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Home My WebLink AboutX2020-1461 - Permits„era City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1461 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 4 6 1 Project No : 1129-2020 '_' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �'�4�snu,% Combination Type - BLDG Issued Date: 06124/2020 9 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/25/2023 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: 1592 PEGASUS ST NB Description: RETAINING WALL 4' W/4' WOOD FENCE ABOVE (SEE X2020-1462) Legal Desc.: Owner: ABRAHAM MICHELLE Contractor: COASTLINE OUTDOOR SOLUTIONS Architect: ll�� ^(V,� Address: 1592 PEGASUS ST Address: 2714 S ARCHIBALD AV Address: �� P NEWPORT BEACH CA 92660 ONTARIO CA 91761it Phone: 714-717-1237 Phone: 949-506-7572 Phone: State Lic: ,°BO®• e°ee Applicant: BLUM SETH Con State Lic: 581970 Engineer: LACHER TODD Address: 1600 S ANAHEIM BLVD #F Lic Expire: 12/31/2021 Address: 1201 N TUSTIN AVE ° ° • ° o ° " ANAHEIM CA 92805 Bus Lic: ST30071490 ANAHEIM CA 92807 Phone: 949-506.7575 Lic Exp Date: 03/31/2021 Phone: 714-630-6100 State Lic:C-067656 ae e Code Edit: 2019 Worker's Compensation Insurance Designer: 0 0 • ° • ° m o • ° ° Type of Construction: Carrier: WESCO INS CO Address: Occupancy Group: U Policy No: W WC3384006 Added /New sq.ft. Bldg: 0 Expire: 1211212020 Phone: Added/New sq. ft. Garage: 0 0 No of Stories: 0 Building Setbacks Rear: 25 Special Conditions: FOOTING ON PIL ° No of Units: 0 Front: 20 0 00 0°°000 Bldg Height: 0 Left: 5 Bldg Sprinklers: Right: 5 0000 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7.800.00 Building Permit Fee: $426.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $377.50 Additional Fee : $0.00 Plan check Fee: $41.50 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 lechical %: $0.00 San Dist: $0.00 Building Green Fee : $1. echanical %: $0.00 NMUSD Fee: $0.00 $0.00 lumbing %: $0.00 $0.00 TOTAL FE $848.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $848.00 PROCESSED BY: PUBLIC WORKS PROVAL: 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 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code,09 available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Prol14tV QJner or Authorized Agent Date LMN$�D CONLTRACTOR'S DECLARATION I Hereby frm urldet pIrtalty of perjury that I am licensed under provisions of Chapter 9 commencing with Section 70 If Division 3 of the Business as ss en Code and m license is in fu a nd- effect. License Class C' --P3 License NoDate Contractor Si IIIIORKERS' CObIIPEfjSATION DECLARATION N�jFRJjNGlFri LURE tQ$ 2CULtPPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10o,eD8), IN ADDITION TO THE CAST OFCPENSATTdFI, DQAIAGES AS PROVIDED FOR IN SECTION 3788 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heFe4y affirm uridReY penalty of perjury one of the following declarations: - �t 4*teand 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 IN Pha nce of the work for which this permit is issued. Policy No. .. •and will voNtCin 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 di a lerark olicynumber ar�e:1 ��,aiflt •Cr,A`Fcwi2i>"'� cfO Policy Number �� T ��`� Expiration Date lame of Agent Phone # :11 certify that, in the performa e -w .. Is_p issue II not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer :hat, if I should beco e s act to th -workers' compensation provisions of - Ion 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - Date DECLARATION REGARDING CONSTRUCTION `LEG GNCY 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, 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 ordi s and state laws relating Ing construction. I authorize representatives of this city or count o er the -identified property fo ' ecfion purposes. .i nature of Property Owner or Authorized AgentProperty Owner's or Authorized Agent's Name�Date >CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF 71 IA OCCUPANCY ISSUED 1403 SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: