HomeMy WebLinkAboutX2022-1411 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
y' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2022-1411
IIXI�I�II0��IIIII�IIIIIIIIIIIIIIIIIIII II
Project No: 0240-2021
Issued Date : 05/23/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1807 PORT CHARLES PL NB
Description: DELTA 1 - RETAINING WALL 30" (MAX) HIGH X 65 LF
Legal Desc.: N TR 6622 LOT 27
Owner: RUCKER LLOYD
Address: 1807 PORT CHARLES PL
Contractor:
OWNER/BLDR Architect:
AUST ERIC
NEWPORT BEACH CA 92660
Address:
RUCKER LLOYD Address:
62 BALBOA COVES
Phone: 949-463-4509
Phone:
NEWPORT BEACH CA 92663
Phone:
949-637-5220 State Lic:CO29374
Applicant: AUST ERIC
Address: 62 BALBOA COVES
Con State Lic:
O/B
Engineer:
ROSS SCOTT WILLIAM
NEWPORT BEACH CA 92663
Lic Expire:
Bus Lic:
Address:
1800 E 16TH STREET #B
Phone: 949-637-5220
Lic Exp Date:
Phone:
SANTA ANA CA 92701
714-835-2800 State Lic:C-045309
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction:
Carrier:
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Building Setbacks
Rear: 10
Special Conditions: REV22-0884
Front: 20
Bldg Height: 0
Left: 5
Bldg Sprinklers:
Right: 5
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $10,000.00
Building Permit Fee: $246.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $214.02
Overtime Plan Ck: $0.00
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Investigation Fee: $0.00
Grading Bonds Fee:
Grading PC Consultant:
$0.00
$0.00
Fair Share :
SJH Trans :
$0.00 Fire Plan Rev
$0.00 Demolition
$0.00
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Fee
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
CA Seismic Safety: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
Disabled Access : $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Hazardous Mat $0,00
Electrical W
$0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $513.02
Plan Check Fee: $266.02 Fee
Due at Permit Issuance : $247.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: -�T
-
. ° o `, ° PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
J
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)
>ection 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
le 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).
I
] I, 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,
usiness 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).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704I , Business and Professions Code: The Contractors' State License Law does not
ly 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).
m exempt from Iicensure under the Contractors' State License Law for the following reason:
Y. m 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
-structure that I have built as an owner -builder if it has not been constructed in its entiret y licensed contractors. I understand that a copy of the applicable law, Section 7044 of a Business Ind
'rofessions Code, is available upon request when this I" ubmi d or at the foe ing Web site:http://www.leginfo.ca.gov/calaw.html. 2
ignature of Property Owner or Authorized Agen D
.ICENSED CONTRACTOR'S DECLARATI c
hereby affirm under penalty of perjury that I am licensed der provisio of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and y license is in full force
nd effect. License Class License No Date Contractor Signature
CORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENIALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the DirectorW Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
]I 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' compensatiol
rsurance carrier and policy number are:
:arrier Policy Number Expiration Date
Phnnc A
of Agent
rtify that, in the performance of the work
I should become subject to the workers
of
this permit Issued, 1 shall not employ any person in any
ation Dr Isions of Section 3700 of the Labor Code, I shall
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w!
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 count ordinance nd state s relaZtuildtrg construction.
I authorize representatives of this city or county to a abo -iden ie ropetion purposes.
mature of Property Owner or Authorized Agent Property Owner's or
so as to become subject to the workers compensation laws of California, and agree
i comply with those provisions.
DJ<
i this permit is issued (Section 3097, Civil Cod ).
ACTION DATE BY DECIOATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO +•• .•. •• `
PERMIT CANCELLED UEPA +° • " " a • •'
PERMIT EXTENDED QMD
PERMIT FINAL 3 Z3 ASBESTOS NOTIFICATION IS NOT APPLICABLE 'TO
CERTIFICATE OF PROPOSED DEMOLITION •
OCCUPANCYISSUED SIGNATURE: a•a _ • o
U LL CC,A).r> /'.