HomeMy WebLinkAboutX2018-2474 - Permits�WPG City of Newport Beach - Building Division IIIIII IIII II I II I I II IIIIII COMB Permit: X2018-2474
a�.. t 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 4 7 4 Project No
H✓ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r^�zisr.in�"' Combination Type - BLDG Issued Date: e12012018
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: 626 SEAWARD RD NB
Description: BLOCK WALL 5' X 12 LF (CITY
STD PLAN, PIL AGREEMENT
W/PERMIT)
Legal Desc.: TRACT NO 1237 LOT 164 AND TRACT NO 14795 LOT 18
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Owner: UEBERROTH JOSEPH J
Contractor:
SO CAL CONCEPTS INC Architect:
Address: 626 SEAWARD RD
Address:
16372 CONSTRUCTION CIR E Address:
CORONA DEL MAR, CA 92625
IRVINE CA 92602
Phone:
Phone:
949-653-1101
Phone:
State Lic
Applicant: SO CAL CONCEPTS INC
Con State Lic: 528142
Engineer:
Address: 16372 CONSTRUCTION CIR E
Lic Expire:
- 06/31/2020
Address:
IRVINE CA 92602
Bus Lic:
BT30030730
Phone: 949-653-1101
Lic Exp Date:
02/2812019
Phone:
State Lic:
Code Edit : 0
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
UNITED WISCONSIN INS Address:
Occupancy Group: 2016
Policy No:
WC52900056018
Added /New sq.ft. Bldg: 0
Expire:
07/01/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6'
Special Conditions:
No of Units : 0
Front: 15'
Bldg Height: 0
Left: 6'
Bldg Sprinklers:
Right: 6'
-
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $1.800.00
Building Permit Fee: $386.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $342.50
Additional Fee :
$0.00
Plan check Fee : $37.50
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: $2.00
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: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $769.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $769.00
PROCESSED BY:
1 _ _ _
_
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
�'�--!
PLAN CHECK BY:
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) 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 cf 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 (_) 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).
❑ 1 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 legallt
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:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION //
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D' isi 3 of the Business and Professions Co d '@e e'�i rce
and effect. License Class License No Date Zd iV Contractor Signature,�
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COSTtbF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
affirm under penalty of perjury one of the following declarations:
e and will maintain a certificate of consent to self -insure for workers'
Ince of the work forwhich this permit is issued. Policy No.
have and will ma'- in workers' compensation insurance, as
ranee carrier and oli number are:r
le of Agent
certify that, in the performance of the
if I should become su ject to the wo
tatureofApplicant
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
fiction 3700 of the Labor Code, I shall forthwith comply with those provisions. /// ,/
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3reby affirm undefpenalty 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 ordina es a ''s�pgte ws tin Ing construction.
I authorize representatives of this city or county tryenter t o-Iggnti d inspection purposes. t� �&t vod
ACTION DATE BY f DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO -
PERMIT EXTENDED � ' 'LIAQMD
PERMIT FINAL % ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF '� PROPOSED DEMOLITION
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