HomeMy WebLinkAboutX2022-1046 - Permits'tNro*r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H.; n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
11�1 1111111111111111111111111111111111111111111111 111� 11COMB Permit: X2022-1046
Project No : 0961-2022
Issued Date : 0512412022
Inspection Area : 4
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1937 PORT PROVENCE PL NB
Description: SFR RETAINING WALL T (MAX) X 47' LONG (INSIDE P/L)
Legal Desc.: N TR 6624 LOT 59
Owner:
GIRARD ROBERT
Contractor:
INSTANT LANDSCAPES
Address:
1937 PORT PROVENCE PL
Address:
833 DOVER DR STE7
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92663
Phone:
949-795-4801
Phone:
949-347-0700
Applicant:
WRIGHT JC
Con State Lic:
842586
Address:
833 DOVER DR # 7
Lic Expire:
0713112022
NEWPORT BEACH CA 92663
Bus Lic:
BT30072973
Phone:
949-795-4881
Lic Exp Date:
09/30/2022
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Architect:y,e E CT0711
Address: i iC
Phone: State Lic: -
Engineer: BIEDENBACH CHRISTOPHER ^
Address: 1201 N TUSTIN -
ANAHEIM CA 92807 --
Phone: 714-630-6100 State Lic:C-074003 -
Worker's Compensation Insurance
Designer:
Carrier:
PREFERRED PROFESSIONAL INS COAddress:
Policy No:
ON1166201
0 Expire:
00/15/2022
Phone:
0
Building Setbacks
Rear: 10'
Special Conditions:
Front: 21'
Left: 5'
Right: 5'
Use Zone:
Parkino Spaces: 0
Fire Hazard Zone : N
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $517.02
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department-
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$266.02 Fee Due at Permit Issuance : $251.00
PUBLIC WORKS APPROVAL: �/ I
PLAN CHECK BY: i I
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
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 forthe 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 (_) 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).
I 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 Met I nave 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 Coda, :s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Sionature of Pron"rty Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION _
I :lereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0-DluifioDA3 9f tl}e siness and Prof s Code, a d my license is in full force
and nf`ect. License Class License No Date �� o r Signa
WORMERS' COMPENSATION DECLARATION
VIARA:AG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T NO DOLLARS ($100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm underj;tenalty of perjury one of the following declarations:
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
of 'he v.orl. forwhich this permit is issued. Policy No.
ha.e 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'
-z.cce came, and policy number are:
Policy Number
me of Agent _
Date
I certify that, in the performanc for which t 1sl shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ag
It, if I should become subj to the worker comp n provisions of tion 3700 of the Labor Code, I shall forthwith comply with those provisions. �-�(
(nature of Applica Dat ��
!CLARATION RE RD S ON LENDING Pia CY
Breby affirm under penalty of p at there is a co uction lending agency far the performance of the work for which this permit is issued (Section 309 , C vil Code).
nder's Name Lender's Address
my signature below, I certify P ach of th otlowing:
I am the property owner o uthor o act on the property owner's behalf.
I have read this applicat' the information I haye-p oWde I tract.
I agree to comply with all applicable city and c my ordinances and fate laws relating to building construction.
I authorize representatives of this city or cou�v fo enter the above-' Ie prop y for inspection purposes. 1 / .Sn t r LAB
Signature of Property Owner or Authorized Again Print F'ropertOwners or Autnonzea Ag
ACTION DATE BY N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
TIONS PART 61 OF TITLE 40 AND, RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED AQMD
PERMITFINAL SBE OS DTIF ATI NIS NOT ApklfM
CERTIFICATE OF p9, Z CYgI RO EL�DI OTC
OCCUPANCY ISSUE SIGNATURE:
k J:g�t Z.