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HomeMy WebLinkAboutX2022-1430 - PermitsCity of Newport Beach - Building Division *X2022-1430" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 _U a. Inspection Requests Phone (949)644-3255 i':,IluwiT Combination Type - BLDG COMB Permit: X2022-1430 Project No : 1917-2021 Issued Date : 05/19/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECIS MUS I ISE CUMPLE I EU BY UR PtmmII WILL 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 Job Address: 3906 RIVER AVE NB Description: RETAINING WALL 4' X 76 LF (INSIDE P/L) Legal Desc.: CANAL SECTION BLK 239 LOT 4 Owner: ROSEN RICHARD Address: 3906 RIVER AV NEWPORT BEACH, CA Phone: Applicant: GONTERMAN CONSTRUCTION Address: 502 30TH ST, UNIT A NEWPORT BEACH CA 92663 Phone: 949-697-0746 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Plan Check Fee: $154.86 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $385.86 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: GONTERMAN CONSTRUCTION Address: 502 30TH ST, UNIT A NEWPORT BEACH CA 92663 Phone: 949-697-0746 Con State Lie: 858073 Lie Expire: 0413012023 Bus Lie: BT30048414 Lie Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9259518 Expire: 08/2212022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie GABRIEL MICHAEL R 483 E 20TH STREET COSTA MESA CA 92627 949-646-6596 State Lic:S-002939 Rear: / Front: / Left: / Right: I -arking Spaces: Special Conditions: 0 Fire Hazard Zone : N $0.00 Planning Department - Fire Department - $0.00 Plan check Fee : $52.00 Fire Inspection: $d..60 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $385.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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-Builderwill 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.html. Signature of Property Owner or Authorized Agent Date iLICENSED CONTRACTOR'S DECLARATION iI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f the Business and Professions e, n my ier nse is in full force land effect. License Class License No Date7000 ivisi n 3 oContractor Signature WORKERS' COMPENSATION DECLARATION WARNING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $100,000), IN ADDITION TO THE rCFT O' COMPEN.r.T'ON, 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: 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 Trance of the worik for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent certify that, in the performance of the ' zhould become subjQyt'tp¢he wq Of Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Dated 51I p I I '1 L-) DECLARATION REGAR I NSTRUCTION LENDING AGENCY I hereby affirm under pena ty p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county or nancea and state laws relating to building construction. I authorize representatives of this city or county to a ,rq','a above -identified property for inspection purposes. �f�1,�,-,\\� ,jl Signature of Property Owner or Authorized Agent � V L-. Print Property Owner's or Authorized Agent's Name O oe V ACTION I DATE I BY I DECLARWON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL �I �f CERTIFICATE OF _l r OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Date ■ 2§2 1./ ? 6 z 0 t > E \ � ' { (% § / / # S \ 2 & e \ ~< a 2 \ 5 / ( 2 } § k \ } U . / ~k \ / � \{ m \0 ° / / § �\ Lj COL §z Cot) �� \{ / w g z\(\_ w 2) \!> Z \k §§/® u {f \coo mA=2 \ § CO \ / c\ �{9 mg/0 » >4 / 7® )/ a) a ¥ ;) rA \ k )( § a) ) § \ # )2 )} S U o « k/0 Q a 0 § & z § �\ ¥{ ( ACa W uEa ƒ / ® w )[/ }\ z ©% § £ § 11-11 w <o = ;2 = !2 % ®;\ �& l � J 4 %00 U) ± Al \ \ \ } \ } \ § \ \ \ } § E } \ i } \ � I )w k� CO ( \ !