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HomeMy WebLinkAboutM2008-0061Worksheet for Building Combo Permit Application City of Newport Beach - Building Dep �k Please print 3 copies WBON RESOURCES DI K,%ilcling Grading f7prainacle Elec h F MWORT B 1. Project Address (Not mailing address) # Units (if Residential) Tenant Name(if Applicable) 2. Description of Work 4/1 Exist House SF Demo House SF Add/Reconstruct House SF Exist Gar SF Demo Garage SF Add/Reconstruct Garage SF F ew TOTAL HOUSE SF N 0 Add f— Alter r—Dem TOTAL GARAGE SF Check Appropriate Box for Applicant Use L, k - Valuation $ Cu Yd Cut Cu Yd Fill r # Stories I Lic. No, F 4. Architect/Designer's Name Last First I Architect/Designer's Address Arch itect/De!.���,ail Address city 5tate Zip Telephone ;t .. .... .......... .. . .. ....... .. .. ..... OFFICEUSEONLY ENERGYP/CFEE$ GRADING P/C FEE $ PERMIT NO. PLAN CHECK NO. i Rev 7178107 ELEC/MECH/PLUM P/C PLAN CHECK FEE $ 1, 7i/L:4 D--�; Z F ro ZP� 6ec�A IV 0 "'C4 . . .. .. ............ PAL "'60 cl 77, VICIMITY SkETCH Newpogr 5AY, CAt 1POC4NIA Ore exprcs7se LOW klo7len O'VP ?A 5 belOW A'ICO'l 10W �,/'y /0 4�7C5 R CD F=- I L- CT are i;, OIC 3Q 1. z-:, -T; Pit-7 r r(O P', z :rO L�:- CH By BEA CITY vr C T A S2 Cr). 2 7 29 2-9 50 - q go 14/1 V le C) 7,- d'g V1 Z f CO, CITY OF NEWF -RT BEACH FIRE MARINE, DEPARTIVIENT HARBOR PEl%,,,____'APPLICAT1.ON (Please print all infr,.- 1�:)n) 10 A T_Ap� tGcant jgrop6rty Own?� Address J1 Telephone 9, -7 Z � i . I I-,.. / 'En I / �0 5e_�,(o Project Address (Street Address# 3. New Construction �,_Revlsion r Permit Number Maintenance Dredging 4. Fee Check No. Date 5. Brief Description of Proposed Work: 42p-. d, 't— .0� J J-\6( (u) 0�/ 6. Submit 8 1/2" x 11" Drawings (3), Include: 1�i 1). Location and dimension of proposed structure including piles and location of existing -structures. on adjacent� properties. 2). Lo6afion of bulkhead, pierhead and project lines. 3). Location of property lines. 4). Location of channel markers within 200 feet 5). Lot sizes and lot numbers, if available. 6). 'Existing ground profile beneath proposed structure.. 7). Elevation of top and bottom of bulkheads and piles with respect to M.L.L.W. 8). Area and profile of any proposed dredging with elevations showing depths with respect of M11.W. 9). Any special conditions affecting the construction or affecting boating operations. 10).Complete all information required in information block, bottom of sheet. Note, that the OWNER. of the property is the applicant. 11). Drawing size shall be 8 - 1/2" x 11 12).S6ale shall ' be adequate, to clearly show the above. information. 13).Existing structures shall be shown in light dashes. New Work shall be shown in heavy. solid lines. 7. Owner -Builder Declaration must be co I rev side,of this sheet) 8. Applicant'slAgent's Signature: Date: �2 p able): 6ate: Joint Permittee Signature (if ap lie. 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior to the notice you -will be in violation -of the. Newport Beach Municipal Code and subject to penalties. 10. Your permit will - not. be finaill until we have conducted a.n on �site inspection. -once, construction is completed as per Municipal Code, Section 17.24,.if we hiive not been contacted for,a-final inspection. OFFICE USE ONLY Approyal'in Coricept. Date Approval of the -City ofNewport Beach Council. Date Approval of the Army Corps of Engineers Date Approval of the California Coastal Commission. Date Approval of the City's Public Works Department. Date Approval of the City's Building Department. Date Approval of County of Orange. Date Electrical andfor plumbing permit (Building Department) Date L_-, ssudd. (Permit is