HomeMy WebLinkAboutX2021-0210 - Permits„'k City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3
H Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`�'+sn4's`a Combination Type - BLDG
0
1 5 5
II COMB Permit: X2021-3155
Project No : 2726-2021
Issued Date : 11/19/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111912024 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: 1801 PORT WHEELER PL NB
Description: SFR RETAINING WALL TX 55 LF (INSIDE P/L)
Legal Desc.: N TR 7029 LOT 71
Owner: VANHORCK MARKIKATE Contractor:
MATA'S MASONRY
Architect:
Z
Address: 1839 PORT CHARLES PL Address:
NEWPORT BEACH, CA 92660
910 E. 4TH ST
SANTA ANA CA 92701
Address:
Phone: Phone:
714-393-6358
Phone:
State Lie:
Applicant: JESUSIMATA CONSTRUCTION Con State Lie: 861880
Engineer:
RUIZ THOMAS
Address: 9108 4TH ST Lie Expire:
07/31/2023
Address:
11 THORNBIRD
SANTA ANA CA 92701 Bus Lie:
BT30015664
ALSO VIEJO CA 92656
M
Phone: 714-393-6358 Lie Exp Date:
04/30/2022
Phone:
State Lic:C-058627
Code Edit: 2019 Worker's Compensation Insurance
Designer:®
Type of Construction: Carrier:
OAK RIVER INS
Address:
Occupancy Group: U Policy No:
MAWC233435
Added /New sq.ft. Bldg: 0 Expire:
02/01/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0 Building Setbacks
Rear: 10
Special Conditions: LANDSLIDE
No of Units : 0
Front: 22
Bldg Height: 0
Left: 5
-
-
Bldg Sprinklers:
Right: 5
Flood Zone: X Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $5,000.00
Building Permit Fee: $161.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $140.07 Additional Fee :
$0.00 Plan check Fee :
$52.00 Fire Inspection: $0.00
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: $4.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm $0.00
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
PAN 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 : $358.07
Plan Check Fee: , $0.00
Fee Due at Permit Issuance : $358.07
PROCESSED BY:
ZONING APPROVAL:
9 P&B!_ICW.OPKS°,4PPROVAL:
PLAN CHECK BY:
J
GRADING APPROVAL: eav-'APA0V4LT6ISSUE:
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
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
1, 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 covered by this permit, I cannot legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://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 of Division 3 of the Business and Profe Ens Co P AAA my II se is in full force
nd effect. License Class License No Date 11 1 1 Contractor SignatuOK
VORKERS' COMPENSATION DECLARATION C
:ARNING: 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 $i00,000), IN ADDITION TO THE
DST 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:
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
rmance of the work for which this permit is issued. Policy No.
have and wiq m tarn workers'
rance carrier d licv number
to of Agent
certify that, in the
if I should becon
lature of Applican
insurance, as
Policy
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. N __
areby affirm under penalty of perjury that tlleie 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.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or co t me a e- ntified-�erty for inspection purposes.
nature of Pronertv Owner or Authorized ADent __ Print Prooertv Owner's or Authorized ADent's Name V t..c�s ��4✓f
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE I BY
WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 •• ••• •• ••s
I SUBMITTED ASBESTOS NOTIFICATON TO
EPA •• • • ••• •• + ••
LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION•• ••� ••• ••• o�•
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