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Home My WebLink AboutX2018-2784 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-2784 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 7 8 4 Project No : 2222-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date: 09/1712018 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1715 GALATEA TER NB Description: RETAINING WALLS 4' MAX x 54 LF & 33 LF WI (12) CAISSONS (INSIDE PIL, MARKERS ON SITE) Legal Desc.: N TR 2813 LOT 148 Owner: SNOWDEN JOSEPH & JEAN Contractor: BERK CUSTOM HOMES INC Architect: I , ` Address: 4731 DAHLIA AVE Address: 428 OLD NEWPORT BLVD Address: CTOR CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-300-5152 Phone: State Lie: Applicant: PACK BRANDON - Con State Lie: 1017631 Engineer: MANSHADI FARHAD Address: 428 OLD NEWPORT BLVD Lie Expire: 08/3112020 Address: 1800 E 16TH ST UNIT B NEWPORT BEACH CA 92663 Bus Lia BT30057033 SANTA ANA CA 92701 Phone: 949-295-2730 Lie Exp Date: 10/3112018 Phone: 714.835-2800 State LiaC-036840 Code Edit: 2016 Worker's Compensation Insurance Designer: Excise Tax: $0.00 Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9212219 Plan check Fee : $37.50 Added /New sq.ft. Bldg: 0 Expire: 06/08/2019 Phone: Grading Bonds Fee: $0.00 Added /New sq. ft. Garage: 0 $0.00 Fire Plan Rev '$0.00 No of Stories: 0 .Building Setbacks Rear: 10' Special Conditions: No of Units : 0 Demolition Fee Front: 10' Record Management: $2.00 Grading Permit Fee: Bldg Height: 0 In -lieu Housing Fee: Left: 4' $0.00 Building Dept Adm °® Bldg Sprinklers: Energy Compliance: $0.00 Right: 4' $0.00 Public Works Department - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $80.000.00 0 oeo°; Building Permit Fee: $1,172.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,026.32 Additional Fee : $0.00 Plan check Fee : $37.50 - Fire Inspection: 1$D° ,$D.40% a ° , 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 Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0t00o 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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $4.00 .. Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 ' - Plumbing %: $0.00 $0.00 TOTAL FEE : $2,241.82 Plan Check Fee: $342.50 Fee Due at Permit Issuance : $1,899.32 PROCESSED BY: l )JL---- PUBLIC WORKS APPROVAL: ZONING APPROVAL: IR�i� , PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: rC 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) 1 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 is 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 'rofessions 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). 7 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, lusiness 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, 05 owner. gf.,thp.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 ownet of property who"builds�or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 'am exempt from licensure under the Contractors' State License Law for the following reason: ly raIy 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 legal) ell a structure t at 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sleotipn/7 O) of Division 3 of the iness and Professions e, a my I is in full force nd effect. License Class License No D ,t ( o in for Signature UORKERS' COMPENSATION DECLARATION DARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm -under penalty of perjury one of the following declarations: I have ancriVI°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 tht !jtoirance pnnp Mirk for which this permit is issued. Policy No. ave and w11 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' compensation carrierand policy number are: Policy Number -' Date In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and become subject tothethe work /e/�Compe�ns�atit provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e n Ile affirm IlndOypenalty of perjury that there is a construction lending agency for the performance of the work for which this permit isissued(Section 3097, Civil Code). IQDrs Name • • Lender's Address my signature be ow, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 antrlel/ i�abov entified property fo inspection purposes. I� (_/y� nature of Pronertv Owner or Authadzed-Aaent ,:/:L�✓/ � Print Prooertv Owner's or Authorized s Name % — ACTION `DATE BY DECLARATION OF II REGULATIONS PART 61 OF COMPLIAILT E 40 AND OMD RULECE WITH CODE OF FOR OFFICE PERMIT PERMIT EXPIRED i .1 L4 SUBMITTED ASBESTOS NOTIFICATION TOI SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED i / i1 EPA PERMIT FINAL PR ASBESTOS ION IS NOT APPLICABLE TO CERTIFICATEOF DEMOLITION OCCUPANCYISSUED 1/V�CNATURE: