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Home My WebLink AboutX2019-1993 - PermitsL City of Newport Beach Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIuilCOMB Permit: X2019-1993 #' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 9 3 Project No Permit Counter Phone (949)644-3288 inspection Requests Phone (949)644-3255 :ax'"- c* Combination Type - BLDGwwto Issued Date: 0 612 512 01 9 Inspection Area : 4 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: 1221 OUTRIGGER DR NB Description: SFR BLOCK WALL 6'X 39 LF (INSIDE PIL) CITY STD PLANS -- Legal Desc.: N TR 6634 LOT 44 Owner: SALOMON Contractor: LAND ART BY SAEMAN INC Architect: P+ Address: 1221 OUTRIGGER DR Address: PO BOX 929 Address:45 > - CORONA DEL MAR, CA 92625 DANA POINT CA 92629.L : Phone: Phone: 949-701-3826 Phone: State Lic: Applicant: LAND ART BY SAEMAN INC Con State Lic: 1028864 Engineer: "sn, Address: PO BOX 929 Lic Expire: 07/31/2019 Address: DANA POINT CA 92629 Bus Lic: BT30058441: Phone: 949-701-3826 Lic Exp Date: 03131/2020 Phone: State Lic: a Code Edit: 2016 Workers Compensation Insurance Designer: Type of Construction: Carrier: SECURITY NATIONAL Address: yy�` Occupancy Group: U Policy No: SWC1232327 Added /New sq.ft. Bldg: 0 Expire: 04/01/2020 Phone: - - Added /New sq. 8. Garage: 0 , No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: 7' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' Flood Zone: - X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3.500.00 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 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 %: $0.00 NMUSD Fee: $0.00 $0.00 - Plumbing %`. $0.00 $0.00 TOTAL FEE: $820.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $820.00 PROCESSED BY: t r ; „ ^ • 4P,Ut161f- WORkS A00ROVAL: ZONING APPROVAL: L " ® 3 9@ < ♦ ` •PLAN CHECK BY •. GRADING APPROVAL: •e A9& APPROVALTOISSUE: ® e G4 RC a i JL„ LGL a_r 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 he 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 subjects the applicant to a civil penalty of lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Susiness 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 reproved 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 ..o': Ipply 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: Sy 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 yell 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 Section ) f ivisjo of the Business and Prof!yid s . my license is in full force Ind effect. License Class License No Date Contractor Signature � 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 1$100,0001, 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: �.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 thl rmance of the work for which this permit is issued. Policy No. have and will fhlptain 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 carrier aqd policy number a[r. ) , __1 Date ne of Agent r'none s certify that, in the performance 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' compensation laws of California, and agree if I should become su egv w ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IrJ/ �7 �� 1 iature of Applicant IX�y ^—^ Da :reby affirm under pefialty 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 count ordinances and slate laws relating to building construction. I authorize representatives of this city or county te h ove-identified property for inspection purposes. / Ind nature of Property Owner or Authorized Agent �—. Print Property Owners or Authorized Agent's Na,r?ae'C Uy� ce SC14 ACTION DATE BY L eDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS FIOTIFICATON W* ••• ••• PERMIT CANCELLED OEPA • ° • ... • •+ e • a PERMIT EXTENDED qMD • • • • • • + PERMITFINAL p2 ASBE5TOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ��' La 7,! PROPOSED DEMOUTIC V• • • • • • • • e OCCUPANCYISSUED SIGNATURE: • • • • • • _ • • e