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Home My WebLink AboutX2021-0744 - PermitsP City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 ra Permit Counter Phone (949)644-3268 amu.. Inspection Requests Phone (949)644-3255 �'�xrxast?ys <" Combination Type - BLDG IIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIII� IICOMB Permit: X2021-0744 x 2 0 2 1 9 7 4 4 Project No: 0066-2021 Issued Date : 0313012021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/3012024 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: 1207 BERKSHIRE LN NB Description: BLOCK WALL (CITY STANDARD) 3'6" - 6' (MAX) X 13' INSIDE PIL Legal Desc.: N TR 3031 LOT 16 Owner: LARKIN Contractor: BLUE PACIFIC POOLS SOUTHERN CALIFORNIA Architect: Address: 1207 BERKSHIRE LN Address: 25108 MARGURITE PKWY #A79 Address: $0.00 NEWPORT BEACH, CA 92660 $0.00 MISSION VIEJO CA 92679 $0.00 Phone: $1.00 Phone: 949-310-3196 Phone: State Lic: Applicant: ELLISON PAUL Con State Lic: 923454 Engineer: Address: 25642 VIA RAZA Lic Expire: 1013112022 Address: $0.00 LAKE FOREST CA 92630 Bus Lic: BT30073923 Phone: 949-683-9861 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: 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 TOTALFEE PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9126143 Expire: 02128/2022 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6' Front: 20' Left: 6' Right: 6' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ° PlarbCheck Fee " E 00 omo c o 00 oc coo Designer: Address: Phone; ;^^�^� Stp9clal'Conditions: ,ID 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $346.32 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 $0.00 Fee Due at Permit Issuance : $346.32 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 th%applicant for is 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 malty 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 (_) all of or `) 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 n roved for the purpose of sale). 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 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 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.govtcalaw.html. lignature 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 70 0) of ivisi n 3 of the Business and Profes ' od a my license is in full force and effect. License Class License No Date 3 O 3. t 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 ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 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 thr prformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date e of Agent —Nnone 9 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 agre that, if I should become subject t rke ' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant Date �[ 3b DECLARATION REGAR G CONSTRUCTION LENDING AGENCY I hereby affirm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Lender's Name Lender's Address By 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 rdinancpOnd to laws relating to building construction. n I authorize representatives of this city or county to ove entified property for inspection purposes. 3�3d /7 , Signature of Property Owner or Authorized A en Print Property Owners or Authorized Agent's Name ( ( �"� Date —I ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • • ••• ••• PERMITEXPIRED D I SUBMITTED ASBESTOS NOTIFICATION TO . . . . a PERMITCANCELLED EPA i •+ •• + ' •�• •: PERMIT EXTENDED qMD PERMIT FINALASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 6'Zf I'(,� J PROPOSED DEMOLITION • • • • • • •' a • + ••i i s �_ ° OCCUPANCYISSUED SIGNATURE: