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HomeMy WebLinkAboutX2017-2705 - Permitsi byWh{,id+ City of Newport Beach - Building Division- *X2017-2705* COMB Permit: X2017-2705 off. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1935-2017 µ Permit Counter Phone (949)644-3288 41 Inspection Requests Phone (949)644-3255 `acrmw' Combination Type - BLDG Issued Date : Inspection Arearea :2077 4 PERMITS EXPIRE 780 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: 1910 YACHT MARIA NB Description: SFR -RETAINING WALL W/ CAISSONS 86 LF X T- T H Legal Desc.: N TR 9260 LOT 23 ` __ tr . Owner: HECHT BEN Contractor: OWNER/BLDR Architect: Address: 1910 YATCH MARIA DR Address: Address: NEWPORT BEACH, CA 92660 Phone: Phone: Phone: State Lie: Applicant: HECHT BEN Address: 1910 YATCH MARIA DR NEWPORT BEACH, CA 92660 Phone Code Edit: 2016 Type of Construction: V -B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $386,00 Plan Check Fee: $342.50 Overtime Plan Ck: $0.00 Investigation Fee: $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: $922.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: O/B Engineer: Lie Expire: Address: Bus Lie: Fire Plan Rev Lie Exp Date: Phone: Worker's Compensation Insurance Designer: Carrier: Address: Policy No: PAN Plan Check: Expire: Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $96.76 $0.00 $21.24 $0.00 $0.00 $0.00 $0.00 PURKIS DAVID ALAN 32521 CARRETERRA DR SAN JUAN CAP CA 92675 949-661-6381 State Lic:C-042810 .oma e m o c O�u9fC Special Conditions: PERMIT REVISED 01.18-18 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 Fee: $0.00 Plan Check Fee : $922.50 n ooeoae oe o m Ap.OID. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Ory-__ a coow�: O ooa0o 0 00000 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: n ooeoae oe o m Ap.OID. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Ory-__ a coow�: O ooa0o 0 00000 T 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 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 ie 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 *-rnerwthan five hundred dollars ($500). usiI, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ness 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 n 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 pply 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: ly 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 co ered by this permit, I cannot Iegallt ell a structure that I have built as an owner -builder if it b n c structed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se ion 7044 of the Business and 'rofessions Code, is available upon req w Is p ation b it-eraftheiellowing Web site:http://www.leginfo.ca.gov/calaw.htmi. , signature of Property Owner or Authoriz e t e C l .ICENSED CONTRACTOR'S DECLAR TItO)N`�— 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 nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION .... ARNING: FAILURE TO SEg1RE 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 FOMPENSOrM?DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IM460y affirm grtlgl;ljJnalty of perjury one of the following declarations: 3 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 th, e nDAnce of the work for which this permit is issued. Policy No. 1.1ra4g and Alf Mmirgain 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 Durance carrier and plicy number are: artier- •+•• Policy Number Expiration Date Agent Il:certily that, in the performance of the work f r 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 at, if I thould 84CbT'f s 1 e w Aprs' mpe ' n -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r ees•e \ ;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 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 andgauRfydR)Manc,Qs & d state Is .elating to building construction. I authorize representative ofs, thi;.cify ount nter tJa�`.,6Y, v n Ified property for inspection purposes. / 1� nature of Pr❑❑ertv Owner or razed Arent Print Prooertv Owner's or Authorized ADen ame j Civil Code). ACTION GATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY✓ V REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EMENDED UAQMD PERMITFINAL(_2 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ��� PROPOSED DEMOLITION OCCUPANCY ISSUED [=.R SIGNATURE: