: FAILURE TO,SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OSI OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urger -penalty of perjury one of the following declarations: kha✓e 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 3nce of tl;e work for which this permit is issued. Policy No. 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' ier and policy number are: Policy Number Date le ui ,vgent - Phone 7F certify that, in tSoa 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 agree if I should become subject , ttleivarl rs' comp�ecn/sati�p/n�l�rnvi'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. c� lature of ApplicanC� te_ Heby affirm unde{penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 nature of Prnnprtv Owner nr Authorized AnAft / 1i C—� Print Property Owner's or Authorized Aoent's Nas46 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to ent a o -identified y for inspection purposes. ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED LJ I SUBMITTED ASBESTOS NOTIFICATION TO -5-(�'C I__I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO l PROPOSED DEMOLITION SIGNATURE: Civil Code). [b006Ht