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HomeMy WebLinkAboutX2021-2656 - PermitsCity of Newport Beach - Building Division *X2021-2656* COMB Permit: X2021-2656 0 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1405-2021 is R7 Permit Counter Phone (949)644-3288 Inspection Requests Phone(949)644-3255 ���^^^ggg �.- Vim... q� fit AV:1�-1, INS' Issued Date : 2021 r',vi isH h Combination Type - BLDG Inspection Area : 2 Area : PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012612024 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: 203 OPAL AVE NB Description: SFR RETAINIG WALL 42 INCHES MAX HT X 31 LF. IN FRONT YARD INSIDE P/L *MARKERS ON SITE* Legal Desc.: BALBOA ISLAND RESUB SEC 1 BLK 10 LOT 23 Owner: 203 OPAL LLC Address: 279 FLOWER ST COSTA MESA, CA 92627 Phone: 949-433-8070 Applicant: WHITFIELD GARRETT Address: 279 FLOWER ST COSTA MESA, CA 92627 Phone: 949-433-8070 Code Edit : 2019 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: Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $302.07 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: GSW DEVELOPMENT INC Address: 279 FLOWER ST COSTA MESA CA 92627 Phone: 949-433-8070 Con State Lic: 954565 Lic Expire: 0413012022 Bus Lic: BT30075076 Lic Exp Date: 0413012022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: 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: 5 Front: 10 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: ARNOLD SHERRILYN Address: 918 E CIVIC CENTER DRIVE SANTA ANA CA 92701 Phone: State Lic:C032056., Engineer: SUZUKI RICHARD AKIRA Z Address: 1744 WEST KATELLA AVE STE 107 ORANGE, CA 92867 W Phone: 714-997-1145 State Lic:S-004> Designer: C Address: Phone: Special Conditions: LIQUEFACTION AREA CD Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $302.07 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). 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 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). I am exempt from licensure 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 Iega11) 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 site:http://www.leginfo.ca.gov/calaw.html. hiyi�atw'e of Propart, Owner or Authorized Agent Date LICENSED CONTPACTOR'S DECLARATION hereby affirm unc<r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Piyyision 3 of the Business and Profe ITS e, an y lic s ome and effect. License Class License No Date D [.b 'ZD21 Contractor Signature 'XCRKERS' COMPENSATION DECLARATION NARNING: FAILURE Tn SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU AND DOLLARS ($100,000), IN ADDITION TO THE dUSI OF COMPEN3A710N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i nbrdLy affirm under penalty of perjury one of the following declarations: I Ezve 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 th performance or the wo',k for which this permit is issued. Policy No. I hake and w°I 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' compensatioi insurance carrier aria Policy number are: Policy Number of Agent Date -certify 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 agre I, if I should become bject to t e worker2' mp s to sI ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant%)��yl/ D f0 ' Z�ri 20 2 CLARATION REG D O TRUCTIO LENDING AGENCY areby 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). 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 enter abov�e n 1 y for inspection purposes. nature of Property Owner or Authorized Agent . AeZ- P Print Property Owner's or Authorized Agent's Name \A A rkQ n: I_ (� (TFI r=u at ACTION DATE BY V DECIMf ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED ACM D PERMITFINAL SBESTOSN TIFICATIO IS NOTLICABBLEETTOO CERTIFICATE OF 2 OCCUPANCY �� SUED SIGNATURELIT