The URL can be used to link to this page

Home My WebLink AboutX2020-2655 - Permitsr& City of Ney"fort Bach - Buildin Division I I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III�III�III COMB Permit: X2020-2655 100 Civic Center Drive, Newport Beach, CA 92660� - ° Permit Counter Phone (949)644-3288 Y� X 2 0 2 e 2 s 5 5 PfOJBCt NO : 210$-2020 �% rq Inspection Requests Phone (949)644-3255 .: ° ° ° ° ° ° ° ° `° ° o a `sM °° Combination Type - BLDG GRAD Issued Date : 05/1312021 a ° Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE t01FLAST VALID PAlSPEC7:/ON. PROJECTS MUST BE COMPLETED BY 05/13/2024 OR PERMIT WILL BE INVALID Job Address: 201 AGATE AVE NB'on Hours: Monday - Friday7:0e°a.m. 31.6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m- No Work on Sundays or Holidays Description: MFR RETAINING WALL 44" HIGH X 34 LF FOR PATIO AND DRAINAGE 210 SF o ° Legal Desc.: Owner: AYALA PASQUAL .ems Address: 201 AGATE AVE Contractor: Address: OWNERIBLDR Architect:PETROPOULOS NICHOLAS NEWPORT BEACH, CA 92662 AYALA PASQUAL Address: 496 PARK AVE Phone: Phone: O/B ATTACHED TO PERMIT NEWPORT BEACH CA 92662 V J Applicant: NICHOLAS Phone: 949-631.1650 State Lic:CO24922 Address: 496 PARK AVE 496 PARK AVE Con State Lie: O/B Lie Expire: Engineer: NEWPORT BEACH, CA 92662 Bus Lie: Address: Phone: 94g-gyp-7752 Lie Exp Date: q ` ) Phone: Code Edit : T 2019 of Construction: Worker's Compensation Insurance State Lie, e..l -1 V-B ccu Occupancy Group: U Carrier: Designer: Address: Added /New sq.ft. Bldg: 0 Policy No: Added /New sq. ft. Garage: 0 Expire: Phone: No of Stories: 0 No of Units : 0 Building Setbacks Rear: / Special Conditions: LIQUEFACTION Bldg Height: 0 Front: / FLOODZONE Bldg Sprinklers: Left: / Flood Zone: AD2 Use Zone: Right: / Parkin Spaces: 0 ction Valuation: 512.000 00 Fire Hazard Zone : N Permit Fee: $178.00 ck Fee: $154.86 Excise Tax: $0.00 Planning Department- Plan Ck: $0.00 FFCheck Additional Fee : Grading Bonds Fee: $0.00 $0.00 Fire Department Plan check Fee $$0.00 Fire Inspection: tion Fee: $0.00 $14.00 Grading PC Consultant : $0.00 Fair Share : $0.00 Fire Plan Revanagement: SJH Trans : $0.00 $0.00 ompliance: $0.00 Grading Permit Fee: Grading PC Fee: $232.00 $0.00 Demolition Fee Housing Fee : $0.00 Building Dept Adm ic Safety : $0.00 Disabled WQ Insp. Fee: $795.00 $0.00 Milieu Public Works Department -General Service $0.00 $0.00 Access : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Hazardous Mat $0.00 Electrical %: $0.00 P/W Plan Check: $172.00 Grading Bond: $0.00 Building Green Fee : $1.00 0 . Mechanical /o. $0.00 San Dist: $0.00 Plumbing %: $0.00 NMUSD Fee: $0.00 $0.00 TOTAL FEE : $993.11 $0.00 Plan Check Fee : $439.11 Fee Due at Permit Issuance : $554.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION rt)? I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the re19�o s n Cater] 6elowpy the checkmark(s) I have placed next to the applicable items action 7031.5, Business and Professions Code: Any city or county that requires a permit to construc4 alter, irrm roue�dem0wR �a pter r any structure, prior to its issuance, also requires the applicant for a e permit to file a signed ign dt statement that he or she she is exempt from si licensed ic ns edpursuant to the and the basis forprovisions the of the o tr Any St5te t vioce lation Secrise tion 7031.5tby any applicant ong lra permit subjeith Section cts the applicant tota cg I penalty of It more than five hundred dollars (y era • •s• • •a• ••� j I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all ;ror �)Qo�tiotl$ of th$ Work, �t��ucture is not intendimproves the ed or offered for sale (Section 7044, )Prylto svemen s are not me ded or off ed for sale. State If, howLicense ever, the build ngnot imprapply o ement sowner soldfwitphorlp.�2ar ofcomple ieln, the OwneRBuildenal rfwi I have thebuilds rbu den of pro ingt hat itprovided not builtor the ed for the purpose of sale). 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 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: -1my 1 a structure that I halve builtls an owner --builder i i has that, except for my not belen residence strutted nl it lmust have resided entirety by licensed cont ractors. I understar at least one year lnd that a copy of theapplicable aw tSection 7044this permit, I of the Business nnot andlegal y professions Code, is available upon request when this a lication is submitted or owing a .leginfo.ca.gov/calaw.html. Data 2oa. signature of Property Owner or Authorized Agent — .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Date7000) of Division 3 of thCeo Business and P Signature Code, and my license is in full force and effect. License Class License No VORKERS' COMPENSATION DECLARATION 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 (8100,000), IN ADDITION TO T HE :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: of Industrial Relations as provided for by Section 3700 of the Labor Code, for t I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director iormance 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' ranee carrier and policy number are: Policy Number Date ne of Agent is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and certify that, in the performance of the work for which this permit i, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date_ nature of Applicant CLARATION REGARDING CONSTRUCTION LENDING AGENCY ;reby affirm under penalty of perjury that there is a construction lending agency for Lender's eAddress of the work for which this permit is issued (Section 3097, Civil Code). ider's Name 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 enter the above -identified property for inspectionnDertv Owners or Authorized Agents Name �'� Signature of Property Owner or Au ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED TO PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1, qQ PROPOSED DEMOLITION OCCUPANCYISSUED nll M 6U SIGNATURE: