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Home My WebLink AboutX2021-2960 - Permits��1r>r City of Newport Beach - Building Division �� COMB Permit: X2021-2960 ."�. v` 100 Civic Center Drive, Newport Beach, CA 92660 m p Project No: 2258-2013 �,, " � ' Permit Counter Phone (949)644-3288 s�.. '�, Inspection Requests Phone (949)644-3255 `�'Er+,u.+��' :` Combination Type - BLDG Issued Date : 1110112021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110112024 OR PERMIT WILVQE 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 on a s Job Address: 6 WHITESANDS DR NB Description: SFR - RETAINING WALL 5' X 50 LF (INSIDE P/L) (REPLACE EXPIRED PERMIT X2013-2632) d !i Legal Desc.: Owner: KINSMAN SIERRA YOLANDA Contractor: ORANGE COUNTY POOLS INC Architect:��.r�a Address: 6 WHITESANDS DR Address: 960 6TH ST 101A-148 Address: NEWPORT BEACH CA 92657 NORCO CA 92860 ' Phone: Phone: 714-225-2907 Phone: State Lic:. Applicant: MARINO SHAWN Con State Lic: 839719 Engineer: PASOL DAWN Address: 39695 REDONDO MESA RD Lic Expire: 06/30/2022 Address: 650 E PARKRIDGE AVE #110 MURRIETA CA 92652 Bus Lic: BT30072637 CORONA CA 92879 Phone: 714-926-9121 Lic Exp Date: 08/31/2022 Phone: 951-734-0978 State Lic:C-061163 Code Edit: 2010 Worker's Compensation Insurance Designer: Type of Construction: Carrier: WIC EXEMPT Address: Occupancy Group: U Policy No: Added/New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 .... No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ...... Construction Valuation: - $0.00 ° Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department oc°®° Plan Check Fee: $0.00 Additional Fee : $168.00 Plan check Fee: $0.00 Fire Inspection: : WAIT 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: $20.00 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 : $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $178.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $178.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: d 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) (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 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 L) all of or L) 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). ❑ 1 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:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of piKsipn of the Business and Profe ons d my license is in full force and effect. License Class License No Date / Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 CQJT.O.F�GbMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. Bereby affirm Aer"nalty of perjury one of the following declarations: ' :rI.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 the Arforh ante of thq yvoLk for which this permit is issued. Policy No. �I ti jve•and will"aintain 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 nsurance carrier and policy number are: Policy Number e of Date 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 agre he w kers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat�(% �L- CLARATION REGARDING CONSTRUCTION LENDING AGENCY ;reby 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). 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinancSwpnd state laws relating to building construction. / I authorize representatives of this city or county jdx*r th bo " entrfied prop ecbon purposes. beCCme Sub(ect to ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY J REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED SUBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA M CERTIFICATE OF jl-�s-22I LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO I boo _1k_ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: