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HomeMy WebLinkAboutX2022-1469 - Permitswtv�r City of Newport Beach - Building Division *X2022-1469* COMB Permit: X2022-1469 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1352-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ¢�, I 'g CT Issued Date : 2022 Combination Type - BLDG � a„J+ Y' Inspection Arearea : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 17 BOARDWALK NB Description: SFR RETAINING WALL/PLANTER W/ WATERSLIDE & STEPS (95' LONG X 6' MAX HEIGHT) -. Legal Desc.: N TR 15478 LOT 13 Owner: SACKS TERRI Contractor: IHP ENTERPRISES INC Architect: Address: 17 BOARDWALK Address: 25282 ARCADIAN AVE Address: NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92691 Phone: 951-963-4659 Phone: 949-981-2722 Phone: State Lic: Applicant: ORTIZ AUSTIN Con State Lic: 1032378 Engineer: BIEDENBACH CHRISTOPHER Address: 5069 ARROYO UNDO AVE Lic Expire: 11/30/2023 Address: 1201 N TUSTIN , SAN DIEGO, CA 92660 Bus Lic: BT30071421 ANAHEIM CA 92807 ' Phone: 949-795-4884 Lic Exp Date: 0313112023 Phone: 714-630-6100 State Lic:C-074003 Code Edit : 2019 Worker's Compensation Insurance Designer: ' Type of Construction: Carrier: ACCREDITED SURETY Address: Occupancy Group: R3/U Policy No: 07222021 Added /New sq.ft. Bldg: 0 Expire: 07/22/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5 Special Conditions: No of Units : 1 Front: 15 Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $B 265.00 Building Permit Fee: $229.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $199.23 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 : $0.00 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 PAN Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $531.98 Plan Check Fee : $301.98 Fee Due at Permit Issuance : $230.00 T t�F� PROCESSED BY: PUBLIC WORKS APPROVAL: p ZONING APPROVAL: I P R PLAN CHECK BY: Y� 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) indicat d 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, demoli h, 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 La (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the. ork, 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 „ut 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 pLrNcse of sale). C,, as owner of to,: a, ooerty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BIL giness and Professions Code: The Contractors' State License Law does not apply to an owner of p-cperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pi rsuant to the Contractors' State License Law). CI am exempt from licensure under the Contractors' State License Law for the following reason: By my signature bc!cv ' acknowledge that, except for my personal residence in which I must have resided for at least one yea prior to completion of the improvements covered by this permit, I cannot Iegalh sell a stru^ture 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 site:http://www.leginfo. a.gov/calaw.html. Sig, LLJa of Prop3rty Cw ner or Authorized Agent Date LIC'ENCED CONTRACTOR'S DECLARATION I trcty affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D vision 3 of the Business and Professions Co d my license is in full force and effect License Class License No Date Contractor Signature RS' COMPENSATION DECLARATION APN'N n- FAILURE ?O SF:UPE 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 COMPENSAT:Ca, 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: J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of erformance of the work for which this permit is issued. Policy No. thave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe Isurance caper and policy number are: Policy Number to 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 if I should become subject to the workers�compensation provisions of Section 3700 of the Labor Code, I shall forthwith c nature of Applican CLARATION REGARDING CONSTRUCTIO L DING AGENCY !reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which 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 county to ent the a�bov - if property for inspection purposes. nature of Prooertv Owner or Authorized Aoent x ��/M.f�-�., / /_ Print Property Owner's or Aut ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED LI<MD PERMITFINAL / 23 SRESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 'PROPOSED DEMOLITION[ OCCUPANCYISSUED SIGNATURE: X R6l Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre 31y with those provisions. Datex G -z 2 a permit is issued (Section 3097, Civil Code). FOR OFFICE U$E ONLY Name ,\ G ,L