stamped drawing) I Date Site Inspection. (call 644-3043 for appointment) Date Site, R:e-Inspection Date Conditions: OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and professions Code). Any City or County which'requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant: for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not,more than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such Work himself or. through his own employees, provided that such 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 he did not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts.for such projects who builds or improves. thereon, and who contracts for such projects with a Contractor(s) License pursuant to the Contractor's License Law). I am exempt under Sec. of Business and. Professional Code for tl-ds reason: Owner s Si, Contractor: Address: a; License cla-.: nate- License Contractor's Declaration I hereby affirm that I am licenso under . sions of Chapter 9 (commencing with Section 7000) of Division 3 of the B4i�me/s a Profe sions Code, and my license is in full force and effect. Date: Contractor's Signature = co -7 FE1\-1'P Pilf ro )v ."C4 .4 0.44 L ...L clwolvA —44 7- SkETCH NEWPORr DAY, CAL IFOCLWA r,.l Ono( Cld'.nOl& 5'0&17011 are &Aprc SS ed 10AS'n below Alco,? I-Orver 40"/ W071e"-' del - o/' "eci Z3 fz C) FF I L- C!5- k are zjobl,-'sh�rd C"Y.. 30' F",F'Z OA 7- r7 -C ov 3�� x lo U! s 7- RAC 2-6 2-7 .,29 2-9 30 .90 FL rO,'-, 7 F MR. G J/L FO,,?O C. /3,4 3�""0(1� ff, eo LA/, v A L L07'. 2� 7 cleoF7- AlEOZZE M6 - Jz-c,. Lp OAP 33 2 SL -3-- All -3 "Ile VICIMITY 5XETCH waif JC;-rr N a —Poszr 5A V� CAt tFOQ NIA Jerry -17 9 5 0?-.* 4,1--ro,? 40,vee Zow Yo, -bo,- /,/7e5 are -Scrc//o,? eel I nj I I L L 1-.j I , e , . , �7 r j 2�:i Z 4:11 0 c:: Ave, a:k- L/ e 4 13 CO AI,7,qA CTO /,t " le- : /. ",= -/0, 7 A Au 7r- Z>A7 6 216 27 , e , . , �7 r j 2�:i Z 4:11 0 c:: Ave, a:k- L/ e 4 13 CO AI,7,qA CTO /,t " le- : /. ",= -/0, 7 A Au 7r- Z>A7 6 IF .04 PER7 IT HARBOR GRASTED TO CONSTRUCT AND iFRMISSION Is tirm:ky ':.RSF HERE OF. r -;AINTAIN THE FACSUTY -T�'T,-;z ',;"Rclv4slows� ol TO ,iT -THV- SITE INDICAYEO, j- OEACli pF-RMIT POLI&'r-5 Or to ivi"'i p 0 2' rI4Z HARBOR N THIS CONDITIONS USTED VIERF0 - l"L" kqq o ,kNy SpF-CIAL Affffl—MN SFERABLE Wj-rV.OUT THF I q 74, �4,; ,S t4o-f TRAN r"ROH CoorDtNATOR OR,CITY COU'N�*- 4, PF rHE CITY �4A E W - 15 VEFIIAIT AR ,ZIr P"' "' "HTS C UNr,,:.R TH E itr-1.10KED BY THE Cl AND TliIS PER"V"T ?r"OYB 'HE MUNIC"�;"-'��" TITLE JL7 OF I IN ACCORDANCF WIT" T, cl HAR R COO T E, PERMIT NO - SPECIAL CONDITIONS: Corps Of Engineers Permit 1— Oralige County Permit Other PERMIT ISSUED SUBJECT TO DREDGE MATERIAL BEING PLACED ON ADJACENT BEACH PERMIT NO. DREDGING APPLICATION Project Location:- RPA W. RA -7 Air^ Xoftwnn-Tr� Rp.,q(-h Cubic Yards to be Dredged: Method of Dredging T-Tir,'-I-n nii 1 -1 n +-. i n n Nature of Dredged Material: Sand/silt Disposition of Dredged Material: Discharge to beach reclamation, site method of Material Disposition: Pipeline transport to reclamation area Turbidity Control Method: Reduced discharge velocity/turbidity curtain Effect of dredging on contiguous bulkheading and beaches Reinforce/ --Protect bulkhead -Restore sand to dep eted beaches Mark S. Sites hereby state that I have read the U, S. Army (print name) Corps of Engineers permit for maintenance dredging in Newport Harbor, the City of Newport Beach and orange County Harbors,Beaches and Parks District (if applicable) permit for maintenance dredging and that I accept all the I provisions therein. Additionally I guarantee that the proposed dredging will not occur because of any altering of existing use of the affected zone. Guilford Babcock Intracoastal Dredging (Appl-icari-E-type name) (Contractor- type name) ---'--- 6/2/8'; S i g n e d __42 Ie. -1 (Date) Contractor s Representative CITY OF NEWPORT BE,#, p­� Commons HARSOR, P"­Rm�,y PERMISSID, corns AN. MAM-TAIN Ti,!;Z u AT THL SgT,�4 orange cc nty pennit THE other.. 