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Home My WebLink AboutX2018-2207 - PermitsCity of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 + ° Inspection Requests Phone (949)644-3255 Combination Type - BLDG „ OOC O O .00 m m ° III`IIZIII II�1111III 111111 VIII VIII VIII /III II 0 COMB Permit: X2018-2207 Project No : 0986-2018 Issued Date: 07/25/2018 Inspection Area : 1 Applicant: MORGAN JOHN T. JR PERMITS EXPIRq Q0 PAYS AISTW rVIIANOP OR PAST VALID INSPECTION.. 18682 BEACHMONT AVE Record Management: 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 Phone: Job Address: 109 26TH ST NB $0.00 Disabled Access: Description: Legal Desc.: RETAINING WALLS (INSIDE PIL) 31LF X 18"H, NEWPORT BEACH CITY BLK 26 LOT 31 90LF X 6'H, 25LF X 6'H Building Green Fee : $21.00 Address: Policy No: 9041905 Refund Deposit Expire: Owner: THON CARL F Contractor: BURKHART BROTHERS CONSTR Architect: MORGAN JOHN T. JR �' Address: 109 26TH ST Address: 12 BALBOA COVES Address: 18682 BEACHMONT AVE $0.00 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 N. TUSTIN CA 92705 Phone: 949-500-0132 Phone: 714-350-3892 Phone: 714-730-2723 State Lic:CO22567 Applicant: MORGAN JOHN T. JR Address: 18682 BEACHMONT AVE Record Management: N. TUSTIN CA 92705 Phone: 714-730-2723 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 : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $386.00 Plan Check Fee: $342.50 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 : $21.00 TOTAL FEE: $787.00 PROCESSED BY: ZONING APPROVAL: Ls Con State Lie: 905510 Engineer: Lie Expire: 10/31/2019 Address: Bus Lie: BT30026859 In -lieu Housing Fee: Lie Exp Date: 03/31/2019 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9041905 Refund Deposit Expire: 0210112019 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 15 Front: 15 Left: 13 Right: 13 �arkina Soaces $0.00 $0.00 $0.00 $483.80 $0.00 $106.20 $0.00 $0.00 $0.00 $0.00 Plan Check Fee FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 714.835-2800 State Lic:C-030407 Special Conditions: MARKERS ON SITE Planning Department - Fire Department Plan check Fee: $37.60 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $787.00 PUBLIC WORKS APPROVAL: \P r PLAN CHECK BY: CA GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $37.60 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $787.00 PUBLIC WORKS APPROVAL: \P r PLAN CHECK BY: CA GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State L1ce11se,6& %therreas4(sj indpated 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,lmpro0e, 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 licensure and the basis for the alleged exemption. ,Apyviolation 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 compensatioAbwill do (_) all,f pr porlionsgf 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 CAM of prop erty.Wl�o, through em�oyees' 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). 13 1, as owner of the property, am exclusively contractingwithlicensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ap ly to. an owner of property who builds or Improves thereon and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law). I 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/calow.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 Section 7 00) of Div'si) on 3 of the Business and P, Tessio o e, and my I' nse is in II force and effect. License Class License No7n��"p� Contractor signature INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS 100,000), INA DITION TO THE COST 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 fallowing declarations: ZI 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 IN Jre&% mance of the work for which this permit is issued. Policy No. I he a 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' compensatio ra ce carrier and policy number are: Carr' Policy Number Expiration Date e of Agent Phone # I certify that, in the performance of c for which this permit is issu shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to th orke 'compensation provis'on tion 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant D to 7,is JJ'V / DECLARATION REIARDING C CTION LENDING AGE CY I hereby affirm under penalty of p jur that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify t ach of the following: I am the property owner or uthorized 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 94mances and state laws relating to building construction. I authorize representatives of this city or coun me he a ve-identified property for inspection purposes. Signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Nam Lrgm v v ,,. Date ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1J EGULATIONS PART 61 OF TITLE 40 AND ACD RULE 1403 NOTIFICATION TO PERMIT EXTENDED UAQMD PERMIT FINAL (�-jS m� ASBESTOS NOTIFICATION ISNOTAPPLICABLE TO CERTIFICATEOF -1� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: