HomeMy WebLinkAboutX2019-0325 - Permitsr City of Newport Beach - Building Division 111111111111111111111111111111111111111111111 11A it COMB Permit: X2019-0325
47 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 3 2 5
'� Permit Counter Phone(949)644-3288 PfOJOCt N0 : 0227-2019
s�,, y ' Inspection Requests Phone (949)644-3255
"r�lsnu�'x� :. ' Combination Type BLDG GRAD Issued Date: 05103/2019
Inspection Area : 8
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: 2201 ALTA VISTA DR NB
Description: SFR RETANING WALL 6'10" HIGH MAX X 210 LF (INSIDE P/L) AND DRAINAGE
Legal Desc.: N TR 4705 LOT79
Owner: WEBB CHRIS & SYDNI - Contractor: OWNER/BLDR Architect:
Address: 2201 ALTA VISTA DR Address: WEBB CHRISTOPHER R Address:
NEWPORT BEACH, CA 92660
Phone: Phone: - Phone: State Lie
Applicant: ZALAR DOUG
Address: 21911 SUMMER CIR
HUNTINGTON BEACH, CA 92642
Phone: 714-853-9696
Code Edit: o 11 � 2016
Ty0€'6f1Ggnstructl0an:o ,
Ocelspaecy Group: U
Added/New sq.ft. adgt a ° 0
Ad4.1ed',/PteLv sq. ft. Garage: 0
No.q.Stories: 0
NoofUnits: =o �1
Bldg Height: o 00.
B14 Sprinklers:. _ .o...
P1�41 7A.
TOTAL FEE: $2,637.00
PROCESSED BY: V ,%,1
ZONING APPROVAL: T -V t
GRADING APPROVAL: `5k1
Con State tic: O/B
Lie Expire:
Bus Lic:
Lie Exp Date:
Worker's Compensation Insurance. '
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: 6'
Front: 6'
Left: 6'
Right: 6'
$0.00
$0.00
$0.00
$774.08
$876.00
$169.92
$0.00
$0.00
$0.00
$0.00
Engineer:
JAMIL BASHAR S
6uilding<Permit�7ee:°O® $412.00
QIvan ER$ck Fee• ° $365.00
.Fair Share
Overtime Plan Ck: < < °
$0.00
Investigation Feee . . L
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,637.00
PROCESSED BY: V ,%,1
ZONING APPROVAL: T -V t
GRADING APPROVAL: `5k1
Con State tic: O/B
Lie Expire:
Bus Lic:
Lie Exp Date:
Worker's Compensation Insurance. '
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: 6'
Front: 6'
Left: 6'
Right: 6'
$0.00
$0.00
$0.00
$774.08
$876.00
$169.92
$0.00
$0.00
$0.00
$0.00
Engineer:
JAMIL BASHAR S
Address:
751 SHASTA DR
.Fair Share
CORONA CA 92881
Phone:
714-883.4124 State Lic:C-083129
Designer:
Building Dept Adm
Address:
Park Dedication :
Phone:
Special Conditions: OIB FORM ATTACHED
Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee:
-Fire Inspection:
.Fair Share
Fire Plan Rev
SJH Trans :.
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public. Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Feer
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $405.00 Fee Due at Permit Issuance : $2,232,00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$40.00
-Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $405.00 Fee Due at Permit Issuance : $2,232,00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicatedbelow 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 for the 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).
❑ 1, 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,
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
Iimm roved for the purpose of sale).
ff 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
a 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 m exempt from licensure under the Contractors' State Lic se Law f r e following reason:
By m .signature below I acknowledge that, except for my per;o I residen i hich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
S
ell structure that I have built as an owner -builder if it has of een cons c in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and.
ofessions Code, is available upon request whe this ap ca on is sub tte o at the fo lowing Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent D to
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licens under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P e • n de, a d my license is in full force
and effect. License Class License No Date Contractor Signatu a
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. e
I hereby affirm under penalty of perjury one of the following declarations: : ° • e ° • ° • ° ° °
888.00
❑ 1 have and 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 IN
•e„ee • o
performance of the work for which this permit is issued. Policy No. • • • • °
eeuae
❑I have 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' compge%roti r
insurance carrier and policy number are: ;
'er Policy Number Expiration Date
am (Agent Phone# ••'• ° • '
nertty that, in the performance f t rk 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 d1 alifornia, aad ague(
hould become subject t th o ers' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Da • ° • • o
DECLARATION REG G CONS RUCTION LENDING AGENCY ,,,, '
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ..
Lender's Name Lender's Address '"°
By 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 pro id Is correct.
I agree to comply with all applicable city and county ord' an s nd state laws relating to building construction.
I authorize representatives of this city or county to ent th �e-ident' led properly for inspection purposes. tf w�.� `
c,..,,+, . f o.....o , n,.,,,°� „r Authnri°orl AnnrU� > Print Prooerty Owner's or Authorized Agent's Name Dale
DATEI . BY I,/ p REGULATIONS OF COMPLIANCE
O M LIANCTITLE4 WITH
CODE OFDAQMD FEDERAL
FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
;
PERMITCANCELLED
UEPA
PERMITEXTENDED
LIAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I2'?A"(`II
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
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