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HomeMy WebLinkAboutX2018-3854 - 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 GRAD COMB Permit: X2018-3854 IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIuII Project No: 2974-2018 Issued Date : 1 2/2 012 01 8 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: 609 MALABAR DR NB Description: SFR RETAINING WALL 4'X 300 LF (INSIDE P/L) & YARD DRAINAGE d� Legal Desc.: TR 1701 LOT 77 AND POR OF LOT 94 5 Owner: MORLES DEBORAH Address: 1048 IRVINE AVE #617 9242800 NEWPORT BEACH CA 92660 Phone: 949.378.8074 Applicant: SIMPSON STEVE Address: 26181 TIERRA CIR Bus Lic: MISSION VIEJO CA 92691 Phone: 949-378.8074 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Contractor: SIMPSON GENERAL Address: 26181 TIERRA CIRCLE 9242800 MISSION VIEJO CA 92691 Phone: 949.378.8074 Con State Lic: 810572 Lic Expire: 0 212 812 01 9 Bus Lic: - BT30066476 Lic Exp Date: 12/31/2019 2016 Worker's Compensation Insurance Carrier: STATE COMP U Policy No: 9242800 0 Expire: 12/14/2019 0 CA Seismic Safety: Building Setbacks Rear: 10 $0.00 Front: 15 $0.00 Left: 4 $1.00 Right: 4 Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $1,783.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: State Lic Engineer: SILVA CHRISTINA Address: 7652 ONTARIO DR Additional Fee: HUNTINGTON BEACH CA 92648 Phone: 714-307-7101 State Lic:C-037201 Designer: $0.00 Address: General Service Phone Special Conditions: LANDSLIDE AREA Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee: $0.00 Plan check Fee: Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00. SJH Trans: Grading Bond: Grading Permit Fee: $608.00 In -lieu Housing Fee: Grading PC Fee: $312.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PNV Plan Check: $41.25 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 dry' e o e• •�"i e•umo srm • e e• e a m • e e�3*'` a •. o e )�• ='•m•eo o• e i :.„„,.. 1 0 s ommoo e ma �000mo o••moe o 0 • oommeo 00 0 0 0 e o • eeo• 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,783.25 PUBLIC WORKS APPROVAL: �, n PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: dry' e o e• •�"i e•umo srm • e e• e a m • e e�3*'` a •. o e )�• ='•m•eo o• e i :.„„,.. 1 0 s ommoo e ma �000mo o••moe o 0 • oommeo 00 0 0 0 e o • eeo• 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,783.25 PUBLIC WORKS APPROVAL: �, n PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION if 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 rovements 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 roved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature JV%vg I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the in 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 appl ,faaci'ons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. natuR of Prfto7 04vner or Authorized Agent .FN§ED CON.TRACTOR'S DECLARATION Ha+oy affirm under Bratty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivision 3 of the Business and I effect. LicgriseAss License No Date Contractor Signa )RKERS' COMPENSATION DECLARATION law, Section 7044 of the Business and Date and my license is in full force IORNINS: FAILUR@TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '10K Pt EOMPENSAMM,,'DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. // prepy jaffirm undOr penalty of perjury one of the following declarations: 5 i hal and Al.m4milain 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 5 once of the worn for which this permit is issued. Policy No. -hBae 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' compensatioi 1s ance carrier anripolicy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 71 certify that, in the perforrpancq of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the w/Da pensation laws of California, and agre iat, if I should become su ec to the r mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant i >o > C5 I `'PIECLARATION REGA DIN ONSTRUCTION LENDING AGENCYhereby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30de). ender's Name Lender's Address ;y 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. 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