HomeMy WebLinkAboutX2020-1875 - Permits,hr4 City of Newport Beach - Building Division "X2020-1875` COMB Permit: X2020-1875
a4 F 100 Civic Center Drive, Newport Beach, CA 92660
eacProject No : 2885-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
c,a Combination Type - BLDG Issued Date : 09/0212020
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Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0910312023 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: 41 ROYAL SAINT GEORGE RD NB
Description: SFR BLOCK WALL 90 LF X 6' HIGH INSIDE P/L *MARKERS ON SITE* CITY STANDARD
Legal Desc.: N TR 7223 LOT 71
Owner: CHRISTIAN HENDERSON
Contractor:
LANDWORKS
CONSTRUCTION
Architect:
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Address: 610 NEWPORT CENTER DR
Address:
25602 ALICIA
PKWY #438
Address:
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NEWPORT BEACH, CA 92660
LAGUNA HILLS
CA 92633
Phone:
Phone:
949-7954880
Phone:
State Lic:
Applicant: WRIGHT JC
Con State Lic:
959819
Engineer:
Address: 853 DOVER DR #7
Lic Expire:
04/3012021
Address:
NEWPORT BEACH, CA 92663
Bus Lic:
BT30072246
Phone: 949-795-0648
Lic Exp Date:
0613012022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
WESCO INS,
Address:
Occupancy Group: U
Policy No:
WWC3440367
Added /New sq.ft. Bldg: 0
Expire:
0912512020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 15
Special Conditions:
CONTRACTOR AUTH ATTACHED
No of Units : 0
Front: 10
Bldg Height: 0
Left: 5
Bldg Sprinklers:
Right: 5
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone
: N
_
Construction Valuation: $15,000.00
Building Permit Fee: $331.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $287.97
Additional Fee :
$0.00
Plan check Fee :
$46.25
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$9 00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0,01)
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $668.22
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $668.22
PUBLIC WORKS APPROVAL: All
PLAN CHECK BY: /
APPROVAL TO ISSUE:
1
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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) 1 have placed next to the applicable Items)
(Section 7031.6. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stmoture, prior to its issuance, also requires the applicant for
the permlt to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iicensure 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 ($500).
❑ I, as owner of Chu, property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offeredfor sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
ErIm roved for the purpose of sale).
1, as owner of th:: property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License taw does not
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall
sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web slle:htlp'//w -leginfo.co.gov/colaw.htmi. of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with So 7000 of Of islonn 3 of the Busine and Prpf runs de, and my Iigense is in fait force
and effect. License Class License No D ee _$( G - [ Contracto ignaldre /�
NORKERS' COMPENSATION DECLARATION J' - ;
YARNING: FAILURE TO S_CURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IF1aD,660I, IN ADDITION TO THE
:DST of COMPENSATIOt I, 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 Ih
&-fonnance of the work for which this permit Is Issued. Policy No.
have end OR ,nOntain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issusd. My workers'
rance carder and policy number are:
rner Policy Number Expiration Date
me of Agent _ _ - Phone #
I certify that, in the pert a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wort rs' compensation laws ofCallfomla, and agre
L if I shohltl bAG fl Subjectsubject t m' compensation provisions of Section 37(iQ of the Labor Code, I shall forthwith comply with those provleions-
mature of Ap am _
Cf.ARATIGN REGARDING CONSTRUCTION LENDING AeMNL
Zeeaffirm undur 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).
tdats Pjarta` Lender's Address
my signature below, I certify to each of the following:
I am %a property owner or authorized to act on the property owner's behalf. --�)
I have read this application and the INoI ' a provided Is correct // �/ ]',,.,i:t/YL
I agree to comply with all applicable city nd county o inances and state laws latin to building construction. ✓ ``--'''�-'' �-i'
I authorize repres•antatives of this cit D unty to ante the above -Identified pro rly fo inspection purposes.
nature of Property Owner or Aulho Ag �_ Print Property Owners or Authorized ADRDPe i� �l '^7/✓Jii•/7
DATE IV) —BY�CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEATENDED
PENMITFINAL I7//.7t,.. I I ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF ` y PROPOSED DEMOLITION