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Home My WebLink AboutX2020-2288 - Permits't City of Newport Beach - Building Division 11IIIIIIIIIIIIIIIII111I1IIIIIIIIIIIIIIIIIIIIIII111III COMB Permit: X2020-2288 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 Permit Counter Phone (949)644-3286 Project No: 0943-2020 - Inspection Requests Phone (949)644-3255 4:e,ryry„yn _ Combination Type - BLDG Issued Date : 01/2212021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/23/2024 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 Jab Address: 1200 WINSLOW LN NB Description: MFR POOL ARBOR Legal Desc.: IRVINE SUB LOT 164 BLK 53 6.63 AC IN LOT Owner: SHEA HOMES LLC Contractor: SHSCSC INC Architect: Occupancy Group: U Address: 2 ADA STE 200 Address: 655 BREA CANYON RD Address: Added /New sq. ft. Garage: 0 Hazardous Mat IRVINE CA 92618 No of Stories: 0 WALNUT CA 91789 Rear: 6' No of Units : 0 Phone: Front: 20' Phone: 909-594-9500 Phone: State Lic: Applicant: SHEA HOMES LLC Can State Lic: 1012096 Engineer: WONG RAMON ROMAN II Address: 2 ADA STE 200 Lic Expire: 0313112022 Address: 1800 E 16TH ST IRVINE CA 92618 Bus Lic: BT30069571 SANTA ANA CA 92701 Phone: 949-526-8842 Lic Exp Date: 1013112021 Phone: 714-835-2800 State Lic:S-002345 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: Carrier: LIBERTY MUTUAL FIRE INS CO Occupancy Group: U Policy No: WA266DO66116040 Added /New sq.ft. Bldg: 0 Expire: 0810112021 Added /New sq. ft. Garage: 0 Hazardous Mat $0.00 No of Stories: 0 Building Setbacks Rear: 6' No of Units : 0 - Front: 20' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' Flood Zone: Use Zone: R-1-6000 Parkin Soaces: 0 Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $348.32 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: $46.25 Fair Share : $0.00 SJH Trans: Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $340.32 Fee Due at Permit Issuance: $0.00 .�. .ww wwo wf� . 0°09 P11EILIGv VITOIi1Kt ApP0kO"L: PLAN CHECK BY: GRADING APPROVAL: G. ren" "` o •APPROtb/C6T(lJ`I$StlE''� o ra o w o 00 ooc t ,.v au coo Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $340.32 Fee Due at Permit Issuance: $0.00 .�. .ww wwo wf� . 0°09 P11EILIGv VITOIi1Kt ApP0kO"L: PLAN CHECK BY: GRADING APPROVAL: G. ren" "` o •APPROtb/C6T(lJ`I$StlE''� o ra o w o 00 ooc t ,.v au coo INER-BUILDER DECLARATION I hereby affirm under penalty ,ofpeduty that 1 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) Mon 7031., Business and Professions Code: Any city orcounty that requires a pernitto construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor 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 ofthe Business and ressions Code) or that he orshe is exempt from licensure and the basis for the alleged. exemption. Any violation of Section 7031.5 by my applicant for a permit subjects the applicant to a civil penalty of .more than five hundred dollars ($500). i, as owner of the property, or my employees with wages as their sole compensation, will do ( ) a0 of or O portionsof the work, and the structure is not intended or offered for sale.(Section 7044, 4ness-and Professions.Code:'The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or improves the droperty,provided thatthe Hovemems 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 )mved 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 town owner of property what builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I amexempt from licensure Under the Contractors' State License Law for the following reason: my signature below 1. acknowledge -that, except for my personal residence in which Imusthave resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legally I. a structure that I. have builtas: 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 theBusinessand dessfons Code, is available upon request when this application is submittedcr at the following Web site:httprUwww.leginfo.cagovlmlaw.hfmL nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION :reby affirm under penalty of perjury that I am:11censed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProFassic s Code, and my license is in full force I effect. ense Class License No Datei/'�-/�ZI Contractor Signature )RKERS' COMPENSATION DECLARATION iNING. FAILURETOSECURE WORrLERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10%000), IN ADDITION TO THE T OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OFTHE.LABOR CODE, INTERESTAND ATTORNEYS FEES. Ireby affirm under penalty of perjury one of the following declarations: I have and will mafntaf i.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 thr 'mance of the work-forwhich this permit is issued. Policy No. iave and willmaintain workers' compensation insurance, as required by -Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Myworkers' compensatfor nce carrier and policy number are: Tier Policy Number ExpiraUon Date Tie of. Agent Phone-# certify that, in the performance of the work farwhich this permitis issued, I shall not employ any person in any mannerso as to become subjectto the workers' compensation laws of Cal'Ifomia, and agree L if I should become subjecl to the wD Woo ns� mpgo atio�ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature ofApplicantX- / Dated/ j/2Z/ZoLi CLARATION REGARDING CONSTRUCTION L&DING AGENCY (reby affirm under penalty of perjury that therefs a.constmdfon lending..agency for the performance. of the work for which this permit is issued (Section 3097, Civil Code). Iders NameLenders Address my signature below, I certify to each of the following: I . - I am the property owner or authorized to act on the property owners behalf. I have read this application and the infarmation I have provided is correct I agree to comply with all applicable city, and county ordinances and state lawsrelating to building construction. I authorize representatives of this city or county to.epttgr theAov%1densifipd property for inspection purposes. - - ACHON DATE BY UCLLAKWIVN UI'LVA1YLIANL WJIH LAJVt:UY FOROFRCEWEONLY FMF_RAL REGUI AVONSPART 61 OFTIRE40AND - :;paf.'1403. PERMITEJLnIREQ • ••. ._.. •. EY! SUf�V11T`0ASBESTOS NOIIFICATIONTO. - PERMlTCANCELLED •'� •• • • FJ EPA .. • •CI • AQMD _ . PERAdlT EXTENDED • . • • • • ' ❑ ASBESTOSNOITFTC47TONISNOTAPPLfCABLETO PERMTFPTNAL• PROPOSEDDEMOLITIOX CER7IFICAT� OF • OCCUPANCYISSUED • : • • • • • . • SfVATM :