HomeMy WebLinkAboutX2022-1366 - PermitsCity of Newport Beach - Building Division
*X2022-1366'
COMB Permit: X2022-1366
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 1 *
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Project NO : 0482-2021
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Inspection Requests Phone (949)644-3255 ;
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Issued Date : 05/12/2022
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Combination Type - BLDG
Inspection Area : 3
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: 1720 KINGS RD NB
Description: DELTA 4 REVISION & ADD'L SCOPE: BLOCK WALL(6' HIGH X 32' LONG) INSIDE PIL **PERMANTENT MARKERS ONSITE; CITY STANDARD DETAIL**
Legal Desc.: N TR 1221 LOT 15
Owner:
WERNER ERIC LAWRENCE
Address:
1720 KINGS RD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
JEFF I LONGMAN NEIL
Address:
2782 CIRCLE DR
NEWPORT BEACH CA 92663
Phone:
949-722-7711
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
RI'dy Height: 0
bldy dpJnklers: Y
Jonst,uction Valpation: $
Building Permit)-ee: $178.00
Plan Check Fee: $134.86
C vertime Plan Ck:
$0.00
Investigation F^e:
$0.00
Record Management :
$2.00
Energy Compliance_
$0.00
CA Seismic Safcty :
$0.00
Disab'ad Access:
$0.00
Hazardous Mat
$0.00
Building GreenEee:
$1.00
TOTAL FEE: $387.86
PROCESSED BY:
ZONING APPROVAL:
Contractor:
LONGMAN CONSTRUCTION CO INC
Architect:
Address:
2782 CIRCLE DR
Address:
NEWPORT BEACH CA 92663
Phone:
949-722-7711
Phone: State Lic:
Con State Lic:
393881
Engineer:
Lic Expire:
08/31/2023
Address:
Bus Lic:
BT00001921
Lic Exp Date:
03/31/2023
Phone: State Lic:
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9062475
Expire: 0710112022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
IOSLJ
Rear: 10
Front: 20
Left: 4
Right: 4
king Speci
0
Designer:
Address:
Phone:
Special Conditions: REV22-0850 (DELTA 4)
Fire Hazard Zone : N
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$52.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$387.86
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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,
lusiness 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).
7 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:http://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 70 0) of ' is n 3 of the Business and Professions ode a a' 1 lice sin full force
nd effect. License Class License No Date Z Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37BG 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
grformance 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' compensation
nsurance carrier and policy number are:
3arrier Policy Number Expiration Date _
'Jame of Agent Phone #
:1I certify that, in the performance of the 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 agre,
:hat, if I should become _subbject to the rker 'co a also Isio s of Section 3700 the Labor Code, I shall forthwith comply with those provisions. X
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Signature of Applicant R Date / `
DECLARATION REGAAAANG CONSTi1CTION LENDING ATENCY '
hereby 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 3097, Civil Code).
_ender's Name Lender's Address
3y my signature below, I certify to each of the following: -
I am the property owner or authorized to act on the property owners behalf. `
I have read this application and the information I have provided is correct. ..
I agree to comply with all applicable city and county 0rdmanc an state laws relating to building construction.
I authorize representatives of this city or county to enter abov -i ifs rop y for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Named tom" Date
ACTION DATE BY DECLAFKTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMITEXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED I 1 1, ae=�QMD
PERMIT FINAL �j BESTOS NOTIFICATIO NO LIC TO
CERTIFICATE OF PROPOSED DEMOLIT10
OCCUPANCY ISSUED SIGNATURE: X J