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Home My WebLink AboutX2021-0136 - Permits (3)w City of Newport Beach - Building Division I II�IIIIIIIIIIII�III�I�IIIII�III�IIIIIIIIIIII III COMB Permit: X2021-0136 ` 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0147-2021 r. Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 °wsrersx�' ` Combination Type - BLDG Issued Date : 04/2312021 0 NO CONSTRUCTION NOISE Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412312024 OR PERMIT INILL 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: 216 SAPPHIRE AVE NB O N SAT. u^ RDAYS Description: SFR RETAINING WALL 2' X 30' @FRONT P/L Legal Desc.: BALBOA ISLAND SEC 2 BLK 8 LOT 10 a% m Owner: PERRY DANIEL Contractor: WATERPOINTE CUSTOM HOME Architect: HARRISON IAN J.N. Address: 26073 SHADOW ROCK LN Address: 3500 E COAST HWY #110 Address: 220 NEWPORT CENTER DR #11-342 VALENCIA CA 91381 CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92660 9 Phone: 818-7494139 Phone: 949-644-8900 Phone: 949-723-1091 State Lie C006947 l 1 n Applicant: HARRISON IAN J.N. � Con State Lie: 947494 Engineer: GABRIEL MICHAEL R Address: 220 NEWPORT CENTER DR #11-342 Lie Expire: 05/31/2022 Address: 483 E 20TH STREET NEWPORT BEACH CA 92660 Bus Lie: BT30036114 COSTA MESA CA 92627 Phone: 949-723-1091 Lie Exp Date: 0513112021 Phone: 949-646-6596 State Lic:S-002939 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carder: STATE COMP INS Address: Occupancy Group: U Policy No: 1962335 Added Mew sq.ft. Bldg: 0 Expire: 05/01/2021 Phone: Added /New sq. ft. Garage: 0 >_» - No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: No of Units: 0 Front: 10' Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: X-0.2 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $46.25 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 Acoess : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical °/0: $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 : $507.Y7 Plan Check Fee: $260.27 Fee Due at Permit Issuance : $247.00 PROCESSED BY: a ° V ° - e pLIG aIC4111ORKS APPROVAL: e e � d o aoe o ZONING APPROVAL: i PLAN CHECK BY: GRADING APPROVAL: a ° APRRGVkL TO ISSUE: a I hereby affum 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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). - ❑ 1, 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 legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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.govlcalaw.htmi. 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 0 ) of D'Visio 3 of the Business and Pn Sion s C e, a rpy 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 COST OF COMPENSATION, DAMAGES AS PROVIDED 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 Lance 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' rance 1, nnXand policy pdTI er are: _ IN Number Of Date certify that, in the performancelof 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 agre t, if I should become su ' ct to e w ers' c�omgpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant w• 9 , 2 j 1 2Ii CLARATION REGAR CONSTRUCTION LENDING AGENCY Ireby affirm under pe alty of perjury that there is 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county 'nter the -identified property for inspection purposes. / 1 + nature of PfoOertv Owner or Authorized ADent ^J �'� 2. Print PrODertv Owner's or Authorized Acent's Name X Lthf • S ��. I4-CC-I Date1 -",q 1w, BY T DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NI)TIFIC1110N Ttl PERMITCANCELLED LIEPA • • • • •• PERMIT EXTENDED QMD • • ••• • •• PERMIT FINAL UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION • • 000 • • • • •. OCCUPANCY ISSUED SIGNATURE: . . . • • • ee s 0 0 0 o e • e e 00 000 0 0 00 00 000 2\