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Home My WebLink AboutX2020-1013 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1013 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 0 1 3 Project No: 0744-2020 Permit Counter Phone (949)644-3288 ".@ Inspection Requests Phone (949)644-3255 Issued Date : 0511112020 �,,ye xrm Combination Type - BLDG Inspection Area: 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1853 PORT MARGATE PL NB wa Description: RETAINING WALL (INSIDE PIL) 36" H X 54' L Legal Desc.: N TR 6621 LOT 58 C' Owner: ROLLINS CHRIS Contractor: INSTANT LANDSCAPES Architect: A Address: 1853 PORT MARGATE PL Address: 28562 OSO PKWY #D-243 Address: NEWPORT BEACH, CA 92660 RSM CA 92688 Phone: Phone: 949-347-0700 Phone: State Lic: rl1 TODD 0 Applicant: WRIGHT JC Con State Lic: 842586 Engineer: LACHER Address: 833 DOVER DR #24 Lic Expire: 07131/2020 Address: 1201 N TUSTIN AVE NEWPORT BEACH CA 92660 Bus Lic: BT30053469 ANAHEIM CA 92807 Phone: 949-795-0648 Lic Exp Date: 1213112020 Phone: 714-630-6100 State Lic:C-067656 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: SIRIUS AMERICA INS Address: Occupancy Group: U Policy No: 190725-001 . Added /New sq.ft. Bldg: 0 Expire: 08/15/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units : 0 Front: 20 Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: Use Zone: Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 - -- - - --- - 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 $0.00 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 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: $820.00 19:L10101*31=1111ya ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $820.00 PURI.IC WORKS APPROVAL: PLAN CHECK BY: APPPW[A1. TO ISSJE: 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 he 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 'rofessions 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 lot 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, 3usiness 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 mprovements 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 mproved 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 rpply 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: 3y 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 ;ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi, Signature of Property Owner or Authorized Agent t _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ivi@i n 3pyt�ia Business and Profe Ions Code, an i ialhferea Ind effect. License Class License No Data ._ 1 .: 4ontractor Signatu PORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: nave 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 the 0 na a of the work for which this permit is issued. Policy No. ImaiMein-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' compensatior rance carrier licy number -ier P i y ber Expiration Date ie of Agent - Phone # certify that, in the performance of the o erWRfch tp' ermit is issued, I sh any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should become subject to the work 'compensation visions of 111on 3700 of the abor Cade, I shall forthwith comply with those provisions. c latureofApplicant SJ 7_ Dal I hereby affirm under perfalty of perjury that there is a co-astre NeMendlFrg-agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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. 1 have read this application and the information I p �ded is correct. l r I agree to comply with all applicable city and co ty ordinan as and state laws relating to building construction. I authorize representatives of this city or county o en bov = oparty for inspection purposes. t\ /' I0Zk 6 Signature of Property Owner or Authorized A ent t Print Property Owners or Authorized Agent's Name 1 J Dat ACTION DATE BY DECLARATION DE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40ANDA( RULE PERM/TEXPIRED ❑ I SUBMITTED ASSES -OS rJCTIFICAT:ON TC OEPA - PERMITUINCELLED PERMIT EXTENDED EIAQMD PERMITF/NAL CERTIFICATE OF OCCUPANCY ISSUED 03/%/Z0 >4A W q!�'Pih .KS TIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION' - SIGNATURE: