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Home My WebLink AboutX2020-2282 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `' ilp ti Combination Type - BLDG ELEC COMB Permit: X2020-2282 IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII Project No: 0943-2020 Issued Date: 01/22/2021 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 Job Address: 1200 WINSLOW LN NB Description: MFR CABANA 17'x 9'4" Legal Desc.: IRVINE SUB LOT 164 BLK 63 5.83 AC IN LOT Owner: SHEA HOMES LLC Contractor: - SHSCSC INC Architect: Address: 2 ADA STE 200 Address: 655 BREA CANYON RD Address: IRVINE CA 92618 WALNUT CA 91789 Phone: Phone: 909-594-9600 Phone: State Lic: Applicant: SHEA HOMES LLC Con State Lic: 1012096 Engineer: WONG RAMON ROMAN II Address: 2 ADA STE 200 Lic Expire: 03131/2022 Address: 1800 E 16TH ST IRVINE CA 92618 Bus Lic: BT30069571 SANTA ANA CA 92701 Phone: 949-526-8842 Lic Exp Date: 10131/2021 Phone: 714.835.2800 Stale Lic:S-002345 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: 180 Expire: 08/0112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 6' Special Conditions: No of Units : 0 Front: 20' 71 Bldg Height: 0 Left: 6' - r% T' 0 Bldg Sprinklers: N Right: 6' � ® �- Flood Zone: Use Zone: R-1-6000 Parkin S aces: 0 Fire Hazard Zone: N Construction Valuation: 910.000.00 , Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee: $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Pian Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In-Ileu 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 PNJ Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $32.20 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSO Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $539.47 Plan Check Fee : $539.47 Fee Due at Permit Issuance : $0.00 PROCESSED BY: • • vu D®9 D4G o PO LIC WORK!94PPROVALL: I VIVA ZONING APPROVAL: CZ • PLAN CHE$K BV: ° D GRADING APPROVAL: D oAVVUOVAL TO ISSUE: o D � - D•o •oo • • •o co 000 I hereby afflnn 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) .ion 7031.5; Business End 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 3ennit to file a signed statement that he or she islicensedpursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and essions Code) or that he:or she 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). 1, as owner of the property, or my employeeswith wages as their sole compensation, will do U all of or U podions.of the work, and the structure is not intended or offered forsale.(Section 7044, iness and ProfessionsCode: 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will havetheburden of proving that it was not built or roved for the purpose ofsale). 1, 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 who builds or improves thereon, and who contracts for the projects with a1censed Contractor pursuant to the Contractors' State License Law). I amexempt from licensure under the Contractors' State License Law for the following reason: ny signature below I: acknowledgethat; 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.can not legal) 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 theliusiness and cessions Cade, is available upon request when this application is submittedor at the following Web site:httprl/www.leginfo.ca.gov/calaw.htmL nature of Property Owner or Authorized Agent Date ZNISED CONTRACTOR'S DECLARATION retry affirm. under penalty of perjury that I am:licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s Code,. ntl my license is in full force effect. �J mse Class License No Date( j/�-/�ZI ContmctorSignatura G� IRKERS' COMPENSATION DECLARATION NING: FAILURE .W BECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), W ADDITION TO THE T OF COMPENSATION. DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST:AND ATTORNEYS FEES. reby 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 Trance of the workforwhich this permit is Issued. Policy No. lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued. My workers' compensal once carrier and policy number are: er Policy Number Expiration Date of Agent certify that, in the perfonnance of the work for which this permit Is Issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws ofCalifamia, and agree t, if 1 should become subtle to the work IS'co�mp/�ns�ation provisions of Section 3700 of the labor Code, I shall forthwith comply with those provisions. nature ofApplicantx-�{� Date\/ CL(/2Z/2o-z�i ARATION REG R 1/C�l Gt�TRUCTION ING AGENCY Heby affirm under penalty of perjury that there is a. construction lending,agenoy forthe 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'fallowing: I am the property owner: or authorized to act on the property owner's behalf. I have read this application and the information 1 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.ep1#rthephovqGdenyfi_ad property for inspection purposes. ACAON IDATE I BY NOTIFICATION TO: P£RMITECTENDED U AQMD ASMTOS NORHCA770NIS JVOTAPPUCA&E TO PERMlTFWAL PRQPQSEDDEMOUTIOPL CERTfFICATEOF . ... . • . OCCUPANCYf95UED _._ - . .� • _ :SfC*NAT