HomeMy WebLinkAboutX2020-1444 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
IIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIII�III II COMB Permit: X2020-1444
r Project No : 1123-2020
Issued Date : 0612412020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612512023 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: 3928 E COAST HWY NB
Description: RETAINING WALL & SEWER LIFT STATION
Legal Desc.: TRACT NO 673 BLK BLOT 5657 & 58 AND POR ABAND ALLEY
Owner: HANNA MAGDI
Address: 3345 NEWPORT BLVD #203
NEWPORT BEACH, CA 92663
Phone:
Applicant:
TUCKER KEITH DUANE
Address:
PO BOX 8133
HUNTINGTON BEACH CA 92615
Phone:
714-308-8355
Code Edit: 2019
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 : 6
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $426.00
Plan Check Fee: $377.50
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
TOTAL FEE: $923.70
PROCESSED BY:
ZONING APPROVAL:
Contractor:
PINNACLE RESIDENTIAL
Architect:
Address:
26050 ACERO 9302
Address:
MISSION VIEJO, CA 92691
Phone:
(949)207-3270
Phone:
Con State Lic:
960700
Engineer:
Lic Expire:
05/31/2021
Address:
Bus Lic:
BT30062471
Lic Exp Date:
03/3112021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMPENSATION INSURANCE Address:
Policy No:
9066724
Expire:
051101202'1
Phone:
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear. jp'
Front: 1 S '
Left: 12hI)l
Right:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$71.70
State Lic: - -
TUCKER KEITH DUANE
PO BOX 8133 -
HUNTINGTON BEACH CA 92615 '
714-308-8355 State Lic:C-032276 '
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNJ Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $452.36
Fire D6brtihM'
$41.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
TO
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $471.34
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
Ie 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
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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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 licensure 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
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:http://www.leginfo.ca.gov/calaw.html.
Iignature of Property Owner or Authorized Agent Date
'CENSF:D CON)11ACTOR'S DECLARATION
f=ereby Pffirm upoer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio000) of Division 3 of the Business and Professi s de and my li 6nse is in full force
nd effect. Lice,Ise Gass License No q. ffyL"7 7Of? ZP-, Contractor SignatureA� 4
PORKERS' COMPENSATION DECLARATION \�
IAPNINq' FAILURE TU SECpRE 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
:nST. OF C9MPENSAPON, DP MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urde, genalty of perjury one of the following declarations:
A I have and will i,a.r,tain 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 thi
e4prmance of the .vork for which this permit is issued. Policy No.
ve and will meintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
ir.P carrier and yy nu er are: G� /'
S to k Policy Number tT� (7 Z4 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 became subject to the workers' compensation laws of California, and agree
!, if I should become suK ect t�odcers' compen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. P I'
nature of Applican Date1 it lI �.I �- r . Za 2d
CLARATION REGARDING CONSTRU719N LENDING AGENCY
rreby affirm under penalty of perjury that Were 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 er the bovei �nttQfed pii6perty for inspection purposes. ^ �'J ._ ` f
of Prooertv Owner or
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT -EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY ,0I DECLARATION,�F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATION PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED
TO
D ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
My workers'