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HomeMy WebLinkAboutX2018-0172 - Permitsw1n City 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 fl,r`a Combination Type - BLDG COMB Permit: X2018-0172 X 2 0 1 8 0 1 7 2 Project No : 1663-2017 Issued Date : 01/24/2018 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: 1520 KINGS RD NB I4�1'1' t j; Description: RETAINING WALLS 45 LF X 10' HIGH MAX Legal Desc.: N TR 1219 BILK F LOT 3 '`Ea t I;- w✓ a, ' Owner: TROESH JON & ELSA Contractor: GREGORY BUILDERS Architect: Address: 336 CATALINA DR Address: 233 OCEANVIEW AVE Address: Disabled Access: NEWPORT BEACH, CA 92663 Hazardous Mat NEWPORT BEACH CA 92660 Building Green Fee Phone: 951-760-4230 Phone: 714-747-4027 Phone: Applicant: SMITH CRAIG MONROE Con State Lie: 719030 Engineer: Address: 1041 W 18TH ST #A-208 Lie Expire: 02/28/2018 Address: COSTA MESA CA 92627 Bus Lie: BT20012402 Phone:. 949-764.0010 Lie Exp Date: 06/30/2018 Phone: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: CALIFORNIA INS Address: Occupancy Group: U Policy No: 4604999801 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 29 Bldg Sprinklers: Construction 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. Building Green Fee Y.100 FEE: $770.00 PROCESSED BY: ZONING APPROVAL: Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbinq %: 0 912 812 01 8 Rear: 10 Front: 20 Left: 4 Right: 4 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Phone: SMITH CRAIG MONROE 1041 W 18TH ST #A-208 COSTA MESA CA 92627 949-764-0010 State Lic:CO20154 FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 e m e 714-835-2800 State Lic:C-030407 °o. •.° Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $380.00 PUBLIC WORKS PLAN CHECK GRADING APPROVAL: r J 1"'_-1 APPROVAL TO at Permit 00 0 0 o mo c c e000co 0 o0m000 0 0 0 0 0 • • • mmom co e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: at Permit 00 0 0 o mo c c e000co 0 o0m000 0 0 0 0 0 • • • mmom co e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 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 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). ❑ 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, 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 im 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 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 Iega11) 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.htmi. 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 Section00 f 'visio 3 of the Business and Pr fessions and my lice S is in full force and effect. Lice n"W ss License No Date Y a Contractor Signature +� ORKfRS' COMPENSATION DECLARATION WARNING- FAILURFI1!Q&]IRE 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 T THE COST OFCOMPEN MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I•Ihyetly affirm under penalty of perjury one of the following declarations: have and will mBlltain 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 ptirt—ft@nce oflhajork for which this permit is issued. Policy No. and vAlf f*intain 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' compensatiol carrier aRQ policy number are: • Policy Number Expiration Date a certify that, in the Performance 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 workers' compensation laws of California, and agree Sot. S L Should hecomesubject tol"Pivorkers cc ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican• Date`�— IECLARATION REG DING ONSTRUCTI LENDING AGE / —� hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: 1 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 ordina sand state law elating to building construction. I authorize representatives of this city or count to t above-identif' property for inspection purposes. /J 0 linnahlre of PrnnedV Owner nr Authnrized ADent '•'•') �� Print Prooertv Owner's or Authorized Acent's Nam "" 5 (� �' %° 7 Da dYr6 ACTION DATE �Y / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 NOTIFICATION TO PERMIT EXTENDED CERTIITFINAL 'A FICATE OF u� I) I ] / U r7 5 GNPCSEDO EMOLITION EST i ION IS NOTAPPLICABLE TO OCCUPANCY ISSUED (I / VV 77