HomeMy WebLinkAboutX2021-1916 - Permits�r�wro�r
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
U
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
111111111111111111111p11111111111111111111111111111 JillCOMB Permit: X2021-1916
Project No : 1664-2021
Issued Date : 0811612021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/16/2024 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: 1720 KINGS RD NB
Description: SFR RETAINING WALLS 4' HIGH MAX X 250 LF
Legal Desc.: N TR 1221 LOT 15
Owner:
WERNER ERIC
Contractor:
Address:
1720 KINGS RD
Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Applicant:
LONGMAN NEIL
Con State Lic:
Address:
2782 CIRCLE DR
Lic Expire:
NEWPORT BEACH, CA 92665
Bus Lic:
Phone:
949-72-7711
Lic Exp Date:
Code Edit: 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $331.00
Plan Check Fee: $287.97
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: $775.97
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
LONGMAN CONSTRUCTION CO INC
2782 CIRCLE DR
NEWPORT BEACH CA 92663
949-722-7711
393881
08/31/2021
BT00001921
03/31/2022
Worker's Compensation Insurance
Cartier: STATE COMP INS FUND
Policy No: 9062475
Expire: 07/0112022
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: 10'
Front: 20'
Left: 4'
Right: 4'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
$0.00
$0.00
Z
Architect:
OLSEN ERIC
Address:
2728 E COAST HWY, STE ACn
CORONA DEL MAR CA 92625
Phone:
949-887-8866 State Lic:C034489
�,/
u
Engineer:
FORBES DALE L
�
I 1 1
Address:
1800 E 16TH ST #B
%1
Phone:
SANTA ANA CA 92701
714-835-2800 State Lic:C-030407
Designer:
0
Address:
�tiy
�yJ
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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
Plan Check Fee : $287.97 Fee Due at Permit Issuance: $488.00
• :• • AJELId WORKS APPROVAL:
PLAN CHECK BY:
••: ••i •°• •°• •°• °AVM ROVAL 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
he 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or (_) 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
Tiprovements 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
n roved for the purpose of sale).
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
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:
sy 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
all 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.htm].
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 a Business and PttQQf��iieSI C dSyV III a' it u11 force
and effect. License Class License No Date Contractor Signatjl+'El, /
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE 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 THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I 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 the
eq&rjili work for which this permit is issued. Policy No.
114'are—and will mai workers' com tlon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
Surance carrier and p'c umber ar
Carrier P um r Expiration Date
Name of Agent ___Osi11 Phone #
Ell certify that, in the p ormance oilLe rw I ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensaf laws California, and agree
that, if I should become su jec a ers' c ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \'
Signature of Applicant ��
DECLARATION REGA D ONSTRUCTION LE G AGENCY
I hereby affirm under p nalty of perjury that there' construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 oraiumms an laws relating to building construction.
I authorize representatives of this city or co ty o e al5o ntified property for inspection purposes.
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name • �Dat Z
ACTION DATE DECLARATION MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AN D AQM D RULE
1403
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFIE MON TO
PERMIT CANCELLED LJEPA
PERMITEXTENOED 0AQMD Y Y
PERMITFINAL �/C ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
YYY
OCCUPANCY ISSUED SIGNATURE: e
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