HomeMy WebLinkAboutX2020-1591 - Permits�aMro�, City ofNewportBeach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
't 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1
- Permit Counter Phone (949)644-3288
y ep Inspection Requests Phone (949)644-3255
Combination Type - BLDG
5 9 1 II
COMB Permit: X2020-1591
Project NO : 1232-2020
Issued Date :
Inspection Arearea :2020
1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/27/2023 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: 401 15TH ST NB
Description: SFR RETAINING WALLS 130 LF, "INSIDE THE PIL"@��^^,�:
e
Legal Desc.: N TR 1218 LOT 31
%(3 i iL *_.0 ,
Owner: FLORIANI DAN Contractor:
SHOWALTER CONST INC
Architect:
AUST ERIC
Address: 401 15TH ST Address:
1791 WHITER AVE
Address:
62 BALBOA COVES
NEWPORT BEACH, CA 92663
COSTA MESA CA 92627
NEWPORT BEACH CA 92663
Phone: 949-422-9294 Phone:
949-673.1645
Phone:
949-637-5220 State Lic:CO29374
Applicant: AUST ERIC Con State Lic:
654380
Engineer:
ROSS SCOTT WILLIAM ,
Address: 62 BALBOA COVES Lic Expire:
0212812022
Address:
1800 E 16TH STREET #B
NEWPORT BEACH CA 92663 Bus Lic:
BT00006144
SANTA ANA CA 92701
Phone: 949-637-5220 Lic Exp Date:
0613012021
Phone:
714-835-2800 State Lic:C-045309
>>
Code Edit: 2019 Worker's Compensation Insurance
Designer:
Type of Construction: Carrier:
STATE COMP
Address:
Occupancy Group: U Policy No:
9220812
Added /New sq.ft. Bldg: 0 Expire:
11/02/2020
Phone:
„
Added /New sq. ft. Garage: 0
No of Stories: 0 Building Setbacks
Rear: 10
Special Conditions: MARKERS ON SITE
>>-
No of Units: 0
Front: 20
Bldg Height: 0
Left: 4
Bldg Sprinklers:
Right: 4
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone: N
Construction Valuation: $200 000.00
Building Permit Fee: $3,674.00 Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $1,598.19 Additional Fee :
$0.00 Plan check Fee :
$0.00 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 WO Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit $0.0o
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 : $8.00 Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $5,280. 9 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$419.00 Fee Due at Permit
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
nee : $4,861.19
0
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).
U 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
im roved 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 legall
sell a structure that' 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 usiness and
,0mfPssions Cod is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I :1Lreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of plivisionfl of the Busines nd Profes Code, y is se is in full once
(and effect. licaise Class License No Contractor nature
WORKERS' COMPENSATION DECLARATION
C1.17.NING: FAILUR- TO 3ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TKBdSAND DOLLARS ($100,0001, IN ADDITION TO THE
COST OF COMrENSe.I ION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Iyhereby affirm under penalty of perjury one of the following declarations:
I have aid v ill 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
mance of the work for which this permit is issued. Policy No.
n.i will maintain worker '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' compensation
OsTas ante carrier and policy nu a are:
Carrier olicy Number Expiration Date
Name of Agent Phone #
I certify that, in the perfor an of the work f ch this permit is issued, I shall not employ any person in any manner so as to become subject to the worke ' compensation laws of California, and agree
that, if I should om u e o the workers' ensation provision In 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Appli t
DECLARATIO E AR NG CON CTI LENDING AGENCY
I hereby affirm under penalty of pe' that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By my signature below, I certify to each of the follfoinances
I am the property owner or authorized to act oI
I have read this application and the informatio
I agree to comply with all applicable city and celating to building construction.
I authorize representatives of this c'y or counperty for inspection purposes. n 1
Signature of Property Owner or t zed Agent _Owners or Authorized Ag me nOkJG t� to
ACTION A BY D CLARAT COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY WN
E TIONS PART61 OFTITLE40ANDAQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
OAQMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
IQ—((. -Z'J
//✓+
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: