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HomeMy WebLinkAboutX2019-2149 - PermitsKwN,'r,�f City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2149 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 1 4 9 Project No : 2653-2018 H n Permit Counter Phone (949)644-3288 ,a„ S Inspection Requests Phone (949)644-3255 .£! Issued Date : 11/0712019 r��C1/iR4�� Combination Type - BLDG 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: 19 CORPORATE PLZ N Description: RETAINING WALL 1'-2' 50"'INSIDE T Legal Desc.: P BK 102 PG 2 PAR 2 Date: /d -z 7 - Owner. MARK ROBINSON JR C Etor: HARDSCAPE SOLUTION . -. INSPECTOR Address: 19 CORPRATE PLAZA R Address: LLE ANDALUCIA Address: NEWPOR7 BEACH CA 266 .r g Phone: 949-720-1288 ne: 49 2-3059 'IPTNM6 t1C �j��: State Lic-' Applicant EKLUND ROYCE _ �Atp c'.� tF1� ERTSON AARON Address. 4121 WESTERLY AV 'Cc ire �2(.'� / 1�v� AOOfeSy� ��Lx�$668 n IRVINE CA 92606 Bus Lic: B 0 - „ p NEWPOR 13Ea Phone: B68-207-7122 `L is Exp Date: 06/3012020 to Rhone 949-610-8997 State Lic:C-065513 ��f 1 m: , . Code Edit: 2016 ' .e;s,(E I r Designer:Type of Construction: .;; , .I 1 LTY Address: Occupancy Group: U W 30 phone: Added /New sq.ft. Bldg: Expire: 1 3 Added /New sq. ft. Garage: No of Stories: 0 Building Setbacks Rear: I Special Conditions: e , No of Units: 0 �^^Front: / - Bldg Height: 0 ft: / Bldg Sprinklers:'` f i t: / Flood Zone: '� n@: a in Spaces: 0 Hazard one : N - Construction Valuation: 00F.00 a ddyye�,, Building Permit Fee: $15 .00 We. ExcExcise Tax: $0.00 Plarming 6Q0rW L �,d P hecepartm mt Plan Check Fee: $132.24 AddlOartel€e $0.00 Plan check Fee :fin eta rtw�0 Fire Inspec n: $0.00 Overtime Plan Ck: Grading Bonds Fee: Fair Share : $0.00 Fire Plan Re $0.00 Investigation Fee: C Consultant : $0.00 s : $0.00 Demolition Pbe Record Management: $0.00 Permit 0.00 In -lieu Housing 0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading $0.0 blic Works Depa ment - eral rvice $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: Park e : �PiSpo,01nitiais Refund D posit $0.00 Disabled Access : $0.00 $0.00 Grading B nd: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $325.24 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.24 PROCESSED BY: PUBLIC WORKS APPROVAL: ICY - ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 Ie permit to file a signed statement that he or she is licensed pursuant t0 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 of 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, usiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ',y 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 tfat I h6ve 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 a••ailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. gnRtare of Property Owner or Authorized Agent Date .ICENaED CONI RACTOR'S DECLARATION Hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) Di isi 3 of the Business and Prof sio s C de, a my tense n II for nd cf`ect. License Class License Na Date Cont d'ctor Signature VOMERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPEN�APON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I haze 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, ertormnnce of Te vier',, for which this permit is issued. Policy No. �Ijba#w-ffrr 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' compensation .,Lr� a„ce carrier anJ pulicy number are: :arrier Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the performa of thew rk for which 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 be me subje to a won rs' compe ation prov' ions of tion 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 signature of PI ant Da t 3ECLARATION R GARDING 10 NDI GENCY hereby affirm and r penalty of e " ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Co ). -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 rovide is correct. I agree to comply with all applicable city and coun or inane and st law relating t<,pectin ng construction. I authorize representatives of this city or county ent r the bove-i ntified rope r purposes. . Signature of Pro ertOwner A orized Agent or Authorized Agen' me S to ACTION I DATE BY TQ%I,,Ii OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY AV REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ,ID'Z%•Z( I SUB MITTED ASBESTOS NOTI FICATION TO PERMIT C4NCELLED E PA PERMIT EXTENDED QAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: