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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> /'.