HomeMy WebLinkAboutX2018-2276 - Permitsw City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
v ; Inspection Requests Phone (949)644-3255
��Illllllllllllllllll�llllllllllllllllllllllilllllu �� °e bb@E&°Pewnit : x2018-2276
x 2 6 1 6 z z 7 s °°° °°° °° 60
°Po+jec:No.-1902-2018
,c riu`b Combination Type - BLDG ++0 °o + ° ®° Issued Date :07/3012018
° +
°
'InspecticM 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 dr Holidays
Job Address: 422 ORCHID AVE NB
Description: RETAINING WALL INSIDE PIL
Legal Desc.: CORONA DEL MAR BLK 442 LOT 16
Owner:
WALKER MICHAEL
Address:
418.5 ORCHID AV
(NO EMPLOYEES)
CORONA DEL MAR, CA 92625
Phone:
949-280-2633
Applicant:
WALKER MICHAEL
Address:
418.5 ORCHID AV
Bus Lic:
CORONA DEL MAR, CA 92625
Phone:
949-280-7633
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units . 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
WALKER CONSTRUCTION
Address:
418 112 ORCHID AVE
(NO EMPLOYEES)
CORONA DEL MAR CA 92625
Phone:
949-280-2633
Con State Lic:
681217
Lic Expire:
07J28/2019
Bus Lic:
BT30058987
Lic Exp Date:-
05/31/2019
2016 Worker's Compensation Insurance
V -B Carrier:
WC EXEMPT
U Policy No:
(NO EMPLOYEES)
0 Expire:
Energy Compliance:
0
CA Seismic Safety:
Building Setbacks
Rear: 5
$0.00
Front: 20
$0.00
Left: 3
$1.00
Right: 3
Building Permit Fee: $386.00
Plan Check Fee: $342.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $773.00
PROCESSED BY:
ZONING APPROVAL:
Architect
Address:
Phone: State Lic
Engineer:
BURKE THOMAS JOHN JR
Address:
312 OCEAN AVE
Additional Fee :
LAGUNA BEACH CA 92651
Phone:
949494.0776 State Lic:S-05088
Designer:
$0.00
Address:
Phone: �
�'�' K
Special Conditions:''`(
Excise Tax:
$0.00
Planning Department -
$37.50
Additional Fee :
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
1)�
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $773.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 151
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $773.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 151
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECI�A14AT4011? : - • -. . •-• "- ..
I hereby affirm under penaltypf perjur thlt6iam exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and PrdfBssiV.
ons Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licensed gursuarlt (o the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Irofessions Code) or that he or she is exempt from lir$A§ure 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
• . ,
lot more than five hundred dollarS(�50 )! e . . � � •
I, as owner of the property, o;Rq errTloyee9wilh *oyes as thdir sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: Iir (@ Cootsactors"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
mprovements 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
m roved 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
Ipply 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:
3y 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 that 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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature 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 Section 700Q)_of i io 3 of the Business and Professions CO
se is in full force
Ind effect. License Class License No Dat !If Contractor SignalureAl
VORKERS' COMPENSATION DECLARATION I
IARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to sajf-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are: ,. g,
ier Policy Number Expiration Date
Agent
ceify that, 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 agree
t, I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant _9- D�7'�/ 7/�O
CLARATION REIi�AR NG CONSTRUCTION LENDING AGENCY v ` V
Ireby 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).
Ider's Name Lender's Address
my signature below, 1 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 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 1p enter the aboA-identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namt Date / b
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I I LJ I SUBMITTEDASBESTOS NOTIFICATION TO
PERMIT EXTENDED I UAQMD
PERMITFINAL To
NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
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