4< cf, j ZW,- i A 1, AN Y arjr, M .7 CiTY HARSOR coGRDjjqTky—oj-q By CITY CQUIVOL PER 1T J -- DATE PERMIT NO. DREDGING APPLICATION Project Location:— 826 W. Bay Avenue Cubic,Yards to be Dredged: 92 Method of Dredging: Hydraulic Suction Nature of Dredged Material: Sand/Silt Disposition of Dredged Material: Place material on adjacent beach Method of Material D isposition: PuM through discharge pipe to disposal fill area Turbidity Control Method: Filter screen around discharge site Effect of dredging on contiguous bulkheading and beaches Will restore depleted beach and reinforce bulkhead Wm, L. Harris hereby state that I have read the U. S. Army (print name) Corps of Engineers permit for maintenance dredging in Newport Harbor, the City of Newport Beach and Orange County Harbors,Beaches and Parks District (if applicable) permit for maintenance dredging and that I accept all the provisions therein. Additionally I guarantee that the proposed dredging will not occur because of any altering of existing use of the affected zone. Guilford Babcock (Applicant -type name�— Shellmaker, Inc. (Contractor -type name) Signed: Representative vlaq-� Cl r K 1Vrjwpo,*,-,r de-4cA-1 70 Vi 2 2 3 3 Af 14-10 A7 OA VICIMITY SKETCH weir /dfrrr 92 21, va Ng"%,PoRr 5AY, CAL IFORNIA Jerry lll� U, 5,. j, L -1 ',I A A7 e-ZLrJ 416' - 2 27 2,? ve. 6?.A, 40r,0-6 za&Z po e e- ss o, >1 Av e Cov7,R,4 CToA 5/7 e llm,-ke-r 'o-A-re3-22-7,F1 CITY OF NEWPORT ar HAR11:3,og pEn� g "' 'WI -T P", -'SION MA4NTAiRl TM,T- AT TIjE 1w1r, -range County peralit TOJ�� V Other.. AN'D -C, z 10MATOR 137 CM —71 -2 RE -R J �Wl T �DATj�� 777-7777'�� 6�11=1,14'47, ' -4`444441, 4�1`4' Al CITY OF NEWPORT BEACH HARBOR PERMIT PERMISSION IS HEREBY CRANTED TO CONSTRUCT AND MAINTAIN THE FACILITY SHOWN ON THE REVERSE HEREOFV AT THE SITE INDICATED, SUBJECT TO THIS PROVISIONS Of THE HARBOR PERMIT POLICIES OF NEWPORT BEACH Allf, ANY SPECIAL CGND;TlCNS L.ISTED HEREON. THIS PERM-" IS NOT TRANSFERABLE WiTHOUT THE WRITTEN CONSENT G. - THE CITY HARBOR COORDINATOR OR CITY COUNCIL. TH, RIGHTS GIVEN UNDER THIS PERMIT ARE PERMISSIVE ON0 AND THIS PERMIT MAY BE, REVOKED SY THE CITY COUNCIL IN ACCORDANCE WITH TITLE 17 OF THE MUNICIPAL cpsl�- /- i TJ . �, J;pv CITY HAIRSOR CODRDMATOR F "RIT NO. DATE SPECIAL CONDITIONS: Corps of Engineer s P emit 10,7-70 Orange County Permit Other. Af 2 2 nn C, IZ Ir V A V I C i �J I'T.Yl- Sk E T C H r iorr, N.w,,,,,, 5AY, CA4 1,FOQNIA Jerry V, rc. a- P,4,.f FF-1—rF e 5 6u�? d1r) ore C-fe,- A-Idra,7 zowe� zow to.. Vfoz or 4,7C5 are C!3iQb/r,5,6--& d'.P) �A;5 Secl.'Go ofr1vcwpw1 .6c7r. oi \D;sf os -d I 2 x 1- 72! 7- r rl 44: L,W. 4 ZV COA017RACTOA i CITY OF NEWPO'RT REACH HARBOR PERMIT PERMISSION IS VEREBY GRANTED TO CONSTRUCT ANID' MAINTAIN THE FACILITY SHOWN ON THE nz�j�zRS2: AT THE I:fERF SIT' _OF THE JECT TO THE P:"0vtSj0lqS SPECIAL CONDITIONS: Ol POLICIES OF NZ%&,po ANY SPEC?AL RT REACH A,*Jr Permit 'Coios 'Of gineers I'S NOT TRANC USTFD TtUS �q�TjIOUT Tmrz �'HE CITY "ARR01, ,L�,%7SENT Permit ountv Permit WA WW �Oul* 0 !,ZIGHTS GIIVP.:�Z4 Uh,' or? C'uvNc�L. TI -4 � D�L:R 1'14iS PERMIT Permit 'AND TH ARE prr, IS PERIWIT pE. '"��;SSIVE ONL REVOKED BY T.42 CTY CoUNCII 'N ACCORDANCE WITH TITL E I THE CODE. CITY HA OR CoGRDT�4—A—TOR PERMIT ISSUED SUTl—CC`r--T'(T DREDGE MATERIAL. BEING PLACED ON, ADJACENT BEACH SPECIAL CONDITIONS: Cer-ps Of Engineers Permit Orange County Pirmit Other i