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Home My WebLink AboutX2019-2204 - Permitso�x City of Newport Beach - Building Division „y,ME 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 l.. Inspection Requests Phone (949)644-3255 Combination Type - MFP 11�1 1111111111111111111111111111111111111111111111 111� 11COMB Permit: X2019-2204 Project No : 1585-2019 Issued Date : 01/1312020 Inspection Area : 7 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: 3928 E COAST HWY NB Description: MFR RETAINING WALL 130 LF X 4' HIGH (INSIDE P/L) MARKERS ON SITE Legal Desc.: TRACT NO 673 BILK BLOT 54 AND POR ABAND ALLEY Z Owner: AUTO SPA OF CORONA DEL MAR Address: 3345 NEWPORT BLVD NEWPORT BEACH CA 92663 Phone: Applicant: TUCKER KEITH DUANE Address: PO BOX 8133 HUNTINGTON BEACH CA 92615 Phone: 714-308-8355 Code Edit : 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Contractor: PINNACLE RESIDENTIAL Address: 26050 ACERO #302 MISSION VIEJO, CA 92691 Phone: (949) 207-3270 Con State Lic: 960700 Lic Expire: 05/3112021 Bus Lic: BT30062471 Lic Exp Date: 03/31/2020 Architect: Address: Phone: State Lic: Engineer: TUCKER KEITH DUANE�•/ Address: PO BOX 8133 HUNTINGTON BEACH CA 92616 Phone: 714-308-8355 State Lic:C-032276 Worker's Compensation Insurance Designer: Carrier: STATE COMPENSATION INSURANCE Address: Policy No: 9056724 0 Expire: 06/10/2020 Phone: 0 Building Setbacks Rear: 10' Special Conditions: Front: 15' Left: 13.67' NO CONSTRUCT1,0N NOI•�,�,' ERNE Y1 ar' are. Bldg Sprinklers: Flood Zone: Use Zone: mignc: is.or Parkin S aces: 0 Fire Hazard Zone : N UINJ 1171r_ it Mr-MI=IN1 UE Construction Valuation: $6,950.00 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: $967.60 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $212.40 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 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 : $2,006.00 Plan Check Fee: $405.00 Fee Due at Permit Issuance: $1,601.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: Z PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: SG7C_ S�N� OWNER-BUI 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 tl-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 Bush%f .s 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 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). ❑ 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, Section 7044 of the Business and Professions erode, iS available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LIC_NSED CONTIACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700A of Division 3 of the Business and Profe ode, d y li �nse is in full force and efrect. Licerise Class License No Date i Contractor Signature WORKERS'.COMIDENSATION DECLARATION NPRNIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COS': JF COMPEMSATI0:1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. `orgy affirm 'nder penalty of perjury one of the following declarations: ❑ I have and wiu 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, �uScnrfance of the wvla for which this permit is issued. Policy No. 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' carrier Huo policy number are: Policy Number of Agent Date JI certify that, in the performance of the work for w1iich 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 hat, if I should become sub . o the workers' comillensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant \ �ir, Date(—/ 3— 26) )ECLARATION REGA ING CONSTRUqrION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 41 Code). -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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county orcl nces and state laws relating to building construction. I authorize representatives of this city or county to e22 ab ve-i e f ied roperty for inspection purposes. 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