HomeMy WebLinkAboutX2020-1293 - Permits„wrpf City of Newport Beach - Building Division
3 100 Civic Center Drive, Newport Beach, CA 92660
F. n Permit Counter Phone(949)644-3288
:i Inspection Requests Phone (949)644-3255
Combination Type - BLDG
`IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII�II� II COMB Permit: X2020-1293
x 2 9 2 0 1 2 9 3 Project No: 0996-2020
Issued Date : 08/31/2020
Inspection Area : 4
PERMIT EXPIRES 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/01/2023 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: 37 BURNING TREE RD NB
Description: SFR RETAINING WALL 115 LF X T 3" - 5' 4" MAX
Legal Desc.: N TR 7638 LOT 56
Owner:
CANNERY SAILHOUSE LP
Contractor:
LEGACY CUSTOM HOMES INC
Architect:
Address:
37 BURNING TREE RD
Address:
1000 QUAIL ST, STE 220
Address:
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92660
Phone:
Phone:
949-887-4750
Phone:
State Lic:
Applicant:
RIELLY BLAKE
Con State Lic:
986194
Engineer:
PURKIS DAVID ALAN
Address:
1000 QUAIL ST #220
Lic Expire:
08/3112021
Address:
32521 CARRETERRA DR
NEWPORT BEACH, CA 92660
Bus Lic:
BT30045036
SAN JUAN CAP CA 92675
Phone:
949-887-6232
Lic Exp Date:
1013112020
Phone:
949-661-6381 State Lic:C-042810
Code Edit : 2016
Type of Construction:
Occupancy Group: U
Added /New sq.0. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $501.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $551.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Canter: OAK RIVER INSURANCE
Policy No: LEWC912262
Expire: 1210212020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 15
Front: 10
Left: 5
Right: 5
larking Specr
$0.00
$0.00
$0.00
$629.76
$0.00
$138.24
$0.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
d Zone : N
I fn r�, 1_
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $405.00 Fee Due at Permit Issuance : $146.00
r.
JPUBLIC WORKS APPROVAL:
'PLAN CHECK BY:
GRADING APPROVAL: V f"C7 I _ _ _ _ _ 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 re quires the applicant for
:he 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 licensum 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).
],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 srle (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 prop,rty, 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 teat it was not built or
Improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to ConsWct 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 tilis permit, I cannot legally
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 cf the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .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 Division 3 of the Business and Professions de, and my license is in full force
and effect. 8/27/2020
License Class License No Date Contractor Signature,,
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FW ES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), 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:
❑ I 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 o' the Labor Code, for th,
once of the work for which this permit is issued. Policy No.
I fave 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. Ny workers' compensation
insililance carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone #
certify that, in the performance of the rk for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation Iavis of California, and
, if I should become subject to the ers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Datey 8/27/2020
I hereby 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).
Lender's Name Lenders 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 orrect.
I agree to comply with all applicable city and county ordinanc s nd state laws relating to building construction.
I authorize representatives of this city or county to enter t e-id ntfled property for inspection purposes. \/ Blake Rielly 8/27/2020
Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam P�
AC17ON
DATE
BY
DECLARATL N Of= COMPLIANCEWHR CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULAT/ONSPART Ff OFT1TrF,V Af!D
AOMDRfTLf'f405.
PERMITEXPIRED
❑ J SUBMJT, ED NSBEST JS NO7'FICIITION TO:
❑ ERA
❑ AGWD
PE.4MITCANCELLED
PERMITEX7ENDED
❑ ASBF3TOSN07iFlCA7f0NISNOTAPPLICABLETO
PROPOSEDDEMOU17OX
PERMITFHIIAL
CERTIFICATEOF
OCCUPANCYLSSUED
SIGNATURE: