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Home My WebLink AboutX2019-3767 - Permits" City of Newport Beach - Building Division .. .Z 100 Civic Center Drive, Newport Beach, CA 92660 H '+ Permit Counter Phone (949)644-3288 fi+ Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2019-3767 IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII� II Project No : 2604-2019 Issued Date : 11/26/2019 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:80 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: RETAINING WALL 47' x 85 LF Legal Desc.: N TR 682 LOT 51 Owner: ACACIA PROPERTIES I LP Contractor: J R C COMPANY Architect: I Address: 437 ACACIA AVE Address: 21822 KANEOHE LN Address: I V `y��CTO NEWPORT BEACH CA 92660 HUNTINGTON BEACH CA 92646 Phone: Phone: 714-625-1551 Phone: State Lie: Applicant: RODENBECK JEFF Con State Lie: 656317 Engineer: MCCORMICK GREGORY LYNN Address: 21822 KAHEOHE LN Lie Expire: 10/31/2020 Address: 18015 BRIAR ST HUNTINGTON BEACH CA 92646 Bus Lie: BT30063997 FOUNTAIN VALLEY CA 92708 Phone: 714-625-1551 Lie Exp Date: 0713112020 Phone: 951-315-1081 State Lic:C-065217 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: EXEMPT Address: Occupancy Group: U Policy No: no employees Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 - o°,°°° No of Stories: 0 Building Setbacks Rear: 5 Special Conditions: ° ..... No of Units: 0 Front: 10 a°°®m° ° Bldg Height: 0 Left: 3 ° e Bldg Sprinklers: Right: 3 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N `° ° ° Construction Valuation: $10,000.00 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: $0900 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev o $0.09 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 ° $000 ..... ° ° Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department -General Service o $@9�.00« ... CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit °$lr O Disabled Access : $0.00 P/W 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 F E. $820.00 Plan Check Fee : $0.00 Fee Due ermit Is ante : $820.00 PROCESSED BY: PUBLIC WORKS APPRO AL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Y 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 I_) 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.l 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:hftp://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 /a— of Di ision of the Business and Pro s C license is full force and effect. License Class License No Z Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOPENALTIES AND CIVIL FINES UP TO ONE HUNDRED✓ HOUSA D DOLLARS 3100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FE I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of MWIdIC for which this permit is issued. Policy No. 041trePj and will -maintain workers' compensation insurance, as required by Section 3700 of the Laboi`,Code, for the performance of the work for which this permit is issued. My workers' compensatiol .. .. insurance carrier•and policy number are: J Harrier • • policy Number Expiration Date 'Agent + • • Phone # (iy that, in tRe p8rformanc of o or 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 agre should 4A •subject t rk pensation provi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e of Applicant _ DW ebyaffirm • ty 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). jgy;Name Lender's Address 1y; triatur eM ow, -1 certify to each of the following: 1 am the propettytwner 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 er the above -identified property for inspection purposes. m ,� ature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �_ //c ACTIONDATE BV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE /1403 PERMIT EXPIRED /I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO CERTIFICATE ,I I I / , / IJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 'MINI[ hlp l�Vy1//�/ED DEMOLITION OCCUPANCY ISSUED SIGNATURE: