HomeMy WebLinkAboutX2021-2866 - Permits (2)City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
4, Permit Counter Phone (949)644-3288
T� 4 Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2O21-2866
��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Project No : 1556-2021
Issued Date : 11/03/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110312024 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: 726 BISON AVE NB
Description: SFR RETAINING WALL 6'6" HIGH MAX X 35 LF (REV21A643) (INSIDE P/L) 01- C/'���
Legal Desc.: N TR 4892 LOT 49 - N
Owner: CID MANUEL & MICHELE
Contractor:
D L C BUILDERS INC
Architect:
Address: 726 BISON AVE
Address:
11278 LOS ALAMITOS BLVD
Address:
NEWPORT BEACH CA 92660
LOS ALAMITOS,
CA 90720
Phone:
Phone:
562-666-7174
Phone:
State Lie:
Applicant: CRUZ JOSE
Con State Lie:
985517
Engineer:
THOMPSON MATTHEW
Address: 2211 E WINSTON RD
Lie Expire:
Q413012023
Address:
12021 N TUSTIN AVE
ANAHEIM CA 92806
Bus Lic:
BT30075945
ANAHEIM CA 92807
Phone: 5621335-0119
Lie Exp Date:
01/31/2022
Phone:
714-630-6100 State Lic:C-OB6051
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STATE COMP
Address:
Occupancy Group: U
Policy No:
9246308
Added /New sq.ft. Bidg: 0
Expire:
02/26/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 0
Front: 15
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $1,500.00
Building Permit Fee: $110.00
Excise Tax:
$0.00
Planning Department.
Fire Department
Plan Check Fee: $95.70
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
to.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$O.UO
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$0.00
San Dist :
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$147.70 Fee Due at Permit Issuance : $115.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 pemlit to construct, alter, improve, demolish, or repair any structure, prior to 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 Iicensure 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
❑ 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
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).
J I am exempt from Iicensure 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 cover by this permit, I cannot legally
;ell a structure that I have built as an owner -builder if has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 7044 of the Business and
professions Code, is available upon request w n t " application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Age
LICENSED CONTRACTOR'S DECLA
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n O) o Di isio 3 of the Busines n ProfesriDNs ),,odes and my license is in full force
and effect. License Class License No D �— Contractor Sig re '11
NORKERS' COMPENSATION DECLARATION Jv
YARNING: 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
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
hereby affirm unUer penalty of perjury one of the following declarations:
711 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, forth(
la.fo, n,ance of the work for which this permit is issued. Policy No.
' a d 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' compensatior
tgnfb carrier and policy number are:
ner Policy Number Expiration Date
"ame rf Agent Phone #
certify that, fi,tViP , erformance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the worker compensation laws of California, and agree
.&t, re of if should beGante subject to th worn, kern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
JECLAiiATlO AF10NG CONSTRUCTION LENDING AGENCY
nureoy hffrm unrl r 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).
_e.a;E-'s Name : ' Lender's Address
3y my signature below, 1 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.
authorize representatives of this city or co yp�•o e<�it, r e ab Tied property for inspection purposes. t,
Signature of Property Owner or Authoriz ent V V Print Property Owner's or Authorized Agent's I°'t I� 1t �I DateLI
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED IJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED LIEPA
PERMIT EXTENDED QMD
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF �Q/�l/.r' PROPOSED DEMOLITION
OCCUPANCYISSUED (/�' SIGNATURE:
/' 's INC.
DLC BUILDERS
November 2"d 2021
City of Newport Beach
Building Department
To Whom It May Concern,
I Patrick O'Connell owner of DLC Builders Inc Lic #985517, herby authorize Michele Cid to pull
and pay for permits on behalf of our Company as related to 726 Bison Ave, Newport Beach.
Please feel free to contact me with any questions regarding this at 5626667174
Thank you very much,
kl�—�
Patrick O'Connell