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Home My WebLink AboutX2022-0433 - PermitsCity of Newport Beach - Building Division G 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIII�II�IIIIIIIIII IIIIIII II COMB Permit: X2022-0433 Project No : 1121-2021 Issued Date : 02114/22022 Inspection Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211412025 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: 1027 GOLDENROD AVE NB Description: RETAINING WALL (INSIDE P/L) 3' (MAX) X 100' Legal Desc.: N TR 2202 LOT 48 Owner: KERN DANIEL EDWARD Address: 1027 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone: 9496442169 Applicant: ROBINSON JON Address: 2505 W COAST HWY #202 NEWPORT BEACH CA 92663 Phone: 949-910-3047 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 : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 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 Contractor: ROBINSON REESE LP Architect: BROWN KENNETH Address: 2505 W COAST HWY #202 Address: 25401 CABOT RD #207 NEWPORT BEACH CA 92663 LAGUNA HILLS CA 92653 Phone: 949-910-3047 Phone: 949-770-8550 State Lic:C013410 Con State Lic: 1053055 Engineer: Lic Expire: 05/31/2023 Address: Bus Lic: BT30071636 Lic Exp Date: 04/30/2022 Phone: State Lic: Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: 6' Front: 20' Left: 6' Right: 6' king Space $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $461.02 Plan Check Fee PROCESSED BY: CA ��++ ZONING APPROVAL: i/I./ GRADING APPROVAL: lqN 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAW Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WOR:1S APPROVAL: PLAN CHECK BY: A?PRJCVAL TO ISSUE: t✓+a.i $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $461.02 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 L) all of or (_) 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 improved for the purpose of sale). ❑ 1, 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 Iicensure 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, Rd my licf ense is in full force and effect. License Class License No Date Contractor Signature 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 THOUSAN 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 under penalty of perjury one of the following declarations: 111 have 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 performance of the work for which this permit is issued. Policy No. 01 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' compensatiol insurance carrier and policy number are: Policy Number of Agent Date Uatif ify that, in the performance4TR rk forwhich this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre should become subject tos' coens on provisions action 3700 of the Labor Code, I shall forthwith comply with those provisions.reof Applicant py Z�� Z2 IECLARATION REGAR NG COION LENDING AGENCY /hereby affirm under pe Ity of pehere 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 3y my signature below, I certify to each o 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to ant r he above-i ntified property for inspection purposes. Signature of Property Owner or Authorized Agent / — Print Property Owner's or Authorized Ag ACTION DATE BY I DECLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU IONS PART 61 OFTITLE 40 AND AQMD RULE PERMITEXPIRED LJ I SUBMITTED ASBESTOSAOTIrICATION TO _ IDEPA PERMITCANCELLED PERMIT EXTENDED MAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED n .. ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Name f' Data T