HomeMy WebLinkAboutX2022-0068 - PermitsCity of Newport Beach - Building Division
*X2022-0068"
COMB Permit: X2022-0068
b
100 Civic Center Drive, Newport Beach, CA 92660
Project NO : 0079-2022
u
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
� !!�
e g N tea IE 2
Issued Date : 02104/2022
Combination Type - BLDG
1
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0210412025 OR PERMIT WILL BE INVALID
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: 2001 PORT RAMSGATE PL NB
Description: SFR RETAINING WALL 74 LF WI TEMP SHORING
Legal Desc.: N TR 6624 LOT 98 0 " ®`•
ao:D
Owner: JTMC GROUP LLC
Contractor:
R D M S INC
Architect:
®• +
0 6 e D :J+
Address: 2001 PORT RAMSGATE PL
Address:
250 E BAKER ST # 300 Address:
NEWPORT BEACH, CA 92660
COSTA MESA CA 92626
•
° • °
Phone:
Phone:
714-448-9835
Phone: State Lic:
•°
•+•+
D 9
Applicant: SCOTT HIXON
Con State Lic:
815872
Engineer: PURKIS DAVID ALAN
G •
....
°
"}i
Address: 250 E BAKER ST STE 300
Lic Expire:
12/31/2022
Address: 32521 CARRETERRA DR
D
COSTA MESA, CA 92626
Bus Lic:
BT30008726
SAN JUAN CAP CA 92675
Phone: 714-448-8210
Lic Exp Date:
01/31/2023
Phone: 949-661-6381 State Lic:C-042810
.cece•
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
EVERSTREMIER
INS CO Address:
»®D.D
Occupancy Group: U
Policy No:
7600015443211
0 ° • ° •
° , `
Added /New sq.ft. Bldg: 0
Expire:
0910112022
Phone:
• D D
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 10
Special Conditions:
No of Units : 0
Front: 18
Bldg Height: 0
Left: 5
Bldg Sprinklers:
Right: 5
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $40,000.00
Building Permit Fee: $1,288.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $1,554.73
Additional Fee:
$0.00
Plan check Fee : $52.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :.
$0.00
SJH Trans: $0.00 Demolition Fee
Record Management: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department- General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access: $0.00
PM Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $2,910.73
Plan Check Fee:
$1,606.73 Fee Due at Permit Issuance :
$1,304.00
PROCESSED BY: �..
PUBLIC WORKS APPROVAL:
1�1
G`y C
SL C
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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 L) 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
improved for the purpose of sale).
L 1 1, 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 o?'rcperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 I amexempt from licensure under the Contractors' State License Law for the following reason:
By my signature.belowi 4acknowledge 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 legal)
seg a structure th2tl hate 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
Profts ions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw. html.
Signature of Property Owner or Authorized Agent Date
L t:EN*SED COWTRACTOR'S DECLARATION
I bereb' affirm up(jer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Divisi n 3 of t Business and Professionode and my license is in full force
aMl2ff0et. License%]%ss License No Date -y�- ntractor Signature
64M MERS' CO4PENSATION DECLARATION
VR®IRG:7AILURE TO SEggRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
DST OF GOMPENSATIOM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hzreby affirm under penalty of perjury one of the following declarations:
FMd\e and 141.rhaiitain a certificate of consent to self -insure for workers'
)erformance of the work for which this permit is issued. Policy No.
compensation, issued by the Director of
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
have 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'
rance carrier and policy number aFC: , I
Policy Number
ie of Agent 1 V VV I t
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
of Applicant
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
enders 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 owners 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 to enter the abovg-identified property for inspection purposes.
Date
to become subject to the workers' compensation laws of California, and agre
31y with those provisions.
Date D� - azi �� a" —
permit is issued (Section 3097, Civil Code).
Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I
1403
PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED 4 Oq g WAQMD
PERMITFINAL S0 7Z ASBESTOS NOTIFICATION IS NOTN�BLE TO
CERTIFICATE OF PROPOSED DEMOUT12tP
OCCUPANCY ISSUED SIGNATURE-Z G-� J c r