HomeMy WebLinkAboutX2019-1637 - Permitsc�wta,� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
t. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r�!-11,i4tl'�b Combination Type - BLDG ELEC PLUM GRAD
Il i iiiiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 7 II
COMB Permit: X2019-1
Project No : 1169-2019
Issued Date : 05/2212019
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:
4509 WAYNE RD NB
Description:
SFR BLOCK WALL 6' HIGH X 14 LF (INSIDE PIL), ELECIGASLINE
TO BBQ 8. FIRE PIT AND DRAINAGE
Legal Desc.:
N TR 3519 LOT 109
Owner:
DURKEE HENRY D Contractor:
NEW WEST LANDSCAPES Architect:
Address:
4509 WAYNE RD Address:
32168 CAMINO CAPISTRANO Address:
NEWPORT BEACH, CA 92625
SAN JUAN CAPISTRANO CA 92675 ... '
Phone:
949.510-3567 Phone:
949.661-2767 Phone: State Lie:
Applicant:
NEW WEST LANDSCAPES
Address:
32158 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO CA 92675
Phone:
949-661-2767
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $40,000.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,512.92
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
653313
Lie Expire:
09/3012020
Bus Lie:
BT30050648
Lie Exp Date:
04130/2020
Worker's Compensation Insurance
Carrier: OAK RIVER
Policy No: MIWCO24070
Expire: 04/01/2020
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Imp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 15'
Left: 6'
Right: 6'
'arkino Spaces
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
Woo
$28.84
$0.00
$37.08
Plan Check Fee
Engineer:
Address:
Phone:
State Lie:
Designer: MSCURDY MIKE
Address: 32158 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO CA 92675
Phone: 949-661-2767
Special Conditions
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$40.00
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
$0.00 Fee Due at Permit Issuance : $1,512.92
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: VAG
APPROVAL TO ISSUE:
OWNER -BUILDER
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
rovements 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
roved for the purpose of sale).
1, as owner cf 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
ly to un 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).
J I am exemp', from lioensure under the Contractors' State License Law for the following reason:
ly 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 cover(
e11 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
'mfessions Code, is •Lvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
:igi.atura of Prop3-ty C'Nner or Authorized Agent Date _
.ICtNSED CONTPPCTOR'S DECLARATION
hereby affirm urd% penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business an rofes
no effect. License Class License No Date �Z�--1. Contractor Sig tune
YCRK�iRS' COMPENSATION DECLARATION
rmit, I cannot
Business and
in full force
NARNING: FAILURE'10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
LCST 3?COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
ha.0,y affirm ender 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 the
Xu
ormance of the work for which this permit is issued. Policy No.
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
r nce carrier and policy number are:
barrier Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the pert ante 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' ompensation laws of California, and agree
hat, if I should becomes jest to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Da
DECLARATION I DING CONSTRUCTION LENDI ENCY
hereby affirm under p nalty of perjury that there is a cons coon lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code).
-ender's Name Lender's Address
3y 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 1 have provided is correct.
I agree to comply with all applicable city and coup ordinances and state laws relating to building construction.
I authorize representatives of this city or county enter a ab ve-ide ified property for inspec' oses.
3ignature of Property Owner or Authorized Agent not Property Owner's or Authorized Agent's Nam 6 Date A
ACTION DATE BY DECLARATION OF COMPLIANCE WIT DE Of FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AN QMO RULE
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
ll-�• t'l I ip�
SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
W m`
H
C
xz
x o
CD
0
Z
O o
W U M
Q)
Wao v
O zlz
�- Azm�
o €
OQM
CD
Q Q
® '
n!Ja py (0rn
rA�
O V U
y L
~ J
W ja:7go c"a
aW'0
Amg
�Wrao(
wog
Oti
A a o
F- J Q
c
W
h
O
Q
m
ui :ti
O
o
fq w
L
0
U
m
0
O
U
a
m
N
C
0
U
J
a)
N
in
E
E2
O
U
m
a
m
a
0
C
O
E
c
O
c -a
U
a
c
m
x
O
r
co
N
N
7 O)
sc
E�
3 0
0-0
c �
m
c
L a)
�o -0
m CD
U_
o
� C
�a
Cn N
m
c CO
F.. C
L p°
'o
o
m in
an d
m`a�
w
mEii
w m`
��
m
Q a)
Q 'y .
0
FU(
p W
a
•� a)
En
En o O s
W
a)
° m
N.
m Y CO
E
L i
N co
N a
m m
m
O
.p. O
E- p
C m
3
0
m C
�
,•-
Q
L-
m en
O
tjEE O(D
c
XV
'O
a m
F-Cc
=
:1 2
°)
L'xow
0EN
M.0
C
UJ
Uac
f6 p
O
O 0_a
.4+ O W
_p
3
mN E
c
r.00
U m�
0
p c
a c
o "
L
E m 0
too
0
-00
0
Q O
d Ua
cam
— arc
.0
� 3
Ea
-0 m N�
�E
a,R 3
N:
p
O N
ap-
t a)
a) 03
Ew
'6
�cm
EE'°
C N N
Y z a
c O
aai
.�, m m
E
m m
N
C c
N a)
N m N
— fi t
U°
Nw
+LO. N
O
a) a (D
0 °
w
m m
)
�w c°i
S
0 C`v
70
m
wo
L
0
ao
Co
oC)
�-
C
3 co
V
m:O a)
N
a)
Qm W
N m
U �
al
Q a)
in
_�
m N
_
C
)
�=�
°
m
-°
O
ca
Q N .0
�' -oa)
•�,, O
m
tea
c
o
°c am
a 0
0 U
N
-0
a" 7
/�
U V
y
O .0 O N
N
i Q p
`f -- d
<
�caM
_N
m
a)t:
<
Lc.omE
c `t
3
00 3
-Y
o�`6U
° a
'O m M
(n.Str
m
N m N N
E,C
E�
w
UrnEE
��
�r'3a
a1�m
�3 0
ao0
-°a o> c
�wv
o
(Dm
d
caN
CO
Q
N
m
O
aai(DE~
O
__—�
O.
ILI.
4= E .0
U
7
Uax)U
O
wed
Nm
(Daa))C m`
of Q N 2
o�
I
m
0