HomeMy WebLinkAboutXR2022-1948 - Permits��EWPORT City of Newport Beach
@ Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
ems„ Inspection Requests Phone: (949) 644-3255
°9crFnar`P newportbeachca.gov/inspections
Combination Type -
II I I I I II I II I III III III I II CIOMB Pan k N 14 IAR2022�� 948
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InspeIssuect on Area/:i5 2022 4�a'
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE �..`",,>
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS s
Job Address : 552 SEAWARD RD Legal Desc
Description : NEW RETAINING WALL 4.5 FT HI X 130 LF (INSIDE P/L).
Owner: BRYAN ROGERS CALIFORNIA RESIDENCE Contractor:
TRUST
Address : 552 SEAWARD RD CORONA DEL MAR, CA Address
92625
Phone
Applicant: COASTLINE CONSTRUCTION & CONSULTING
Address: 8770CLUB HOUSE DR DESERT HOT
SPRINGS, CA 92240
Phone: (949)444-1522
N TR 1237 BILK LOT 178 TRACT NO 1237 LOT 178 AND TRACT NO 147 95 LOT 4
Phone:
Con State Lic
Lic Expire:
Bus Lic:
COASTLINE CONSTRUCTION
CONSULTING
8770 CLUB HOUSE DR DESERT HOT
SPRINGS, CA 92240
(949)444-1522
987292
09/30/2023
BT300
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
& Architect: ANDRADESTANLEY
Address : 2880 S COAST HWY LAi 13114A BEACH, CA
92651
Phone: (949)715-7474
State Lic
Engineer: BURKE LEO "I , °
Address : 34167 PACIFIC COAST -H\A[Y #D DANA
POINT, CA 92629
Phone: (949) 226-7130
Designer: -
Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO Construction Valuation : $40,000.00
Type of Construction :
Fire Hazard Zone : Y
Occupancy Groups :
U
No of Units : 0 Added/New/TI sq. ft. Bldg : 0
Bldg Height:
No of Stories : Added/New sq. ft. Garage : 0
Building Setbacks :
Front: 5, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone :
R-1-6000 - Single -Unit Resider aV
(6000 indicates minimum lot area)
PROCESSED BY
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
the permit to fife 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 Licensors 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 properly who, through employees' or personal effort, builds or improves the property, provided [hat the
Improvements arenot intended cr oftared 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 10 construct the project (Section 7044, Business and. Professions Code: The Contractors' Slate License Law does not
r6LJ
ply 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 licansure 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 available upon request when this application Is submitted or at the following Web site:http:/l�,leginfo.ca.govicalow.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penal�f pequry that I am licensed under provisior}�of Cha:,pter 9 dDmmencing with Section 700 of Division 3 of th these an I nd y license is in full force
and effect. License (;lass "� License No ��y Z `3rZ Date( P�— Z2 Con rector Slgnatu.
WORKERS' (:nMPENSATION DECLARATION
'VA11"WC FAILURE. TO SECURE WORKERS' COlAPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CmMMAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND UOL $100,000), IN AMMON TO THE
JDST OF COMPEN3A"ON, DAMAGES AS PROVIDER FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
El 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 IN
donor. nance of L u, .,jA for which this permit is issued. Policy No,
have and 01 meimain workers' compensation insurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is issued. Any workers'
rano-e carrier and policy number are:
rf Agent
r0fy that, I 1 die performance of
should ct t the
ore of Aookcaui'
Policy Number
Date
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 age
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply min those provisions.
Date��L
hereby affirm under penalty of perjury at th re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.endar s Name Lender's Address _
ly my signature below, I certify to each of the following.:
I am the property owner or authorized to acton the property owner's behalf.
have read this application and the information I have Orovtdatl' correct.
I agree to comply with all applicable city and county ordinances nd to laws relating to building construction.
I authorize representatives of this city un y to th e-i ntified property for inspection purposes. 1
SI nature of Property Owner or Authoriz Agent Print Property Owner's or Authorized Agent's Nam Vjl SI>k,
ACTION DATE ay ' {L O CONIPUANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY
I REG IJLATh SPA F1 OF TITLE 40 AND RQMD RULE
PERMITFXPIRED
1 LJ 15URMITTEU ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMfTCANCELLED
' CPA
FERNIIr EXTENDED
I ngMD
be in place prior to approval to fill pool/spa &.shall remain in place & be maintained for the
life of the pool.
w-ITFINA PEL.
3 ZASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
r+ljl PROPOSED DEMOLITION
OCCUPANCY ISSUED
+ SIGNATURE: