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Home My WebLink AboutX2019-4169 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-4169 100 Civic Center Drive, Newport Beach, CA 92660 Er Permit Counter Phone (949)644-3288 Project No: 2895-2019 ' Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date: 02/05/2020 Inspection Area : 3 PERMITS EXPIRE 180 DAYS A TERISS Lot: UH 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: 1201 DEVON LN NB Description: RETAINING WALL 83 LF X 6'6" HIGH MAX, Tx 11 LF, (2) 7.8' HI PILASTERS &(9) 9.5' HI PILASTERS (INSIDE P/L) Legal Desc.: N TR 3000 LOT 68 Owner: RASCH STEPHEN WILLIAM Contractor: WESTERN OUTDOOR DESIGNSINSPECTOR Architect: Address: 1201 DEVON LN Address: 1210 E BARHAM DRIVE Address: NEWPORT BEACH. CA o7asn Phone: 949-722-8902 Applicant: RASCHTEPHENMANET Address: 1201 DEVON LN NEWPORT BEACH, CA 92660 Phone: 949-722-8902 Code Edit Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: SAN MARCOS, CA 92078 Phone: 619-201-9166 Phone: Con State Lie: 592071 Lie Expire: 04/30/2021 Bus Lie: BT30033019 Lie Exp Date: 09/30/2020 2016 Worker's Compensation Insurance Carrier: ZENITH INSURANCE U Policy No: Z072496708 0 Expire: 01/24/2021 0 $12.00 Building Setbacks Rear: 6' CA Seismic Safety: Front: 20' Disabled Access : Left: 6' Hazardous Mat Right: 6' Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 11 TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %- Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: State Lie: Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 Phone: 714.662.0510 State Lic:S-005289 Designer: Address- Phone- Special ddress:Phone:Special Conditions: Planning Department - Plan check Fee : Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $41.25 San Dist : $0.00 NMUSD Fee: $0.00 $405.00 PUBLIC WORKS PLAN CHECK Bl APPROVAL TO It Fee Due at Permit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $467.25 e m oeee•o 0 e o e • n 00 0 e m a • n ommoo e mmomo emovmu m , e cooc� m ObPU( Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $467.25 e m oeee•o 0 e o e • n 00 0 e m a • n ommoo e mmomo emovmu m , e cooc� m ObPU( 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 repair the Checcture, prior I have placed next to the applicable item(s) lection 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 e 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 3t more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will doall of rt w portions of the work, and the structure is not intended offered for sale (Section 70 44, usiness and Professions Code: The Contractors' State License Law does not apply to an ownerr o 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). ed Contractors to c I, as owner of the property, am exclusively contracting with licensonstruct the project (Section Business and Professions Code: The Contractors' State License Law does no pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractoracto r pursuant to the Contractors' State License Law). 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 leg -all 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 Cocj , Vdvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date gnaturre of Propefty Owner or Authorized Agent �IOE•N9ED CONTRACTOR'S DECLARATION @ q c in ful force hereby affirm erlde� penalty of�erjuptthf I a)r I� sed under provisions of Ch�p1 9 ( encing with SecDate 0 0 °� n 3 of tCootractor S Signature an de, end.y'� i tn8•e ct. License Class G D L License No S "1 ter+ 1/ itIOMERS' COMPENSATION DECLARATION ,l4R4IINGSFAILURE T[1SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL ,R AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE JoST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOCODE, INTEREST, AND ATTORNEY'S FEES. IJe"affirm Under penalty of perjury one of the following declarations: Dhry 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, ce of th woj�,for which this permit is issued. Policy No. and well•maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whi�ch�lthis permit is issued. My workers' compensatlol nrands�b —Z2 f(�+ G� G Expiration DateVl'�2 —�yvo• Policy Number 7 T Phnne # is of Agent _. certify that, in the , if I should bacon iature of Applican the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree •workgrsi compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. DECLARATION REGADING CONSTRUCTION LENIDINQ-A1JLNUT hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 antler's Name Lender's Address y 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 providd is correct. I agree to comply with all applicable city and county ordinanc� and to laws relating to building construction. I authorize representatives of this city or cou\ e t t e abolCe-;ti 1 propeCnf olo.. P M,P nwnerc or Authorized Agent's moca FOR OFFICE USE ONLY ACTION unit �, ... .-_.-_- REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXPIRED PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL CERTIFICATEOF '7 [ aa" ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Civil Code). 02--O a.rk ;* ..... _.. @49"Ow 9 Jy W h 1 >� x '� Cbm