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Home My WebLink AboutX2019-1466 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2019-1466 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 4 6 6 Project No.: 2140-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type -GRADIssued Date : 07/1012019 Inspection Area 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: 2538 SAN JOAQUIN HILLS RD NB Description: HARDSCAPE IMPROVEMENTS TO EXTG POOL AREAISBQ LOCATIONS (GRADING ONLY) Legal Desc.: P BK 189 PG 6 PAR 1 Owner: IRVINE COMPANY Contractor:. WESTERN NATIONAL CONTRACTORS Architect: . Address: 660 NEWPORT CENTER DR Address: 8 EXECUTIVE CIR Address: NEWPORT BEACH, CA 92660 IRVINE CA 92614 ,q -. - Phone: - Phone: 949-456-0326 Phone: State Lie: Applicant: LOMELI MARIO Con State Lie: 840973 Engineer: ALBERTSON AARON Address: 4121 WESTERLY PL#112 Lie Expire: 0613012020 Address: 4121 WESTERLY PL#112 •ettot NEWPORT BEACH CA 92660 Bus Lie: BT30037724 NEWPORT BEACH CA 92660 mt om • o Phone: 714.402.4171 Lie Exp Date: 12/31/2019 Phone: 949-610-8997 State Lic:C-065513 ••0• °s ®tmt•o Code Edit: 2016 Worker's Compensation insurance Designer: o •° •°o Type of Construction: Carrier: TRAVELERS PROPERTY CO Address: °t ° Occupancy Group: U Policy No: UBOK7206411826G co•o of a o Added/New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: ° °to• •• Added/New sq. ft. Garage: 0 oOO°®• oom•o No of Stories: 0 Building Setbacks Rear: / Special Conditions: too° %C000 No of Units : 0 Front / ° Bldg Height: 0 Lek: I co°oo� Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° 00000 Construction Valuation: $0.00 °Coo Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $61.00 Additional Fee : $0.00 Plan check Fee : $120.00 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: $774.08 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $875.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: - $169.92 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 W $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $2,012.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: s g,C -4 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,012.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 penalty 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 L) all of or L) 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 nproved 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). 7 I am exempt from Iicensure 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 S'Ptilon 7000) f Div'sion 3 of the B and Profession ode, and my license is in full force nd effect. LicegArftbils License No i D e u Contractor ' nature // WORKERS' CON VNSATION DECLARATION IARNING WAILURE i0 69ARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES ANO CIVIL FINES UP O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENS"ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Tj reby affirm under penally of perjury one of the following declarations: �hare and vyQay3jr�ain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the gRce of the work6for which this permit is issued. Policy No. •• nd willmaln*•tein workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' .arrier att$tlicy number are: Policy Number Expiration Date in VV 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 be jo,rl eeubject to th orkers' co pensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those r visions. CLAM71DR"REUARDING 9UNSTRUCTjON LENDING AGENCY ereby affirm under penalty of perjury thaN(hare is a construction lending agency for the performance of the work far 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 county ordinances and state laws relating to building construction. I authorize representativ ty or County to ent above -id Ified property for inspection purposes. nature of ProDertv Own r or A d Agent _� Print Property Owner's or Authoriz _ Agent' ame ACTION DATE BY DECLARATION OT COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONI Y .__.—..-------- -' "- "`" - �- �✓ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED EIAQMD PERMITFINAL }.30-LI ft. 6c&5 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: