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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.