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Home My WebLink AboutX2020-2632 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2632 a" fr a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 6 3 2 Project No : 2086-2020 Permit Counter Phone (949)644-3288 . 1 Inspection Requests Phone (949)644-3255 Issued Date: 11/1312020 Combination Type - BLDG Inspection Area : 4 ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/14/2023 OR PERMIT WILL BE INVALID PERMIT EXPIRES 190 DAYS AFTER 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: 2501 BLACKTHORN ST NB Description: RETAINING WALL 10.5' x 25 LF, 6' x 11 LF, PLANTER WALLS 15" x 45 LF & 15" x 15 LF INSIDE PIL �! 'rs �)±•] `C�® �" Legal Desc.: N TR 4893 LOT 84 i�4 Owner: ANTOYAN ALLEN Contractor: J & D CONCRETE Architect: Address: 1050 W KATELL AVE #J Address: 2117 N DEODAR Address: ORANGE CA 92867 SANTA ANA CA 92705 State Lic: Phone: Phone: 714-560-0473 Phone: Applicant: JAUREGUI PAUL Con State Lic: 560245 Engineer: WASAZNIK MARCIN Address: 319 CAROLINA WAY Address: 2117 DEODAR ST Lic Expire: Bus Lic: 03/31/2021 BT30073493 PLACENTIA CA 92780 SANTA ANA CA 92705 Phone: 714-560-0473 Lic Exp Date: 11/3012021 Phone: State Lic:S-006612 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 1610714 Added /New sq.ft. Bldg: 0 Expire: 0210712021 Phone: _ Added /New sq. ft. Garage: 0 0 Building Setbacks Rear: 6 Special Conditions: No of Stories: Front: 20 No of Units : 0 , Bldg Height: 0 Left: 6 Bldg Sprinklers: Use Zone: Right: 6 Parking Spaces: 0 Fire Hazard Zone : N _ Flood Zone: Construction Valuation: $9 200.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Plan Fee : $46.25 Fire Department Fire Inspection: Plan Check Fee: $214.02 Additional Fee : Grading Bonds Fee: $0.00 $0.00 check Fair Share : $0.00 Fire Plan Rev Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee - Building Dept Adm Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 10.40' General Service $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist; $0.00 $0.00 Building Green Fee : $1.00 chanical %: $0.00 NMUSD Fee: $0.00 $0.00 PI tubing %: $0.00 TOTAL FEE:($509.27 TOTAL FEE: Plan Check Fee : $0.00 Fee Due at Permit Issuan e : $509.27 PUBLIC WORKS APPROVAL: PROCESSED BY: V PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: 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 7031.6, 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 tot 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 L) 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 Ipply 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 legall: all 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 Irofessions 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 Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Profess' Code an Q my license is in MR force Ind effect. License Class License No Date Contractor Signature CM,� `k-Fv VORKERS' 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 (8700,000), IN ADDITION TO THE :DST OF COMPENSATION, 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 ave and will mcintain 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 _ rmance of the work for which this permit is issued. Policy No. h e and will mah,tain 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 lsuqllne carrier r nd policy number are: Policy Number c' Date JI certify that,ii) th='psrformance of the work 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 tat, if I should beLome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i0^rT l ra of Applicant _ Dat iEULAHATION REO RDING ONSTR CT LENDIN GENCY herebv affirm under anal of erjury that the is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). ender's Name Lender's Address y my signature ta:cv,, 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county t r the ove-i entified property.Lor inspection purposes. ignature of Property Owner or Authorized Agent 1 � ^ttr A �, Print Prooertv Ownerme s or Authorized Aaent's Na" urn; n.to 4L U-1 7r ACTION I DATE I BY PERMIT EXPIRED PERMIT EXTENDED PERMITFINAL 0Z/27/ZI % CERTIFICATEOF OCCUPANCYISSUED/� DEOLARATION OF VMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY