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Home My WebLink Aboutx2022-0598 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w - Permit Counter Phone (949)644-3288 +� Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIXIII� 0I20�I� 5III� I�1II 41SP COMB Permit: X2022-0598 Project No : Issued Date : 0310212022 Inspection Area : b PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPL TED BY 0310212025 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: 416 HAZEL DR NB Description: SFR BLOCK WALLS' HIGH X 11 LF INSIDE PIL USED FOR TRASH ENCLOSURE (STANDARD PLAN) Legal Desc.: N TR 673 BLK B LOT 42 Owner: DUSABLON STEVE Contractor: SPECTRUM CONCRETE INC Architect: Address: 416 HAZEL DR Address: 33201 PALO ALTO ST Address: CORONA DEL MAR, CA 92625 DANA POINT, CA 92629 Phone: Phone: 949-444-4785 Phone: State Lic: Applicant: PAGE LESLIE Con State Lic: 995864 Engineer: Address: 350 FOREST AVE # 1604 Lic Expire: 0813112022 Address: LAGUNA BEACH, CA 92652 Bus Lic: BT30057388 Phone: 949-322-8662 Lic Exp Date: 12/3112022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: U Policy No: 9307534 ° ° - Added/New sq.ft. Bldg: 0 Expire: 11/01/2022 Phone: "JG Added /New sq. ft. Garage: 0 ° No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units: 0 Front: 5 Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,500.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $95.70 Additional Fee : $0.00 Plan check Fee : $52.00 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: $2.00 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: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $260.70 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $260.70 PROCESSED BY: ___.. PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING 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 applicantlor 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 improved 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). I 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://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) ofpivision 3 of the Business and Prof sions Cgdd my license is in full force and effect. License Class License No Dat �- 2- 2 Contractor Signature 1MRgERS'iC®M14ENSATION DECLARATION 9 ,yARNLNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE C'q$T 06 COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under -penalty, of perjury one of the following declarations: +Ave 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 thl �r ormance oftffie y!* forwhich this permit is issued. Policy No. ... ,.1 bgv�ve and willaintain 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 ins yr.pPge carrier and policy number are: Patrier : Policy Number Expiration Date NgglgytAgent 0Phone# .I-m fy that, tryt¢e 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 agrel that, if I should become pub/sect to the work/¢prs' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Y _ f' f 61ft Date DECLARATION REGAIR�ING STRUCTION ENDING AGENCY I hereby affirm under p ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, tiviI 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 h ve provided is correct. I agree to comply with all applicable city and c un ordinaand state laws relating to building construction. n 3,-2, 2,2_ I authorize representatives of this city or count enter he ve-identified property for inspection purposes. RinnRhire. of Pronerty Owner or Authorized Anent NYC.- Print Prooertv Owner's or Authorized Aaent's Nam Da ACTION DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓ — ) REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL ESTO�� NOTIFICATION'JS Nf APPLICABLE TO CERTIFICATE OF p��'• PROPOSEEMOUTION OCCUPANCYISSUED SIGNATII ` ,