HomeMy WebLinkAboutX2019-3663 - Permitsxro
City of Newport Beach - Building Division
Investigation Fee:
100 Civic Center Drive, Newport Beach, CA 92660
Description:
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII II COMB Permit: X2019-3663
Project No : 2517-2019
Issued Date: 1112212019
Inspection Area : 5
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
4818 CORTLAND DR NB
Investigation Fee:
$0.00
Description:
RETAINING WALLS 6'x 35 LF & 4.6'x
144 LF (INSIDE PIL)
$0.00
Legal Desc.:
N TR 3519 LOT 16
Disabled Access:
$0.00
Owner:
STELLAR JOHN
Contractor:
ENGLISH SCOTT GC
Address:
265 BEVERLY ST
Address:
1561 ORCHARD DRIVE
LAGUNA BEACH CA 92651
SANTA ANA HEIGHTS CA 92707
Phone:
Phone:
949-355-6226
Applicant:
WALZ JOHN ROBERT
Con State Lic:
784484
Address:
510 LARKSPUR AVE
Lic Expire:
09/30/2020
CORONA DEL MAR CA 92625
Bus Lic:
BT30066763
Phone:
949-836-5977
Lic Exp Date:
10/31/2020
Code Edit: 2016
Type of Construction: VB
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: X
Construction Valuation: $36,000.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
FEE : $831
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 15
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect: WALZ JOHN ROBERT
Address: 510 LARKSPUR AVE -
CORONA DEL MAR CA 92625
Phone: 949-836-5977 State Lic:C031388
Engineer: BURKE THOMAS
Address: 151 KALMUS DR #140
COSTA MESA CA 92626 a m m o mm m
Phone: 949-494-0776 State Lic:S-005088
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone :
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
PINI Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$405.00
PUBLIC WORK
PLAN CHECK E
APPROVALTO
Permit Issuance
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$0.00
$0.00
$0.00
$0.00
$426.00
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:
Permit Issuance
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$0.00
$426.00
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
lusiness 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
nprovements 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
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
poly 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:
ly 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
ell 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://w .leginfo.ca.gov/calaw.htmi.
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION _
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f D' Vision the Business and Professions ede�at� i__ full force
nd effect. Liceme Class License No Date �/ Contractor Signature
YORKERS' COMPENSATION DECLARATION
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
IGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
bereb' affirm undgr penalty of perjury one of the following declarations:
��I hive 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
erfermance of tli orWfor which this permit is issued. Policy No.
Kaye and wjll'maihPdin 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'
ij,jnp carrier and policy number are:
Policy Number Expiration Date
Pte Ify 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
iatpi Lshould bectane'subject t worker ' perm .On provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \
Ilgnature of Applicant�F-/��0 _ Dat
IECLARATION REGA DING CONSTRUCT U NDING AGENCY /
hereby affirm under 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).
ender's Name Lender's Address
ly 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 county two an�� nv mid® " p%Dperty for inspection purposes. ���,r �' /
�ionature of Property Owner or Authorized Aaerr 7�-r�'S'�W301 Print Propertv Owner's or Authorized Agent's Name�F1 1/O/C` 1 I Date
DATE BY DECLARAT[OREGULAT 0 ART 611 OF TITLE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXTENDED ZI L IAQMD
PERMITFINAL LIASIIEITOI NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF 1/� PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
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