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Home My WebLink AboutX2022-0588 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c: Inspection Requests Phone (949)644-3255 �'4nn`z Combination Type - BLDG III IX�I� 2I� IIII� II III 0��I 5� 8�I�I � II • II : - - �� :f%l�Y�'��Ffs�:3 Project No : 1284-2021 Issued Date: 03/0112022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112025 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: 1 SHORERIDGE NB Description: SFR BLOCK WALL 6' HIGH X 50 LF INSIDE P/L `MARKERS ON SITE` CHANGE OF CONTRACTOR Legal Desc.: Owner: DOUK ROBERT Contractor: OWNER/BLDR Architect: Address: 1 SHORERIDGE Address: AUTH AGENT: Address: ••„ NEWPORT COAST, CA 92657 LOWELL NAHO'OPI'I °e Phone: Phone: 808-683-5150 Phone: State Lie: •• . g Applicant: WOOD BRIAN Con State Lic: O/B Engineer: NARAGHI-ARANI KAMRAN • •• • ••: •ae•c. ' ° Address: 1401 QUAIL ST Lie Expire: Address: 30423 CANWOOD ST #223 •' NEWPORT BEACH, CA 92660 Bus Lie : AGOURA HILLS CA 91301 •°,° ®• _ • ° Phone: 714-803-9533 Lie Exp Date: Phone: 818-865-2026 State Lic:C-040985 •°•® Code Edit 2019 Worker's Compensation Insurance Designer: • • ,,,,,• a Type of Construction: Carrier: Address: °•<°• Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: ° Added /New sq. ft. Garage: 0 < a No of Stories: 0 Building Setbacks Rear: 0 Special Conditions: No of Units : 0 Front: 10 0 • • ',,, Bldg Height: 0 Left: 0 Bldg Sprinklers: Right: 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 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: $0.00 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 P/W 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 : $332.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $332.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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) action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 Ifessions 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). .4 as owner of the property, or my employees with wages as their sole compensation, will do U all of or Aportions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )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 have the burden of proving that it was not built or moved 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 fly 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 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 Iegall, a structure That khave built as an owner -builder if)'t 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 Ifessions Cbdd,'s available upon request whe t s applica_ t_i�s submitted or at tH, ,Ilnw rig Web site:http://www.leginfo.ca.gov/calaw.html. ` QJure of Property Owner or Authorized Agent DatA b t 2— :E'NSED:GONTRACTOR'S DECLARATIIOIN ;fepy 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 Professions Co e, d my license is in full force 9effect. Lige "Class License No Date Contractor Signature DECLARATION VARNiNG: 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 ($100,000), IN ADDITION TO THE jQST,DF COMPBNBA11W DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .hXq)ly affirm under penalty of perjury one of the following declarations: s•rhave 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 th feiforrRance oPUipSN }k for which this permit is issued. Policy No. - 9 tga a and wYl 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' ievmMce carrie.Vd policy number are: Policy Number of Agent Date 1 certify that, in the performance of the work forwhich 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 It, if I should become�subb''ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Inature of Applicant V � Dat :CLARATION REGAUI CONSTRUCTION LENDING AGENCY areby 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, Ci it Code). rider's Name Lender's Address my signature below, 1 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 counW ordinances and state laws relating to building construction. L�,v�:.(I I authorize representatives of this city or countye enter the above -identified property for inspection purposes. I(/ mature of Property Owner or Authorized Agent �—� _ Print Property Owner's or Authorized Agent's Name`/� Date ACTION DATE BY j/ -BF`LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓ \ f REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMITFINAL , 9iL -YASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSE�DEd/IOLITION OCCUPANCYISSUED SIGNAT1IR