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HomeMy WebLinkAboutX2018-3061 - PermitsCity of Newport Beach - BuildingePjvi$iom. �I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III 100 Civic Center Drive, Newport Beach, CA 92660 0 ° e ° ° ° Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG m o 00o ee ®e ° om COMB Permit: X2018-3061 Project No: 2406-2018 Issued Date : 10/17/2018 Inspection Area : 7 Job Address: Construction Hours: Monday - Friday 7A01a.m:to 6."30°p.tn. and §at'urday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays 3366 VIA LIDO NB Description: COMM RETAINING WALL 3'6" HIGH X 147 LF ON TOP OF SEAWALL $425.00 Legal Desc.: P BK 60 PG 43 PAR 2 562-544-7244 Owner: Address: Phone: LIDO ASSOCIATES Contractor: DEMPSEY CONSTRUCTION INC 1100 NEWPORT CENTER DR STE 200 Address: 1835 ASTON AVE NEWPORT BEACH, CA 92660 CARLSBAD CA 92008 Phone: 760.918-6900 Architect: SMART JOSEPH R Address: 17848 SKY PARK CIR, STE B IRVINE CA 92614 Phone: 949-757-3240 State Lic:CO24991 Applicant: NUNEZJOEY Address: 18004 SKY PARK CIR STE 200 $425.00 IRVIEN, CA 92614 Phone: 562-544-7244 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: Building Permit Fee: $232.00 Plan Check Fee: $201.84 Overtime Plan Ck: $425.00 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 : $1.00 TOTAL FEE: $859.84 PROCESSED BY: ZONING APPROVAL: Con State Lie: 945467 Lie Expire: 09/3012020 Bus Lie: BT30061966 Lie Exp Date: 01/31/2019 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS Policy No: 7600016936 Expire: 11/0112018 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: / Front: / Left: / Right: / Parkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: JAFARI MASOUD Address: 23 ORCHARD #250 LAKE FOREST CA 92630 Phone: 949-206-9929 State Lic:S-003812 Designer: Address: Phone: EaSpecial Conditions: d C T 0 R Planning Department - Fire Department Plan check Fee $0.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PM/ Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone: N $626.84 Fee Due at Permit Issuance : $233.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: Fire Department $0.00 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 $626.84 Fee Due at Permit Issuance : $233.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION •• 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lae fifer these600latin� icated beQiw by the checkmark(s) I have placed next to the applicable item(s) lection 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, aTtV, improve, demcy$h, psrgpair any structure, prior to its issuance, also requires the applicant for ie permit to He 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 exemptign. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). ',' • • • :. , I, as owner of the property, or my employees with wages as their sole compensation, will do _) ill odor L) po%onsbf the vary anQ the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of prg3'ye);ty who, t� rough employoes' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cEr}Ipletiorr, the.(ZWner-Builder will have the burden of proving that it was not built or nproved 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 Ipply 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: 3y 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 yell 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 )rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Signature of Property Owner or Authorized Agent -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Professions Cetle, and y license is in full force Ind effect. License Class License No Date., 7--/ contractor Signature D o YORKERS' COMPENSATION DECLARATION ✓ '\ ALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND DOLLARS ($700,0003, IN ADDITION TO THE YARNING: FAILURE TO SECURE WORKERCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN S' :OST 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 following declarations: �1 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 th r9999��ryErt�����o..,... rmance. of the work for which this permit is issued. Policy No. - `ave 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' comp ensatiol nsur nce carrier and policy number are: ,pr _ Policy Number Expiration Date le of Agent 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 agre if I should become s bject to tFfefworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t �C) / 7 G lature of ADolicant ' z DV CLARATILIN KLUAKIJINU l•V ND 1 Ru V 1 IV-' I­cnvo.v ireby affirm under penally 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). Ider's Name Lender's Address 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. 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 count toe er the aboo -identified property for inspection purposes. —' nature of Property Owner or Authorized Agent y X OD_ga Print Property Owner's or Authorized Agent's Na e ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO PERMIT EXTENDED LIALUVIU PERMIT FINAL I • tT•'ZO ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: