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Home My WebLink AboutX2019-2736 - PermitsCity of Newport Beach - Building Division #{ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 '.' Inspection Requests Phone (949)644-3255 i, Combination Type - BLDG iiiiiiiiiiiii II COMB Permit: X201 Project No : 2896-2018 Issued Date : 09110/2019 Inspection Area : 5 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 Holidays Job Address: 621 ROCKFORD RD NB Description: RETAINING WALL INSIDE PIL. 40' X 4' (MAX) P(� I� Legal Desc.: N TR 3519 LOT 138 _ - +u-- - -"-- € � �u Owner: CHRISTENSEN DANAE �1/ o'Tt �y+'t7 BLACK PETE CONSTRUCTION [NC A['chitect: OLDHAM RYAh Address: 621 ROC{�FORDE N ddrEak: �� 1788 MONROVIA AVEt��1EaC�,�'�jESCA1fdYess: 2651 E. CHAPA�AN AVE #110 CORON.e�%DEL WIA'R'CA'92e2 COSTA-lOf�3, CA 92627 FULLERTON, CA 92831 Phone: t- Phone 714 612 7678 CCa7nn ,p��a7 lr r�G 1s�i State Lic:CO29715 ' ❑ Ul3'3�0 ae IJ ! VL1 /�1 1:. �3.,11" 1 Applicant: OLDHAM�2YA n �F1 tom=^ I� Con State Lic 692383 I Engineer: LOTHROP SH N DUANEAddress: 2561 E CF�APN',1N AV #y ' Lic Expire OS131/2020 3 Address: 29970 TECHNOLOGY DR, STE 212 FULLERTDN CS92831 + s. �.' Bus Lic BT00003226 to w a�li �. "" ��'� A 2563 Phone: 714.482-196 7 ." .,.,„''t �'''�"� '•Lic`Exp Date ' 64/30/2020 Phone: 951-600-0032 x 4 State Lic:S-005627 Code Edit 20116rr Worker's_Compensation Insurance- Designer: U + Type of Construction { r;' �� Career EXEMPT k` a* Address: Occupancy Group: krkj j I r Policy No - p; Added /New sq ft Bldg ! Expire Phone: Added /New sq. ft. Gars e: No of Stories: 0 Building Setbacks Rear: 20' canyon Special Conditions: No of Units : 0 Front fi' - Bldg Height: 0Bldg y n Left Flood Zone: ; ,. •..,-.� U o', ; �,• Right 6' ne Parkin Spaces: 0 FneHazartl Zone�aJ Construction Valuation Building Permit Fee $412.00 6,vv " "Excise lax. $0.00 Planning Department ire Department Plan Check Fee: $36' .00 Additional Fee : $0.00 Plan check Fee : 0.00 Fire: nspa'tion: $0.00 Overtime Plan Cke:y66W9 • Grading Bonds Fee $0.00 Fair Share _-.___.. _ 0.0 . --- PI Ian Rev $0.00 Investigation Fee - i� �radtrtg""PC'C61SOItafif----$0-Tf0` SJH-Trans $ . 0 emolition Pee Record Management $0 00 Grading Permit Fee $0.00 In Housing Fee - Building Dept Adm $0.00 Energy Compliance so.00 __...Grading PC Fw ------ ------$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 : •b bb 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 W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $818.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $818.00 PROCESSED BY: C PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: �1 1 GRADING APPROVAL: I APPROVAL TO ISSUE: -J 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpcse of sale 1 '"`'—�"'-='__ I, as owner of the property, a exc sivelv contracting wl cen ed CQgtrac ys1p scot tract the project (Section 7044, Business and Professions Code 1 ppsy to an owner c` property whI,bullc ,F,;-, (�irjfto tea ther on n ho on rIac fovVfhc ro!�,5ec -wlth a licensed Contr(ap for ursuant to the Contractors State 7 I rm exempt from licensure der the Contractors St Ucen �L w or e c owiirg'1'Uas IT applicable Iy my signature below I acknow dge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Impr ell a structure treat hnve built o an owner -builder if it has not been, constructed in its entirety: by licensed c tractor$T�ul �s�gn¢.tlaapa7cappy 0 ap a 'rcfessions Code, is available upon request when this application is submitted or at the following Web site p://www.7e�mYo.c�d ttjjoSS%%ahtaavvJd hthhHH'' { signature of ProFECy Owner or Authorized Agent r. .iGtIJRED Ct?h'TF.ACTOR'S DECLAR_ ATION Leruby affirm under penalty of ;erjury that I am licensed under provisions of Chapter 9 (commencing will 'ctrdTr 6rf7ib75foTI'3 d-Pf rd effect. License Class License No a �I 1l1 I SSS Contract Signatur AA.L,Jd: FAILURE TO SEC- 'REIWORKbERS' OST OF COMPENSATION, EAMAGES 'i PRO hereby affirm under penalty of perjury I have and will maintain a dertific erformance of the work for which this JI have and will maintain wor lsurance carrier and policy nur Agent V that, in the 4GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOCRI L PENALTIES AND CIVIL FINES UP TO ONE 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES ❑ declarations - -. State License Law does not s covered by this permit, I cannot Section 7044 of the Business and Date Code, and my license is in full force ($100,000), IN ADDITION TO THE 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 is issued. Policy No. sat n� t ar req Lec1pyy Section 3700 of the Labor Code,�jcoy,the performance ofdthe workforwhich this permit is issued. My workers' compensa to a �`< r �...03 F }9^ Pollcy lJum er Expiration Date 4VI' of 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' 0�.+ rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature amp ncanr r --- — CLARATIO I EGARDING NSTRUCTION LENDING AGENCY Ireby affirm u der pena*t O p ara ti-le g—agay for theperformance of the work for which this perrnit is issued ider's Name mmm ,. 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 or county to enter a above -identified property for inspection purposes. nature of Property Owner or AJArized Agent Print Property Owner's or Authorized.@ s Narr ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: E So(k laws of California, and o,i