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Home My WebLink AboutX2022-0392 - Permitsal' City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 st. Inspection Requests Phone (949)644-3255 Combination Type - BLDG II I IIII IIII�I2IIIIIIIII�IIII II COMB permit: X2022-0392 Project No : 0352-2022 Issued Date : 0410412022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410412025 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 GENEVE NB 3 , o>co Description: REMOVE &REPLACE RET WALL 4' X 108' INSIDE PIL (MARKERS ON SITE) o 0 Legal Desc.: N TR 9862 LOT 10 Q a a Owner: BOOTH MICHAEL/KRISTEN Address: 1 GENEVE NEWPORT BEACH, CA 92660 Phone: Applicant: FREDDY/QS CONSTRUCTION Address: 9866 BEAU AV RIVERSIDE CA 92503 Phone: 949-285-8326 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: QS CONSTRUCTION INC Address: PO BOX 12109 COSTA MESA 92503 Phone: 949-285-8326 Con State Lic: 1021012 Lic Expire: 11/30/2022 Bus Lic: BT30069027 Lic Exp Date: 09/30/2022 2019 Workers Compensation Insurance Carrier: STATE FUND' U Policy No: 9224879 0 Expire: 01/2412023 0 Building Setbacks Rear: 5 Front: 5 Left: 5 Right: 5 Building Permit Fee: $280.00 Plan Check Fee: $243.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $584.60 PROCESSED BY: ZONING APPROVAL: Architect Address: Phone: State Lic Engineer: ZHANG YAO Address: 15375 BARRANCA PKWY, H106 IRVINE CA 92618 Phone: 949-788-0424 State Lic:C-074572 Designer: Address: Phone: Special Conditions 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 GRADING APPROVAL: �G (r) Plan Check Fee Zone Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $295.60 Fee Due at Permit Issuance : $289.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: I� 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 U 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 era 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 foT;tw w pose of sale). • •L 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 owrA4AProperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). •I jam exempt from licensure under the Contractors' State License Law for the following reason: �yeny signatq%I; glow 1 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) sells structure thhat lrhave 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 Rrp(gSsions b T14 is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Party, Owner or Authorized Agent Date OUNSED COWMACTOR'S DECLARATION Thereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00)i f D vision 3 of the Business and PrendgX!, and m nse is in full force 9R6Pfiect. LicenseClass License No Dak L?— Contracto VORRERS' COMP.�MwE..NSATION DECLARATION '4ARNQ: FAILURGT0.9*URE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OFf OF COMPEIIIWIONrDAMAGES 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: TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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 Trance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the carrier and policy number are: Policy Number me of Agent _ I certify that, in the I it, if I should becom Inature of Applicant of the work for which this permit is issued. My workers' Date lance 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 ict to th orkers' compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % Dat �/ yh2 aODNS-TRUCTION LENDING AGENCY 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, Ivil ode). _ender's Name Lender's Address 3y 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 ou y ordina ce5 and state laws relating to building construction. I authorize representatives of this city or coun ente e a ove-identified prope r inspection purposes. signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name n2m 'ft,,o r Date ACTION DATE BY DItC911ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL CERTIFICATE OF —(p^�S OCCUPANCYISSUED pN` ES 05 OTIFICATION IS NOT APPLICABLE TO PROPOSE D MO_ �Of�— SIGNATUR ;�� Z.