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Home My WebLink AboutX2020-2877 - Permits (3)E%*V City of Newport Beach - Building Division *X2020-2877' COMB Permit: X2020-2877 p� v100 Civic Center Drive, Newport Beach, CA 92560 Project No : 1400-2020 Permit Counter Phone (949)644-3288 `- Inspection Requests Phone (949)644-3255 Issued Date : 12/10/2020 Combination Type - BLDG 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: 440 FERNLEAF AVE NB Description: RETAINING WALL 98 LF X 5' H MAX Legal Desc.: CORONA DEL MAR BILK 433 LOT 22 N S E C O Owner: GALLO BUILDERS INC Contractor: Y^ GALLO BUILDERS INC Architect: BRANDON CHRISTOPHE 1 Address: 1105 N COAST HWY Address: 1278 GLENNEYRE ST #412 Address: 151 KALMUS DR #G-1 LAGUNA BEACH, CA 92651 LAGUNA BEACH CA 92651 COSTA MESA CA 92626 Phone: 949-715-9874 Phone: 949-683-3500 Phone: 714-7544040 State Lic:C031637 " Applicant: GALLO BUILDERS INC Con State Lie: 852218 Engineer: MANSHADI FARHAD Address: 1278 GLENNEYRE ST #412 Lie Expire: 01/31/2021 Address: 1800 E 16TH ST UNIT B LAGUNA BEACH CA 92651 Bus Lie: BT30028998 SANTA ANA CA 92701 - Phone: 949-683-3500 Lie Exp Date: 08131/2021 Phone: 714.835-2800 State Lic:C-036840 Code Edit: 2019 Worker's Compensation Insurance Designer: , Type of Construction: Carrier: STARNET INSURANCE Address: Occupancy Group: U Policy No: BNUWC01522628 .. Added /New sq.ft. Bldg: 0 Expire: 11/2012021 Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: PERMIT REVISED 01-13-21 .. No of Units: 2 Front: 15' Bldg Height: 24 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: R-2 Parking Spaces: 4 Fire Hazard Zone : N Construction Valuation: $50,000.00 Building Permit Fee: $799.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $695.13 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Sham: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,496.13 Plan Check Fee : $1,496.13 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: &6*00 PLAN CHECK BY: GRADING APPROVAL: Jt44A APPROVAL TO ISSUE: OWNER -BUILDER 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 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 sole compensation, will do (_) 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 iimprovements 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). ❑ 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 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 Rvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Propertv Owner or Authorized Agent Date LiCENSD CONTRACTOR'S DECLARATION I hereby €ffrm ur.da: acralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effeo. License Class License No Date Contractor Signature WORT ERS' COMPENSATION DECLARATION AFNING. FAILURE -C ^.CC'D!E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE CUST'OF CJMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: F. ! h3-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 IN perromlance of the work for which this permit is issued. Policy No. have and wil: ma:ntLin 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' nnre carrier and policy number are: Policy Number Expiration Date of Agent Phone # 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 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 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 enter the above -identified property for inspection purposes. 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 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL 3 Cf I� 2�1 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF L PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: