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HomeMy WebLinkAboutX2020-1417 - Permitsl ryer=,� City of Newport Beach - Building Division §*. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 m Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-1417 Project No : 1251-2019 1 Issued Date : 06/19/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612012023 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: 101 BAYSIDE PL NB Description: 36' SOLDIER PILE RETAINING WALL ADDED TO EXTG RETAINING WALL ���1�® ► Legal Desc.: CORONA DEL MAR LOT BILK D POR OF BILK Owner: CA CDM LLC Address: 101 BAYSIDE PL NEWPORT BEACH, CA 92625 Phone: 562-619-3990 Applicant: WHEELER MARK Address: 325 ROYCROFT AVE LONG BEACH CA 90814 Phone: 562-619-3990 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: Construction Valuation: $10 Building Permit Fee: $426.00 Plan Check Fee: $377.50 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: �41 0- FEE : $846.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HASKETT JIM CONSTRUCTION INC Architect: Address: PO BOX 512 Address: SURFSIDE CA 90743 Phone: 714-8944800 Phone: Con State Lie: 738498 Engineer: Lie Expire: 0813112021 Address: Bus Lie: BT30060773 Lie Exp Date: 1013112020 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9166656 Expire: 1010112020 Phone: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10' Front: 20' Left: 4' Right: 4' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : State Lie ROHRER PAUL DUANE 1527 E. AUTUMRIDGE CT ORANGE CA 92866 • > > 714-272-9579 State Lic:S-004340 0 Special Conditions: NO CONSTRUCTIO.NC N01, Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 as ON SATUR®?'1(S Fire Department $41.50 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 $0.00 Fee Due at PUBLIC WORKS APPROVA/ PLAN CHECK BY: I APPROVAL TO ISSUE: I\ $846.00 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 (_) all of or J 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 -Builder will have the burden of proving that it was not built or Im 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 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 legall) 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, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. Signature of Prop6riy Owner or Authorized Agent Date LICENSED CONTEACTOR'S DECLARATION 1 rcrota affirm ur.es.-penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) o iyi;{oq 3,of the Business and Profs s ' s Code, d y-11' R ill force and effect. License Class License No Date 1 "1 Lf� Contractor Signature It WCRK,!ERS' COFAPENSATION DECLARATION WARNING: FAILURE -0 SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS (S100,000), IN ADDITION TO THE CBST OV COMPENLATA,J, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I heraby affirm under penalty of perjury one of the following declarations: G'I `na,,e and'wT rn:untain 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 p�e-15�il niance of the work for which this permit is issued. Policy No. 01 hav' and will maiaiain 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 insure e carrier and pclicy number are: brier ime of Agent 11 certify that, in the 3t, if I should bacon onature of ADDlican Policy Number Date r which this per ' 's issued shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre workers' c mpens Is ctio 3700 of the Labor Code, I shall forthwith comply with those provisions. /' Date ©_1q-/? ,1) )ECLARATION REGARDING CQ*SfRUCTlOA LENDING AGENCY hereby affirm underfenalafperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address ly 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 laws relating to building construction. I authorize representatives of this city or count nter the ab ve-' rty r inspection purposes. Signature of Property Owner or Authorized Agent i ,r- Print Property Owner's or Authorized Agent's Name X oLY /) e ACTION DATE BY I D� ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS PERMIT EXTENDED LJAOM D PERMIT FINAL pA LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 9 2Z- Y " PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: