HomeMy WebLinkAboutX2019-3307 - Permitstrgw•ro4, City of Newport Beach - Building Division
r
100 Civic Center Drive, Newport Beach, CA 92660
ti Permit Counter Phone (949)644-3288
v o Inspection Requests Phone (949)644-3255
Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3307
x 2 0 1 9 3 3 e 7 Project No : 2295-2019
Issued Date : 02128/2020
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 1113 KINGS RD NB
Description: RETAINING WALLS W/95 CAISSONS 8' x 851 LF & 6-7' x 37 LF Legal Desc.: N TR 1219 BLK E LOT 31 r N �y
S P LECTOR
Owner: REED GREG & CAROLYN Contractor: LEGACY C D M INC Architect: ......��� A
Address: PO BOX 1245 Address: 2618 SAN MIGUEL DR #204 Address:
NEWPORT BEACH, CA 92659 NEWPORT BEACH CA 92660
Phone: 949-698.2091 Phone: 949-677.3650 Phone: State Lic:
Applicant:
HAMPTON CRAIG
Address:
5500 E QUARTERSAWN ST
BOISE ID 83716
Phone:
949-209-8883
Code Edit : 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $740,850.00
Building Permit Fee: $3,626.00
Plan Check Fee: $3,161.1B
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE: $7,161.18
PROCESSED BY:
ZONING APPROVAL:
Con State Lic: 962720
Engineer:
FORBES DALE L
Lic Expire:
04130/2021
Address:
1800 E 16TH ST #B
Bus Lic:
BT3004321 B
SANTA ANA CA 92701
Lic Exp Date:
05/31/2020
Phone:
714.835-2800 State Lic:C-030407
Worker's Compensation Insurance
Designer:
HAMPTON CRAIG
Carrier:
STATECOMP.
INS
Address:
5500 E QUARTERSAWN ST
Policy No:
9147240
BOISE ID 83716
Expire:
11/24/2020
Phone:
Building Setbacks
Rear: 10
Special Conditions:
Front: 10
,
Left: 4
Right: 4
'
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N'�."ll�
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$304.00
Plan check Fee :
$40.00 Fire Inspection:
�iOAO
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
-$C.00 '
Grading PC Fee:
$0.00
Public Works Department-
General Service
$O.UU
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$U.uu
PNJ Plan Check :
$0.00
Grading Bond:
$U.JJ
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $2,071.84
Fee Due at Permit Issuance :
$5,089.34
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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, pnorto its issuance, also requires the applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
❑ 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,
Business 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
improvements 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
improved for the purpose of sale).
❑ I, 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect n 70 "of ivision 3 of the Busines n rofessionsde, and m license Cois in full force
and effect. License Class License No D t to t• Contractor Sig lure /+Y
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 thi
performance of the work for which this permit is issued. Policy No.
Wlave ana 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
isurEnce carrier and policy number are:
:arner _ Policy Number Expiration Date
Jam of Agent . Phone #
�i certify that,'in the performance of the work forwhich 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 Secon,e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iignatur Z/Lt)-tv
)ECLk,RATION "'ARDING NSTRUCTION LENDING AGENCY
hereby afrle�penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section Civil Code).
.ander s Name Lender's Address
3y my aignatute, b9Iow, I certify to each of the following:
am the proper'y owner or authorized to act on the property owner's behalf.
Lave read this, a?plication 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 to enter the above -identified property for inspection purposes.
signature of Property Owner or AuthConDid Agent Print Property Owner's or Authorize is Name P't �{ D o
ACTION DATE -- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
0AQMD
PERMITFINAL
CERTIFIC47EOF
OCCUPANCYISSUED
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: