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Home My WebLink AboutX2020-2589 - Permitsws City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 s} yam, Inspection Requests Phone (949)644-3255 r'itxro�tl`'' ' Combination Type - BLDG Illl��X2 0 202 58 9�1lll COMB ect oero3it: X 020-2589 Issued Date: 04/26/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412612024 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: 1221 BERKSHIRE LN NB Description: BLOCK WALLS & PILASTERS 6' X 280' •INSIDE PIL` Legal Desc.: N TR 3031 LOT 18 Owner: PHAN PHUOC Address: 3 GRASS VALLEY IRVINE CA 92602 Phone: 714-478-7334 Applicant: NIELSEN PHIL Address: 6131 ANACAPA DR HUNTINGTON BEACH CA 92647 Phone: 714-717-1418 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Contractor: CARNEY CRAIG BUILDERS Address: 302 CALLE RICA SAN CLEMENTE CA 92672 Phone: 949-683-0220 Con State Lic: 499864 Lic Expire: 12131/2021 Bus Lic: BT30041098 Lic Exp Date: 11/3012021 2019 Worker's Compensation Insurance Carder: EXEMPT U Policy No: No employees 0 Expire: 0 Building Setbacks Rear: 6' Front: 20' Left: 6' Right: 6' Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $825.17 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic MANSHADI FARHAD 1800 E 16TH ST UNIT B SANTA ANA CA 92701 714-836-2800 State Lic:C-036840 Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee, Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication: $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: it • . PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: o ° o00 a• o 0o eco °" 0 ou o 0 % 00 0 e 0 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $825.17 f PUBLIC WORKS APPROVAL: au PLAN CHECK BY: I T APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 roved 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 ly 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 1 am exempt from licensure 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 tl 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govfcalaw.htmi. Iignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION law, Section 7044 of Date and hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) ff the Business and Profess Code, y� m license in full force nd effect. License Class License No i� 4RGj(.��i De 26 2 Contractor Signatures C - YORKERS' COMPENSATION DECLARATION IARNING: 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 I$100,000I, IN ADDmON TO THE DST OF COMPENSATION, DAMAGES AS PROW DED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 'ormance of the work for which this permit is issued. Policy No. have and will 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' compensa Trance carrier and policy number are: Policy Number of Agent Date Ell that, in the 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 agree 1a If I should beco me to thg worke _coAm,,pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Iignature of Applicle= I//yi*Z_L � Date/Z raZI IECLARATION RECON RUCTION LENDI ENCY L..� 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). Ender's Name - Lender's Address ly 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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cot my t nter thIp above/-rntified property for inspection purposes. tionahlra of Pmnertv Owner or Authorized, nu �il�t� ... L l[ /f?� /_LA Print Prooertv Owners or Authorized ACTION DATE BW \ DECLARKHON OF COMPLIANCE %qTH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL : 'rj p ��1\ '�-'l�'Jo '-L ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF (�4 PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: FOR OFFICE USE ONLY ••• • • ••• •• • • ••• • • • • • K Date