HomeMy WebLinkAboutX2021-3210 - Permits1yr4w'tvy4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3210
a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 2 1 0 Project No : 1678-2021
Permit Counter Phone (949)644-3288
C Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date : ix
Inspection Arearea :2021
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/24/2024 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: 109 TURQUOISE AVE NB
Description: RETAINING WALL (INSIDE P/L) 4' X 60'
Legal Desc.: BALBOA ISLAND RESUB SEC 1 LOT 9 BLK 13 AND LOT 10 BLK 13
Owner: FREIMANN KERRY
Contractor:
DEVCO HOMES Architect:
LINSDAY BRANDON R
Address: 109 TURQUOISE AVE
Address:
13 CORPORATE
PLAZA #102 Address:
151 KALMUS DR #G-1
NEWPORT BEACH, CA
NEWPORT BEACH CA 92660
COSTA MESA, CA 92627
Phone:
Phone:
949-212-3262
Phone:
714-754-4040 State Lic:C035799
Applicant: SAAD ANDREW
Con State Lie:
773220
Engineer:
HAKIM FADY
Address: 151 KALMUS DRIVE
Lie Expire:
01/31/2022
Address:
124 PEONY
COSTA MESA, CA 92626
Bus Lie:
BT30001683
IRVINE CA 92618
Phone: 714-754-4040
Lie Exp Date:
02/28/2022
Phone:
310-422-1536 State Lic:C-075736
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
WC EXEMPT
Address:
Occupancy Group: U
Policy No:
(NO EMPLOYEES)
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 5'
Special Conditions:
No of Units : 0
Bldg Height: 0
Front: 8'
Left: 3'
�.
9 i' `Sh
Right: 3'
i i �' =-�%
Bldg Sprinklers:
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $12 000.00
Building Permit Fee: $280.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $243.60
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$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 W
$0.00
San Dist : $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $524.60
Plan Check Fee
: $0.00 Fee Due at Permit Issuance : $524
0
lu
PROCESSED BY:
PUBLIC WORKS APPROVAL:
'
ZONING APPROVAL:
PLAN CHECK BY:
Q
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
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 icensure 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
at more than five hundred dollars ($500).
] I, 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,
usiness 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
iprovements 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
Tproved 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
Daly 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 licensure under the Contractors' State License Law for the following reason:
y 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
all 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:hftp://www.leginfo.ca.govlcalaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect�7000)�" f the Business and ProfP��ns Code, ease is in full force
nd effect. License Class License No Da I Contractor Signature�11�i
10RKERS' COMPENSATION DECLARATION r/
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
'and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ice of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
carrier and policy number are:
Policy Number Expiration Date
Phone #
rtify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subject to the worker ' mpe lert provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date 1
CLARATION REGARDI TION LENDING AGENCY
ereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 'i de).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
authorize representatives of this city or countyove gntj$ed_grpperty for inspection purposes.
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
I DATE I BY
CERTIFICATE OF IL —a l 1L^
OCCUPANCYISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
L: I SUBM'TTED /,SBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PFOPO�EL DE\;OLITION
'IGOA-URE:
Owner's or Authorized Agent's Name
I FOR OFFICE USE ONLY
Date