HomeMy WebLinkAboutX2019-3199 - Permits1w1
City of Newport Beach - Building Division
'
100 Civic Center Drive, Newport Beach, CA 92660
BURKE THOMAS
Permit Counter Phone (949)644-3288
- -
Inspection Requests Phone (949)644-3255
l`�errns`.
Combination Type - BLDG
*X2019-3199" COMB Permit: X2019-3199
Project No : 2817-2019
Issued Date : 05118/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/19/2023 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: 408 DE SOLA TER NB _
Description: SFR RETAINING WALL 5'X 40 LF "INSIDE THE P/L"
Legal Desc.: N TR 1237 LOT 124 !S PELT
Owner: TYRE MICHAEL Contractor: J L G C Architect: -
Address: 408 DE SOLA TER Address: 28885 WOODSPRING CIR Address:
CORONA DEL MAR, CA 92625 TRABUCO CANYON CA 92679
Phone: Phone: 714-305-2861 Phone: State Lic:
Applicant: LAUGHTON JULIE
Con State Lic: 903619
Engineer:
BURKE THOMAS
Address: 28885 WOODSPRING CIR
Lic Expire:
09/3012021
Address:
151 KALMUS DR #140
TRABUCO CANYON CA 92679
Bus Lic:
BT30021002
COSTA MESA CA 92626
Phone: 714-305-2861
Lic Exp Date:
10131/2020
Phone:
949494-0776 State Lic:S-005088
omom
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
LAUGHTON JULIE
Type of Construction: VB
Carrier:
STATE FUND
Address:
28885 WOODSPRING CIR
Occupancy Group: U
Policy No:
9031570
TRABUCO CANYON CA 92679
Added /New sq.ft. Bldg: 0
Expire:
11/01/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6'
Special Conditions: LANDSLIDE, LIQUEFACTION,
....
No of Units: 0
Front: 5'
FUEL MOD./HAZARD REDUCTI
Bldg Height: 0
Left: 6'
Bldg Sprinklers:
Right: 6'
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone: Y
°00°U
Construction Valuation: $20.000.00
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Building Permit Fee: $412.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $365.00
Additional Fee:
$472.00
Plan check Fee:
$40.00 - Fire Inspection:
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:
$580.56
SJH Trans :
$0.00 Demolition Fee
Record Management: $22.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$127.44
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
PMI Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
-
$0.00
TOTAL FEE : $2,020.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: ��
Plan Check Fee
$1,312.00 Fee Due at Permit Issuance : $708.00
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' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 L) all of or L) 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
im 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
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).
❑ 1 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 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://wm.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
....
WARNING: FAILURERO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE
COST OF COMPENSATIOa,bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby fiffirm unAPEr pEpalty of perjury one of the following declarations:
.I 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 tho
porfJr"Tlce of the Mork for which this permit is issued. Policy No.
F have and WIN malot@in 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' compensatior
Iuraime carrier and policy number are:
vie:. . `, • Policy Number Expiration Date
�MfQ that, in the pegormance 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
if I sflould b6ggpte ,E,ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
•sca
nature -of Appu&At • Date_
CLM&ATION REGARDING CONSTRUCTION LENDING AGENCY
:reby 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, 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 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 enter the above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
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QMD
PERMITFINAL
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF
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PROPOSED DEMOLITION
OCCUPANCYISSUED
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