Loading...
HomeMy WebLinkAboutX2019-4042 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4042 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 4 0 4 2 Project No : 1478-2017 Permit Counter Phone(949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date : 12119/2019 Combination Type - BLDG L tpriK• NO CONSTRUCTION NOISE Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 602 IRIS AVE NB Description: NEW RETAINING WALL(S) 2'-15' X 200 LF (INDSIDE PL) ON THE WEEKEND Legal Desc.: CORONA DEL MAR BLK 636 LOT 4 Owner: WOLVERTON RICHARD Contractor: OWNER/BLDR Architect: ANDRADE STANLEY Address: 704 ACACIA AVE Address: WOLVERTON RICHARD Address: 2880 S COAST HWY CORONA DEL MAR CA 92625 LAGUNA BEACH CA 92651 Phone: 714-493-0434 Phone: Phone: 949-715-7474 State Lic:C018971 Applicant: ANDRADE STANLEY Con State Lic: O/B Engineer: TRAIN JOHN DINH Address: 2880 S COAST HWY Lic Expire: Address: LAGUNA BEACH CA 92651 Bus Lic: GARDEN GROVE CA Phone: 949-715-7474 Lic Exp Date: Phone: 714-265-1200 State Lic:C-062653 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: HIGH DENSITY No of Units: 0 Front: 20' Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $200 000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $365.00 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 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 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $8.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $825.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance PJB-IG WGRKS APPROVAL: PLAN CHECK BY: _ APPROVA, TC, 13SUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $825.00 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 U all of or U 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 pIm�pr.oved for the purpose of sale). �4 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 residencgAnwhich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall) sell a structure that I have built as an owner -builder if it snot been con ed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of the Business and Professions Code, is available upon request whe application is su r t following Web site:http://www.leginfo.ca.gov/calaw.html. - G Signature of Property Owner or Authorized Agent D Ig LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 thf performance of the work for which this permit is issued. Policy No. I 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of th rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens io aws of California, and agref th , if I should becom sued to the or compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. v Signature of Applican D >< DECLARATION RE AR NG C TION LENDING AGENCY �` ll I hereby affirm under penalty of rWjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil e). 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 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, s and state laws relating to building construction. I authorize representatives of this city or cou to ter e b-identifi d property for inspection purposes. 1-� f/�/�g ,Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ACTION DATE BY D AKA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBECT05 NOTIFICATION TOO PERMIT CANCELLED UEPA PERMIT EXTENDED QM D PERMIT FINAL EIASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF Illg2-q DA.%— PROPOSED DEMOLITION _ OCCUPANCY ISSUED SIGNATURE: