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Home My WebLink AboutX2019-1477 - Permitst. City of Newport Beach- Building Division COMB Permit: X2019-1477 IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII III 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 4 - Project No : 1 6'74 - 7-0 t Permit Counter Phone (949)644-3288 M 9 Inspection Requests Phone.(949)644-3255 '�'.r� ,a1' Combination Type - MFP Issued Date: 05/13/2019 Inspection Area : 8 - - 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: 554 VISTA FLORA NB Description: MFR NEW RETAINING WALL IN CRAWL SPACE 34 LF X 6' HIGH MAX r1 Legal Desc.t TR 5740 (L.L.84-214028) PAR 44 z0, r-M i Owner DAVIS CRAIG STEVEN Contractor: STRUCCO GENERAL ENGINEERING Architect:' &J Address:. 654 VISTA FLORA Address: 3303 SO EL CAMINO REAL Address:. NEWPORT BEACH, CA 92660 SAN CLEMENTE CA - 'Phone: Phone: - 949-498-7636 Phone i State Lie: •••. Applicant:. CAULKINS STEVE Con State Lie: 678818 Engineer. MONTOYA HERNAN • ° Address: 3303 E EL CAMINO REAL Lie Expire: 1013112019 Address: 22421 GILBERTO, STE E SAN CLEMENTE CA 92672 Bus Lie: BT30067294 RANCHO SANTA MARG CA 92688 Phone: 949-498-7636 Lie Exp Date: 05/31/2020 Phone: 949/713-7824 State Lic:S-002819 • •,•°. o ..Code Edit: 2016 Worker's Compensation Insurance Designer: m•••.e. e Type of Construction: VB Carrier: CA INS CO Address: Occupancy Group: R2/U Policy No: 460393730201 Added/New sq.ft. Bldg: 0 Expire: 0811212019 Phone: °" °• °,: ° ' Added/New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: NO SETBACKS o No of Units:- 4 Front: / ®+••"< • Bldg Height 0 Left: / A{0C?f. Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone :N Construction Valuation: $25,000.00 Building Permit Fee: $472.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $410.64' Additional Fee : $0.00 Plan check Fee: $40.00 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: $10.00 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: $3.25 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access :. $0.00 PNV 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 : $936.89 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $936.89 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �i: r.� n ^ SI O v 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) action 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): I, 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, Oness 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 Irovements 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). 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 )ly 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: 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 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http:/Lwww.leginfo.ca.gov/calaw.html. nature of PrpD81?owner or Authorized Agent Date :EPLSED CONTRACTOR'S DECLARATION .: fig affirm'"Vel•genalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Profs sio , a d y license is i 1ferce I effect. LiuenseCllass License No Date Contractor Signature VWERS' COMPENSATION DECLARATION '/1RNI�jJJG: FAILUffjj�• TO SEEURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS (E100,000), IN ADDITION TO THE OST b5 COMPEA$41514.1)AMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hpe�e'6y affirm undeypenalty of perjury one of the following declarations: i1rSve an; will•IHalnfaln 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 formance of the work for which this permit is issued. Policy No. I* ajre and AIL gip;Itain 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' compensatiol I�rsr� ce carrier and policy number are: arjigl• •• Policy Number Expiration Date ame of Agent •••• Phone# ]I certify that, in the perf since of the Nor, hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre, Iat, if I should becomes ject to o ,scomnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant 6�----�� D/,Civil DECLARATION REGA DING CO UCTION LENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Code). ender's Name Lender's Address y 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 c my ordinances and state laws relating to building construction. I authorize representatives of this city or coun to r t ove- eptified property for inspection purposes. icnature of Prooertv Owner or Authorized ADenfl Print Property Owner's or Authorized Agent's Nale Da/L '3 ACTION DATE BY/ DECLARATION OF IREGULATIONS PARTO61 OF NT E 40 AND QMD RULE CE WITH CODE OF RAL I FOR OFFICE USE ONLY PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO PER MIT CANCELLEDje�r EPA PERMITEXTENDED QMD PERMITFINAL (p /L/ SBESTOSN TIFI TIO NOTAPPLICABLE TO CERTIFICATE OF RO ED DE bT0� — OCCUPANCYISSUED GM� SIGNAT RE: