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Home My WebLink AboutX2020-1059 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 -ct - Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIIIII II COMB Permit: X2020-1059 Project No : 0775-2020 Issued Date: 06101/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1100 W BALBOA BLVD NB Description: MFR RETAINING WALL 33 LF X 6' HIGH MAX Legal Desc.: N TR 234 BILK 111 LOT 1 Owner: GLADSTONE GREGORY Address: 1100 W BALBOA BLVD NEWPORT BEACH, CA 92660 Phone Applicant: WING RICK Address: 264 N SCHAFFER ST EIG167791608 ORANGE, CA 97866 Phone: 714-488-6393 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Contractor: VALLEY MASONRY Address: 264 NORTH SHAFFER EIG167791608 ORANGE CA 92866 Phone: 714.488-6393 Con State Lic: 390882 Lic Expire: 01/31/2021 Bus Lic: BT30052400 Lic Exp Date: 09/30/2020 2016 Worker's Compensation Insurance Carrier: EMPLOYERS COMP U Policy No: EIG167791608 0 Expire: 1010112020 0 CA Seismic Safety: Building Setbacks Rear: 0' $0.00 Front: 5' $0.00 Left: 3' $1.00 Right: 3' Construction Valuation: $4.158.00 Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $818.00 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lic: Engineer: FORBES DALE L Address: 1800 E 16TH ST #B �® SANTA ANA CA 92701 Phone: 714-835-2800 State Llc:C-030407/�,Y,�O�SE Designer: %t2 Address: \V Phone: �o G Special Conditions: yDZONE LIQUEFACTION W -M ON SP Excise Tax: $0.00 Planning Department - $40.00 Additional Fee : $0.00 Plan check Fee Fire Plan Rev Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Refund Deposit Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication: $0.00 PNV Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee : $405.00 0 a o 0 a <o c c c c c o ccc c Fee Due at Permit Issuance : $413.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL:APPROVAL TO ISSUE: 00 I vv oao u o 00 oc o00 Fire Department $40.00 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 Fee Due at Permit Issuance : $413.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL:APPROVAL TO ISSUE: 00 I vv oao u o 00 oc o00 I hereby still" under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) action 7031.5. Business and Professions Code:. Any city or county that requires 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 thathe or sheds licensed pursuant to the provisions of. the. Contractors' State License. Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rfessions Code) or that he or she is exempt from licensure and thebasisfor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto 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 L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, siness and Professions Code. The Contractors' State license Law does not: applyto an owner of property who, through -employees' or personal effort, builds or improves the property, provided that the Irovements are not intended' or offered for sale. If, however, thebuilding or improvement Is sold within one year of completion, the Owner -Builder will. have the burden of proving that it was not built or Irovedfor the purpose of sale). 1, 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 Ily 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). T am exempt from ]]censure under the Contractors' Stale. License Lew for the following. reason: 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 legally I 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 Ifessions Code. is available upon request when this application Ts submitted or at the following Web.site:http://w'ww.leginfo.m.gov/celaw.html. ,nature of Property Owner or Authorized Agent Date -I=LASED CONTRACTOR'S DECLARATION :reby..affirm under penalty of perjury that 1 am licensed under provisions of Chapter a (commencing with Section 7000) of Division 3 of the Business and Prof salons ode and my-Ifice e-ls in full force I effect. ense.Class License No Dale)(� Contractor Signaturs�,,+ r )RKERS' COMPENSATION DECLARATION X 3NING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE hereby affirm under penaltyof 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 of the Labor Code, for once of the work for which this permit is issued.. Policy No. I ave and. will maintain workers' compensation insurance, as required by Seetion.3700 of the Labor Cade, for the performance of the work for which this permit is issued. My Workers' compensa ancecarrier and policy number are: of Agent Policy Number Expiration Date In the performance ofthe work for which this permit Is issued, Ishall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree become subject to thecompensa r(��rovlsions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. plicant �� - le 70 Daley S_ OM& 00 tun CnTJS k11r:Tlnu 1 FNnINr ArFNCV i rreby.affirm under penalty of perjury that there isa.construction lending agency for the performance of the workfor which this permit Is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below,.I certify toeach of the following: 1 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. 1 agree to comply with all applicable city and county ardor ea. and state laws relating to building construction. /1 �— I authorize. representatives of this city or county toe _rl je-i)lentified property for inspection purposes. _ ` f 7 A n m ACTION DATE BY IItLLAHAIJUN Ur LVMt LiAA1Lt W]ItI LUfJCUY FOR OFFICE USE ONLY FEDERAL PEOULATIO14SPART 61 OFTIME40AND AWORULE1403. • • • • • • PERMITEXPIREO '^ ❑ I SUBMITTEDASSESTOS M077FICATION TOP PE,4MITC4NCELLED• • ❑ EPA • • • • • e • • e ❑ AOMD- • ••• PERMITFXTFNDEO ❑ ASBESTOS N077FlCA71ONIS NOT APPLICAME To PERMITFINAL tbk r PROPOSED DEMOLITION. CERTIMC47f OF • OCCUPAA'C'flSSJEO SIGNATURE.' • • • • • • e