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Home My WebLink AboutX2022-0550 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG 111111p111111111111111111p11111111111111111111111uJill COMB Permit: X2022-0550 Project No : 0535-2019 Issued Date : 0312112022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312112025 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: 616 POINSETTIA AVE NB Description: RETAINING WALL WITHIN 3FT OF PL 1.51FT HIGH 27FT LONG. 4.24FT RETAINING WALL 8FT LONG AT GARAGE DOOR Legal Desc.: CORONA DEL MAR BILK 643 LOT 18 Owner: PAM CAPITAL MANAGEMENT INC Contractor: OWNER/BLDR Architect: ENSIGN G ROBERT _ Address: 13600 MARINA POINTE DR #1208 Address: RYO SAKAMOTO Address: 2214 PORT LERWICK PIL 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 : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $144.00 Plan Check Fee: $125.28 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: $322.28 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 20 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: _ Address: - Phone: 1+ � n �_ �9 : Fes.:. Special Conditions: S 1 E_ C3 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication: $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $177.28 Fee Due at Permit Issuance : $145.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: �k __ APPROVAL TO ISSUE: cy%�2 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 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 not more than five hundred dollars ($500). I, 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 sale (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 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). Wp 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 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 wy 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 legalh sell a structure that I have built as an owner -build if I has not been constructed in it entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Proressions Code, ;s available upon request when application i ubmitte rg-Web site:http://www.leginfo.ca.gov/calaw.html. . pp 2 W22_ Signature of Property Owner or Authorized Agent Date NtC( Z I.ICENSED CONTRACTOR'S DECLARATI I heeby affirm under penalty of perjury that I am libensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force sr.d Effect. Licrnse Clrss License No Date Contractor Signature VJ3RKERS' COMPENSATION DECLARATION i.ARA.43. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADOITION TO THE GOS r OF,:OMPENSAnON, 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: ' 'T�ve and .vill na:ntain 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 performance of the work for which this permit is issued. Policy No. I have 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' Lance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which this permit is s ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become su ect to the woers' compensation 700-of the Labor Code, I shall forthwith comply with those provisions. ��1/// lignatureof Applicant Date W �� IECLARATION REGA I O CTION LE DING A hereby affirm under penalty of rju at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil ode). .ender's Name 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 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 county ordinances and state la relating to building construction. I authorize representatives of this city or cou enter t abov = property for Inspection purposes. 3ignature of Property Owner or Authorized A ent Print Property Owner's or Authorized Ag ACTION DATE BY TION OF COMPIUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL CERTIFIC4TEOF OCCUPANCY ISSUED 5-S'�'S AILdL. SBEST��OS r�TIFICATION I5 NOT APPLIC PROP SED'QE)V1OLITIO SIGNATURE: ��//�� Name