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Home My WebLink AboutX2022-0956 - PermitsI9ssu'x� City of Newport Beach - Building Division IIIII�IIII�IIIIIIII�IIII�IIIIIIIIIIIIIIIp II COMB Permit: X2022-0956 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 2 2 9 9 5 6 Project No : 2414-2019 w.' Permit Counter Phone(949)644-3288 st ,�, Inspection Requests Phone (949)644-3255 Combination Type - BLDG ed Date : 04/1412022 o"+-��,r�`> Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411412025 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: 417 EDGEWATER PL NB Description: SFR 42" (MAX) X 50' RETAINING WALL Legal Desc.: Owner: WALSH JOHN Contractor: MASONRY PLUS Architect: SMITH BRADFORD Address: 21731 VENTURE BLVD #205 Address: 1079 CORONA LANE Address: 425 30TH ST #22 is° L �, �, i WOODLAND HILLS CA 91364 COSTA MESA CA 92626 NEWPORT BEACH CA 92663 ° ° • • . Phone: 818-427-9890 Phone: 714-381-5997 Phone: 949-631-3682 State Lic:C014146 .... a .. ° • a Applicant: SMITH BRADFORD Con State Lic: 553711 Engineer: GHOULI RAID ASAD °°•• Address: 425 30TH ST #22 Lic Expire: 01/31/2023 Address: 26040 ACERO #100 ' °O° • e NEWPORT BEACH CA 92663 Bus Lic: BT00016674 MISSION VIEJO CA 92691 Phone: 949-631-3682 Lic Exp Date: 11/30/2022 Phone: 949-855-2300 State Lic:C-070882 Code Edit: 2019 Worker's Compensation Insurance Designer: °pro ••••• Type of Construction: Carrier: WESCO INSURANCE COMPANY Address: ° Occupancy Group: U Policy No: WWC3497348 °,�_° Added /New sq.ft. Bldg: 0 Expire: 10/01/2022 Phone: °° • ° • ° a ° a Added /New sq. ft. Garage: 0 • °° No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: No of Units : 0 Front: 7' ° ° • ° °' ° Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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: $8.00 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 WQ 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: $170.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $170.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: C 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) !ction 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 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 fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 Provements 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 Proved 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 Ply 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: my signature belbw 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 a structure Thal L 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 �fessions Cy(je,js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of PropejtyOwner or Authorized Agent Date : bNSED CONTRACTOR'S DECLARATION 4P•by affirm under penalty of,. erju P at I a 'ce sEd under provisions aP.t r 9 o mencing with Section 0 of Division 3 of the Business and Pr bn ode and my license is in full force i effect. LIQ SeJ�ass License No Da t — ntractor Signature HERS' COMPENSATION DECLARATIO talNG: FAILURE TO•SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE iT Or•COMPENSATIe17,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nere6y affirm under penalty of perjury one of the following declarations • P, • f N h*e andAll maintain a certificate of consent to self -insure for workers' compensation, issued by the erformance of tl72work for which this permit is issued. Policy No. (•1.4 a and vill meirkain workers' compensation insurance, as required by Section 3700 of the Labor Code, Laurance carrier and policy number are: :arrier Policy Number Director of Industrial Relations as provided for by Section 3700 of the Labor Code,. for for the performance of the work for which this permit is issued. My workers' Date Name of Agent Phone # I certify that, in the pe ormance o he 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 beco ubject t wor rs' compensation provisions of action 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat"� 2 DECLARATION REG D G b ONSTRU ION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 count ordinan sand state laws relating to building construction. I authorize representatives of this city or coun t ant Fan bo a-i entifed property for inspection purposes. ,( [ ! I / Signature of Property Owner or Authorized Agent rint Property Owners or Authorized Agent's Nam' a-'L YJ( Dat ^r'-I `T 2 ACTION DATE BY LARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION PART 61 OF TITLE 40AND AQMD RULE 1403 PERMIT EXPIRED 15UBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED n AQMD PERMITFINAL (p,'L'I- SIS ASBEST TIFICA N IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED 7(N/"pC N OCCUPANCYISSUED SIGNATURE:/\