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Home My WebLink AboutX2020-0281 - Permitsrx>r rray . City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0281 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 2 8 1 N _h Permit Counter Phone (949)644-3286 Project No : 0535-2019 a Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 02/05/2020 Inspection Area : 5 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: 616 POINSETTIA AVE NB Description: RETAINING WALL @ SOUTH SIDE "INSIDE THE P/L" Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 ' A �S PECT®S V Owner: PAM CAPITAL MANAGEMENT INC Contractor: OWNER/BLDR Architect: ENSIGN G ROBERT Address: 13600 MARINA POINTE DR #1208 Address: SAKAMOTO RYO Address: 2214 PORT LERWICK PL MARINA DEL REY CA 90292 NEWPORT BEACH, CA 92660 Phone: Phone: 310-591-9402 Phone: 949-721-0736 State Lic:C006217 Applicant: ENSIGN G ROBERT Con State Lic: O/B Engineer: ROSS SCOTT WILLIAM Address: 2214 PORT LERWICK PL Lic Expire: Address: 1800 E 16TH STREET #B NEWPORT BEACH, CA 92660 Bus Lic: SANTA ANA CA 92701 Phone: 949-721-0736 Lic Exp Date: Phone: 714-835-2800 State Lic:C-045309 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: DELTA 2- REV20- 0177 No of Units : 0 Front: 20' OWNER/BLDR AUTH ATTACHED Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 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 $0.03 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 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 11 TOTAL FEE: $820.00 Plan Check Fee: $365.00 Fee Due at Permit Issuance: $455.00 PROCESSED BY: j PUBLIC WORKS APPROVAL: A ZONING APPROVAL: �s�l/�� 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 itom(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 n oFe than five hundred dollars ($500). �"as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usi ess 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 improved 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 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, Sec n 7044 of the Business and Professions Code, is available upon requesVhen this applicatio �ubmittvi57Prpt the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorize ent �'—" LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se on 7000) of Division 3 of the Business nd Professions C and my. is u o and effect. License Class License No ate wa t-^ L' Contractor ature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU NO DOLLARS ($100,000), 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 unda. penalty of perjury one of the following declarations: ❑ 1 ha.,e 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 th FIrtorrp mce of the wuta for which this permit is issued. Policy No. iLve 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. My workers' compensatiol .nsurance carrier and policy number are: Policy Number Date ,e of Agent rliu,,e certify that in the performance of the work for which 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 h I should become subject to the workers' c ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.t. latureoflicart hereby affirm U.PEGn salty Cl}IiS�R ENDIN'(3 AGENCY hereby affirm under penalty o Llde ry that there is a c ns�truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). .ender's Name Fe Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all appl I.CaVecity and county ordinances and at laws relating to building construction. 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