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Home My WebLink AboutX2019-0891 - Permits�wuu City of Newport Beach -Building Division IIIIIIIII��IIIII�IIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-0891 100 Civic Center Drive, Newport Beach, CA 92660 x 2 -0 1 9 0 8 9 1 Project No 2563-2017 Permit Counter Phone (949)644-3286 Inspection Requests Phone (949)644-3255 - r'"'arguu'� Combination Type -.BLDG - - Issued Date: 0311912019 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Valuation: 92.000.00 onstruction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 )p.m. No work on Sundays or Holidays Job Address: 1717 E 3 LBOA BLVD NB .Description: BLOCKVyALL 6' 7'4" LF (INSIDE PIL, MAKERS ON SITE) CITY STD PLAN - Legal Desc.: j) Excise Tax: $0.00 Owner: 0741459 BC LTD Contractor: VALLEY MASONRY Architect: Address: 1717 E BALBOA BLVD Address: 264 NORTH SHAFFER Address: c=.� NEWPORT BEACH CA 92661 ORANGE CA 92866 Additional Fee $0.00 Phone' Phone: 714-488-6393 Phone: State Lic: $40.00 Applicant:. VALLEY MASONRY Con State Lic:: 390882 Engineer: Address: 264 NORTH SHAFFER Lic Expire: 0113112021 Address: $0.00 ORANGE CA 92866 Bus Lic: ST30052400 $0.00 Phone: 714.488.6393 Lic Exp Date: 09130/2019.. Phone: State Lic: Code Edit:. 2016 Workers Compensation Insurance Designer: $0.00 Type of Construction: Carrier: EMPLOYERS COMP Address: $0.00 Occupancy Group: - U Policy No: EIGIS7791607 Added /New sq.ft. Bldg: 0 Expire: 10101/2019 - Phone: $0.00 Added /New sq. ft. Garage: 0 - No of Stories: 0 Building Setbacks Rear: 0 Special Conditions: LIQUEFACTION AREA No of Units : 0 Front: 9 Grading PC Fee: - Bldg Height: 0 Left: 3 General Service Bldg Sprinklers: Right: 3 CA Seismic Safety : $0.00 Use Zone: Parkina Scacesi 0 Fire Hazard Zone : N PROCESSED BY: r- ,° ° P,UE{LIPWORKP;APPRGVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL E `ARF%B:OlLS$ly T�19SSCiE;, o. s. 4Ve. G4 O4 O 4 44U (.L Construction Valuation: 92.000.00 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 PM Plan Check :. $0.00 Grading Bond: $0.00 - Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : - $1.00 Mechanical %: $0.00 NMUSD Fee:.: $0.00 $0.00 Plumbing %: $0.011 $0.00 TOTAL FEE : $820.00 Plan Check Fee: $820.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: r- ,° ° P,UE{LIPWORKP;APPRGVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL E `ARF%B:OlLS$ly T�19SSCiE;, o. s. 4Ve. G4 O4 O 4 44U (.L 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 ie 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 Irofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 n roved 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 ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally 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 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 00) of Division 3 of the Business and Prgfessior�, m se is in full force nd effect. License Class License No Date Contractor SignaflJ[AT VORKERS' COMPENSATION DECLARATION IARNING: 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 OST 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: I 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( erfy;mance of the work for which this permit is issued. Policy No. have ap Britain 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' rance $$aa a,and policy nurnfel are: C, is of Agryn�t d/ klr certify that, in the performance . if I should become subject to I of 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 oww'signs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGAKD(aINCOR\ STRUCTION LENDING AGENCY ereby affirm under natty 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). Ider's Name 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 ordin s and state laws relating to building construction. I authorize representatives of this city or county t en r a- de tifi rty for inspection purposes. /' ` f nature of Prooertv Owner or Authorized AGent _ Print Property Owner's or Authorized Agent's Name G _ l� ACTION DATE BY REGULATIONS PARTLARATION OF 061 OFF TNTLE 40 AND AQMD RULEMPLIACE WITH CODE OF FEDE I FOR OFFICE USE ONLY PERMIT EXPIRED I V I SUBmrrTE1WBESTj)S NOTIFrICATIOG TO _ PERMITCANCELLED DEPA i �+ PERMIT EXTENDED qMD PERMITF/NAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION• OCCUPANCYISSUED SIGNATURE: � w • s _2