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HomeMy WebLinkAboutX2018-1163 - Permitsw1«�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-1163 cs 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 8 1 1 6 3 Project No : 0937-2018 h - Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date : 0 711 612018 Combination Type - BLDG Inspection Area : 4 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 hdays Job Address: 1973 PORT PROVENCE PL NB Description: RETAINING WALL 5' (MAX) x 74 LF (INSIDE P/L) Legal Desc.: N TR 6624 LOT 53 ` a Owner: RANNALA ERIK LANDS END TR Contractor: RJ TANNER CONSTRUCTION Architect: ` Address: 1973 PORT PROVENCE PL Address: 893 OAK STREET Address: -- TO NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-235.4856 Phone: State Lic: Applicant: TANNER JEFF Con State Lic: 744104 Engineer: AUJAGHIAN DAMIR Address: 893 OAK ST Lic Expire: 1213112019 Address: 510 OLD NEWPORT BLVD #C COSTA MESA CA 92627 Bus Lic: BT98043220 NEWPORT BEACH CA 92663 Phone: 949-235-4856 Lic Exp Date: 0613012019 Phone: 949-675-4103 State Lic:C-038570 o•mc Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: - Carrier: CALIF INS COMPANY Address: Occupancy Group: U Policy No: 4688992401 Added /New sq.ft. Bldg: 0 Expire: 06101/2019 Phone: ® ° • o o ° Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10' Special Conditions: No of Units : 0 Front: 21' 0 0 0°9°© Bldg Height: 0 Left: 5' Bldg Sprinklers: Right: 5' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ° • o ° o Construction Valuation: $43.000.00 eoe•° Building Permit Fee: $386.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $342.50 Additional Fee : $0.00 Plan check Fee: $37.50 Fire Inspection: $0'.08 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: $367.04 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $64.96 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,248.00 Plan Check Fee: $498.00 Fee Due at Permit Issuance : $750.00 PROCESSED BY: PUBLIC WORKS APPROVAL: 1� ZONING APPROVAL: PLAN CHECK BY: Y� 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 intendedmr 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). 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). n I 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, 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://www.leginfo.ca.gov/calaw.htmi. 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 70 of 'Vi '0 of a Business and Professions y license is in full force and effect. License Class License No Dat !%p Contractor Signature WORKERS' Cj7 IDE,NSATION DECLARATION NARNINGyFAILURE'"&L'URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 0LLARS ($700,000), IN ADDITION TO THE DOST OF eOMPENFATIC%I•EIAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: Shale and wili'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 ce of the work for which this permit is issued. Policy No. *' 00*9 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, carripr1apd4po licy number are: • •• Policy Number for the performance of the work for which this permit is issued. My workers' Date met Agent Phone # �cerRty that, -in the•performanc f 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 agree t,•iPl•should become s/Dk7)'ec a workers' compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of A6pli8ar�' Date CLARATION RE ARD NG CONS ENDING AGENCY weby affirm under penalty of pe ry that the is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). war's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter abovJP.,alden I led pr y for inspection purposes. nature of Prooertv Owner or Authorized Aoent �� I r.f _ 4_ t___PATt7ropertv Owner's or Authorized AOent's Name xlt� ACTION I DATE I BY PERMITCANCELLED PERMIT EMENDED PERMITFINAL CERTIFICATE OF p �• `' 1 \ OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY