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Home My WebLink AboutX2021-1328 - Permitsxsr�n City of Newport Beach - Building Division t� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2021-1328* COMB Permit: X2021-1328 Project No : 1165-2021 ? ' . v g Issued Date : 04/25/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1222 SAND POINT WAY NB Description: BLOCK WALL (INSIDE P/L) 6' X 300' Legal Desc.: N TR 6113 LOT 31 Owner: SWICK DANNY Contractor: HIESSCH CUSTOM HOMES Architect: LETOURNEAU CHRISTOPHER Address: 1222 SAND POINT WAY Address: 9183 EL COLORADO AVENUE Address: 700 1/2 CARNATION AVE o.. CORONA DEL MAR, CA 92625 FOUNTAIN VALLEY CA 92708 NEWPORT BEACH CA 92625 Phone: Phone: 714-465-2912 Phone: 949-673-3834 State Lic:C030692 .... ° Applicant: LE TOURNEAU CHRIS Con State Lic: 967286 Engineer: WALLACE SCOTT Address: 250 NEWPORT CTR DR #305 Lic Expire: 1113012023 Address: 22706 AS PAN ST #402 NEWPORT BEACH CA 92660 Bus Lic: BT30044946 LAKE FOREST CA 92630 o.,. Phone: 949-673-3834 Lic Exp Date: 1013112022 Phone: 949-455-9875 State Lic:S-003613 Code Edit: 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: CLERSPRING Policy No: CSWC0008982 Expire: 0111012023 Building Setbacks Rear: 6' Front: 15' Left: 6' Right: 6' Designer: Address: Phone: Special Conditions: 6 JOPpOu, ° e noon cone: X Use Zone: R-1-6000 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 - Excise Tax: $0.00 Planning Department - Fire Department - Plan Check Fee: $361.92 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: $152.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $50.75 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 : $981.67 Plan Check Fee : $361.92 Fee Due at Permit Issuance : $619.75 PROCESSED BY: 9-3 _ PUBLIC WORKS APPROVAI - ZONING APPROVAL: ' Y I F ,�(��/f� PLAN CHECK BY: GRADING APPROVAL: �f IV APPROVAL TO ISSUE: 3'EL 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 Cade: 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 ressions 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 portion of the work, and the structure is not intended or offered for sale (Section 7044, iness and Professions Cade: 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 Iy to an ovamtaf�propehy who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exerript 74Cm licensure under the Contractors' State License Law for the following reason: pt signaima lmlow 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 legalh a -structure tpaWhave 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 Coc{g, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ,wTure of Property Owner or -Authorized Agent ! Date rl ffby affirm of perjury that I am licensed and tense Iiso ns of Chapter 9 (commencingwith Section 7000) o ivis n 3 f the Business and Professio d ns�1 lac s ull force •ENSEDEDNTRACTOR'S DECLARATION Q ,1g��,,..pp �5�r t. E y •• p y p J ry p p _X_2t�/_/_L, Contractor Signature x ��Z�uC�1S TION DECLARATION WFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU SANo DOLLARS ($100,0001, IN ADDITION TO THE ILOMPEN9ATIONyDAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. herebby affirm bider penalty of perjury one of the following declarations: J9... D I have anr(,drill,mzintain acertificate of consent to self -insure for workers' compensation, issued by the Direct) r of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erormance of t#IB wo}k 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' compensatiol Isurance carrier and policy number are: Policy Number of Agent Date I certify 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 agre that, if I should become s ct 11 the workers' c pens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant I Date DECLARATION REGARDIN15 C73NSTR C ON tffNDING AGENCY I hereby affirm under penalty of perjury tha here 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 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to erty for inspection purposes. the above-ide "tied L Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ' �/ U S Date' ACTION DATE BY DEC RATION U COWILIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PER EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PER MIT CANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEM ITION OCCUPANCYISSUED VrNATIIRF•= r%'li'AA/1 -7e