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Home My WebLink AboutX2020-1055 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u y Af Inspection Requests Phone (949)644-3255 "r;smx Combination Type - BLDG ELEC PLUM COMB Permit: X2020-1055 IIIIIIIIIIIIIII�lllll�llllllllllllllllllll�lllu II Project No : 0771-2020 Issued Date : 11/13/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111412023 OR PERMIT WILL BE INVALID 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: 1200 WINSLOW LN NB Description: MFR -POOL EQUIPMENTIRESTROOM BLDG 567 SF *BUILDING 19* Legal Desc.: .IRVINE SUB LOT 164 BLK 53 5.83 AC IN LOT Owner: SHEA HOMES LP Contractor: SHSCSC INC Architect: GRAHAM VANCE D Address: 2 ADA STE 200 Address: 655 BREA CANYON RD Address: 17648 SKY PARK CIR STE D IRVINE CA 92618 WALNUT CA 91769 IRVINE CA 92614 Phone: 949-526-8842 Phone: 909-594.9500 Phone: 949-346.1962 State Lic:CO27836 Applicant: THOMAS JOHN Con State Lic: 1012096 Engineer: NELSON WILLIAM MC KEE Address: 2 ADA STE 200 Lic Expire: 03/31/2022 Address: 8951 RESEARCH DRIVE #200 IRVINE CA 92618 Bus Lic: BT30069571 IRVINE CA 92618 Phone: 949.526-8842 Lic Exp Date: 10/31/2021 Phone: 949-752-2070 State Lic:S-003417 Code Edit, 2019 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: LIBERTY MUTUAL FIRE INS CO Address: Occupancy Group: U Policy No: WA266DO66115040 Added /New sq.ft. Bldg: 567 Expire: 08/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 6' Special Conditions: No of Units: 0 Front: 18' Bldg Height: 0 Left: 6' - Bldg Sprinklers: N Right: 6' A c Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N C 4•i Construction Valuation: $102.060.00 Building Permit Fee: $1,255.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,091.85 Additional Fee: $0.00 Plan check Fee : - $0.00 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: $102.00 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: $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $102.06 PAN Plan Check : $86.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $164.28 San Dist: $0.00 Building Green Fee : $5.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $211.22 $0.00 TOTAL FEE : $3,017.91 e�< ago o�,0 Plan Check Fee: 000 $1,279.41 Fee Due at Permit Issuance : $1,738.50 PROCESSED BY: o m ° e o c o ° o o ¢ o PUBLIC WORKS APPROVAL: C ZONING APPROVAL: l,�i�� PLAN CHECK BY: � GRADING APPROVAL: v o e. 0o w C o0 0 coo v o o� o0 oco 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 -Builder will have the burden of proving that it was not built or im 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 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 legally 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D'visio 3 of the Business and Profess! gp Co , and y license is in full force and effect. License Class License No Date 20 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 IN mance of the work for which this permit is issued. Policy No. I kave 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' compensatior insurlince carrier and policy number are: Policy Number Date me of Agent rnune I 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 t, if I should become su ect t the w kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicaht D to I CLARATION REG ONSTR CTION ENDING AGENCY -reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civ I 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 ordinances a d state laws relating to building construction. I authorize representatives of this city or county to r th bov identified property for inspection purposes. _ ( 2 kI mature of Prooertv Owner or Authorized ADent. \ Q11 Print Property Owner's or Authorized Agent's Name Y LlY'O�� I J 1 Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL / �(LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF S.�S"`-I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: FOR OFFICE USE ONLY • • • ••• •• •• ••• • • • ••• •• ••• •• •• • • ••• ••