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Home My WebLink AboutX2019-2470 - PermitsD City of Newport Beach - Building Division IIIIIIIII�III IIII�IIII III IIIIIIIIIIil7 COMB Permit: X2019-2470 Planning Department- Investigation Fee:. $0.00 II Record Management: $0.00 Plan check Fee Energy Compliance:.. $0.00 Grading Bonds Fee: CA Seismic Safety.: $0.00 Fair Share: Disabled Access : $0.00 Grading PC Consultant: III II Building Green Fee ; $1.00 N ' 100 Civic Center Drive, Newport Beach, CA 92660 Counter Phone In -lieu Housing Fee: Project No: 1882-2018 9 Permit (949)644-3288 Public Works Department- . WQ Insp. Fee: v... Inspection Requests Phone (949)644-3255 $0.00 :nx eut�'s�' Combination Type - BLDG PM Plan Check : Issued Date: 08/0612019 Electrical %: $0.00 Inspection Area : 1 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: 1350 W BAY AVE NB NMUSD Fee: $0.00 Description: BLOCK WALL 78 LF X 6'H "ON THE P/L", "CTY STD" $0.00 Legal Desc ; TR 626 LOT 1 BLK 2 AND ALL -EX ELY 30 FT- LOT 2 BLK 2 Owner GERALD BRUCE ALLEN Contractor - VALLEY MASONRY - Architect: INSPECTOR � �� ® Address:. 1026 FOUNDERS RIDGE LN -Address:. 264 NORTH SHAFFER Address: - MCLEAN, VA 22102 _ ORANGE CA 92866 - Phone: Phone: 714-488-6393 Phone: State Lica. n'�E Applicant: VALLEY MASONRY Con State Lie: 390882 Enginee�[[tt® CONSTRUCTION NOISE .'Address. 264 NORTH SHAFFER Lie Expire: 01131/2021 Addresrs�/ ORANGE CA 92866 Bus Lie: BT30052400 Phone: 714-488-6393Lie Exp Date: 0913012019 Phone: - State Lie: Code Edit 2016 Worker's Compensation Insurance Designer: ywp Type of Construction: Carrier: EMPLOYERS COMP �H� @1N��flGE�1�°0O°®e Address: ON Irl Occupancy Group: U Policy No: EIG157791607 Added /New sq.ft. Bldg: 0 Expire: '. 10/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear /- 0 Special Conditions: WALL AGREEMENT ATTACHED .... No of Units : 0 - Front I S N2�Y-" s�Z - TO PLAN 0000 0 0 ° Bldg Height: 0 Left. I S 2 'l _ LIQUEFACTION Bldg Sprinklers: Right: I> Flood Zone: Use Zone: Parkina Soaces: 0 Fire Hazard Zone : N Building Permit Fee: $412.00 Plan Check Fee: $365.00 TOTAL FEE: $81 PROCESSED BY: ZONING APPROVAL: Excise Tax -Overtime Plan Ck - $0.00 Planning Department- Investigation Fee:. $0.00 - Record Management: $0.00 Plan check Fee Energy Compliance:.. $0.00 Grading Bonds Fee: CA Seismic Safety.: $0.00 Fair Share: Disabled Access : $0.00 Grading PC Consultant: Hazardous Mat $0.00 SJH Trans : Building Green Fee ; $1.00 TOTAL FEE: $81 PROCESSED BY: ZONING APPROVAL: Excise Tax $0.00 Planning Department- Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00. Fair Share: General Service Grading PC Consultant: $0.00 SJH Trans : .Grading Bond: Grading Permit Fee: $0.00. In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department- . WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL PLAN CHECK BY: r GRADING APPROVAL: APPROVAL TO ISSUE: 0 o c 0 0 000000 o o ° oco0oo 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $818.00 Fire Department $40.00: Fire Inspection: $0.00 Fire Plan Rev $0.00. Demolition Fee $0.00 Building Dept Adm General Service .'Refund Deposit .Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL PLAN CHECK BY: r GRADING APPROVAL: APPROVAL TO ISSUE: 0 o c 0 0 000000 o o ° oco0oo 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $818.00 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 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 'rofessions 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 subjectsthe applicant to a civil penalty of of more than five hundred dollars ($500). 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 nproved 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 pply 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). 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:http://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 S do O) of Division 3 of the B iness and Profess io e, al y is in full force nd effect. License Class License No /� ^ff Can ctor Signature CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SEGYRE 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •rpe thereby affirm under penalty of perjury one of the following declarations: 3 a3 and fI,haI hvwgain 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 IN IIdbinnIgce of the Vork for which this permit is issued. Policy No. /f have and will a;rraintain 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' compensatior curandacarrier%Dd,pDrtcy number are: Policy Number Date R Agent ; -..' _rnone s :4 that, in th2 performancof the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and should iLesome sub' o t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I netue, of Appli Date o w 7 UAI&TI0 MNG CONSTRUCTION LENDING AGENCY Ireby affirm und&"nalty 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 o"ces and state laws relating to building construction. I authorize representatives of this city r y to an a 'ed property for inspection purposes. nature of Prooertv Owner or Authoriz ent _. Print Property Owner's or Authorized Age ame ACTION DATE BP DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY:'. REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE 1403 PERMITEXPIRED(SUBMITTED ASBESTOS NOTIFICATIONTO PERMITCANCELLED EPA PERMITFINAL))s—a --D`— LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF V PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: I"