HomeMy WebLinkAboutX2022-0894 - Permits�r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
w.,... Inspection Requests Phone (949)644-3255
Combination Type - BLDG
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NO CONSTRUCTION NOISE
PERMT 180 DYS AFTER ISSUANCE OR LAST VALID INE �0MrYB�B�[i b b"
Conlstruct on HoursAMonday Friday 7.00 a m
to 6.30 p mSPaS'�tu
Job Address:
2621 ALTA VISTA DR NB
Description:
SFR (2' HIGH X 50' LONG)PLANTER WALLS & (8' HIGH X 45'-4"'
LONG) CMU WALL W/ 4'8" RETAINING.
Legal Desc.:
N TR 4893 LOT 111
Owner:
CNQST LLC Contractor:
BRYAN PACIFIC BUILDERS Architect:
Address:
2621 ALTA VISTA DR Address:
413 CALLE DELICADA Address:
NEWPORT BEACH, CA 92660
SAN CLEMENTE CA 92672
Phone:
Phone:
714-360-4488 Phone:
Applicant:
KENT ART
Address:
619 16TH ST
HUNTINGTON BEACH, CA 92648
Phone:
714-272-1624
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Rldn Rnrinklars Y
Con State Lic:
585047
Lic Expire:
02/29/2024
Bus Lic:
BT30066161
Lic Exp Date:
1113012022
Worker's Compensation Insurance
Carrier: PREFERRED PROFESSIONAL INS
Policy No: ON1212001
Expire: 12/18/2022
Building Setbacks Rear: 6
Front: 20
Left: 6
Right: 6
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
COMB Permit: X2022-0894
Project No : 0824-2022
Issued Date : 05/04/2022
Inspection Area : 4
TED BY OR PERMIT WILL FJE INVALID
p.m. No work on Sundays or Holidays
State Lic:
WU FRANK H
68 BLUECOAT
IRVINE CA 92620
949-832-0250 State Lic:S-002025
KENT ART
619 16TH ST
HUNTINGTON BEACH CA 92648
Special Conditions: LIQUEFACTION & HIGH
DENSITY AREA
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $10.000.00
Building Permit Fee: $246.00
Excise Tax:
$0.00
Planning Department -
Fire Department
$0.00
Plan Check Fee: $214.02
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
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
$0.00
Record Management: $6.00
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
PM/ Plan Check :
$50.75
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $569.77
Plan Check Fee :
$316.77
Fee Due at Permit Issuance :
$253.00
PROCESSED BY:
ZONING APPROVAL:
F'JBLIrt WORKS APPROVAL:
Ht.AN OHRCK BY:
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 items)
(Section 7C31.5, 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).
❑ 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,
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).
❑ 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 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 permit, I cannot legall)
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 Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 Di "sion the Business and Pr fessions de 'iSo is in full force
t and effect. License Class License No Date Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST 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
:e of the work for which this permit is issued. Policy No,
have 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'
1e of Agent - \ 1
certify that, in t e performance of th work for which this
if I should become subject to the workers' compeRmatic,
Expiration Date
ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
of S CI 0 of the Labor Code, I shall forthwith comply with those provisions. L!
nature of Applicant
CLARATION REG^DrrfG CONSTRUCTIO G AGENCY
)reby 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).
lder'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 own 'S behalf.
I have read this application and the information I have provide rect.
I agree to comply with all applicable city and county ordina st s relating to building construction.
I authorize representatives of this city or county tnt y roperfy for inspection purposes.
nature of Prooertv Owner or Authorized AGent V Print Prooertv Owner's or Authorized Aoent's Name Z Dat
ACTION
DATE
BY r
'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 610F TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
UEPA
PERMIT CANCELLED
PERMIT EXTENDED
UAQMD
PERMIT FINAL
ASBESTOS NOTIFICATION 15 NO I APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: