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Home My WebLink AboutX2020-0447 - Permits�wt,o City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0447 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 4 4 7 Project No : 0352-2020 h Permit Counter Phone(949)644-3288 NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date: 2020 Inspection Arearea : 5 TOTAL FEE: $820.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at o�W �c 4 �4G At? VOO c IgtlBLIt- OORKS APPROVAL f 4 E PLAN CM93 CK BY: APPROVAL TO ISSUE Issuance: $820.00 PERMITS EXPIRE 180 DAYS AFTER ISS TION. 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: 437 ACACIA AVE NB Description: BLOCK WALL INSIDE P/L 26"-41" x 93 LF Legal Desc.: N TR 682 LOT 51 Owner: ACACIA PROPERTIES I LP Contractor: J R C COMPANY Architect: KABBANY GISELLE Z Address: 437 ACACIA AVE Address: 21822 KANEOHE LN Address: 1702 LAKE STREET NEWPORT BEACH CA 92660 HUNTINGTON BEACH CA 92646 HUNTINGTIN BEACH, CA 92648 Phone: Phone: 714-625-1551 Phone: 714-872-0366 State Lic:C035765 Applicant: J R C COMPANY Con State Lie: 656317 Engineer: M Address: 21822 KANEOHE LN Lie Expire: 1013112020 Address: /� 0 HUNTINGTON BEACH CA 92646 Phone: 714.625.1551 Bus Lie: Lie Exp Date: BT30063997 0713112020 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EXEMPT Address: Occupancy Group: U Policy No: no employees Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY - No of Units: 0 Front: 10 Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3.000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $365.00 Additional Fee : $0.00 Plan check Fee : $40.00 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 Electrical %: $0.00 San Dist: $0.00 , Building Green Fee : $1.00- Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $820.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at o�W �c 4 �4G At? VOO c IgtlBLIt- OORKS APPROVAL f 4 E PLAN CM93 CK BY: APPROVAL TO ISSUE Issuance: $820.00 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 items) (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 theapplicant 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 improved 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, I cannot legall; 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 7000 oD}yision 3 of the Business and Prof sslicense is in full force and effect. License Class License No Date ZO Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have 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 7erformance of the work for which this permit is issued. Policy No. :1I have and 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' compensatiol nsurance carrier and policy number are: ie of Agent Number Expiration Date Phone # I certify that, in the performance t o ich 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 1 _ if I should become su 'act t e pensati s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dat Z-Za-Zo IECLARATION REG D C CTION LENDING AGENCY hereby affirm under penal of perju 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 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 provided is correc I agree to comply with all applicable city and county ordinaii - s t s relating to building construction. I authorize representatives of this city or count enter e I property ounspection purposes. ^ --I _ I \ Z, ZQz e Owner or Authorized Print Prooertv Owner's or Authorized AD DATE BY CLARATIOSPART061 O TIITLE 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY "I 4GULATION PERMITEXPIRED A U I SUBMITTED ASBESTOS NOTIEIC TIQINTO • > PERMITCANCELLED EPA • • • �` PERMIT EXTENDED13AQMD • ` ` • • • • • e • a a PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO e CERTIFICATE OFPROPOSED DEMOLITION OCCUPANCYISSUED 2 SIGNATURE: " ••• • e • e �•• ••• • ••• • • •e a••