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Home My WebLink AboutX2020-1336 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 x zrro d*s Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII II COMB Permit: X2020-1336 x 2 0 2 e 1 3 3 6 Project No : 1900-2019 Issued Date : 06110/2020 Inspection Area : 1 PERMITEXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611112023 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: 808 W BAY AVE NB Description: SFR BLOCK WALL 143 LF X 6' HIGH ON P/L *CITY STANDARD* Z Legal Desc.: N TR 884 LOT 35 I K [ Q D T= n�r®P Q Owner: JACKSON TODD Contractor: GONTERMAN CONSTRUCTION Architect: 0 Address: 808 W BAY AV Address: 1842 PARK ST Address: v y 0 NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92648 v Phone: 714-420.0377 Phone: 949-697-0746 Phone: State Lie: Z Z Applicant: GONTERMAN JASON Con State Lic: 858073 Engineer: ,••• (J) ........ Address: 1842 PARK ST Lic Expire: 0413012021 Address: • o HUNTINGTON BEACH, CA 92648 Bus Lic: BT30048414 .-i • ° ° e °. C Phone: 949-697-0740 Lic Exp Date: 09/30/2020 Phone: State Lic: ° , • 0 e • ° ° ° ° Code Edit : 2019 Worker's Compensation Insurance Designer: ®• ° Type of Construction: Carrier: STATE COMP. INS Address: D Occupancy Group: U Policy No: 9259518 Z mo c Added /New sq.ft. Bldg: 0 Expire: 0812212020 Phone: ,.... ° ° ° ° ° ° Added /New sq. ft. Garage: 0 Z ° °. • ° No of Stories: 0 Building Setbacks Rear: 4- second fronbt Special Conditions: P/L AGREMENT ATTACHED ° ® ...... No of Units : 1 Front: 20 water j_k p-: lLeyy vv� �� { o ° • ° ° ° °O o ° o �•®••.° Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 °. °. ° Flood Zone: A01 Use Zone: Parkin Spaces: 0 Fire Hazard Zone: N ...... .... ® .... Construction Valuation: $6,000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $365.00 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: $2.00 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 WQ Inap. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 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: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $820.00 Plan Check Fee : $405.00 Fee Due at Permit Issuance : $415.00 PROCESSED BY: n r K-7 PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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) 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'spplicant'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 ifessions 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 (_) 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 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). 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 covere y this permit, I cannot legal 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, Sectio 4 of the Business and Ifessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. nature of Proparly.Owner or Authorized Agent A D e SENSED CtnTP.ACTOR'S DECLARATION rga?affirm uprje,[penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivisi�Zo nf the Business and Prof ssiO Cod , nd m 's effect. License'ill License No Date e \ Contractor Signatur aRKfRS' COjANSATION DECLARATION INNG: FAILURE''jj0 SECpRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LARS ($100,000), IN ADDITI TH IT OF COMPENIIEQN.61AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :Tqbyaffirm under penalty of perjury one of the following declarations: .... l fie oe and Wills rrgRltain 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 tl fowance of the work for which this perml Is issued. Policy No. "tJ and wil6;aiptain workers' comp D ation insurance, as required by Sec' 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatic %ince carrier ggd' pllicy number are: rfeT• • Policy Number Expiration Date IaOtedf Agent • • / Phone # ]I certify that, in the performance of t wtscompensation ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become su 'act to the orke provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l� V ignature of Applicant Date IECLARATION REGA ING CONSTRUC I N LENDING AGENCY hereby affirm under p nally of perjury that e e is a construction lending ag cy for the performance of the work for which this permit is issued (Section 309 , Civil Code). ender's Name Lender's Address y my signature belo , I certify to each of the (lowing I am the property owner or authorized to act on the property own/-identi helf. I have read this application and the information I hav provided ct. I agree to comply with all applicable city and county, ordinances te r ding construction. 1 I authorize representatives of this city or county to mer the aboa property for inspection purposes. 1 `f N� i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name o (�, Date \CTION DATE BY DECLARATION OF COJP AN WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6 T E 40 AND AQMD RULE TO PERMIT EMENDED UAQMD PERMIT FINAL /( J TOS NOT OT APPLICABLE CERTIFICATE OF OPOSED DEM 10 /7 OCCUPANCYISSUED SIGNATURE: / /i \ z ) � e@ § 23\ /i\\ E� 2 / /=f o=(: §) W / ] « )f /®> z }/ � � \ � � \ -_ { � ` u }� \ & ± Jf CO \\ )\ . \ t: .0 : [ \\ �0 \\' 0 45 _ ± {\� e o\ 7\ r \( w \< 2/o <, & \\ o3 [ §}\ y{ § wo&/`ƒ § E [ � L\ G k < o = °— ;. M _ _~ § §{))\\ �§ . 0 cc \ § ) 2 j 0 ) ( g k § . 7 / \ § ) g j 0 k 2 LLI 0 } 0 B § IL L� � § } 0Of < ) § EL / IL 0 LU � co 11 J / 2 r C''