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Home My WebLink AboutX2022-0644 - PermitsBwr„ City of Newport Beach - Building Division *X2022-0644* COMB Permit: X2022-0644 D ¢ ` 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0582-2022 ) `- Permit Counter Phone (949)644-3288 ss §. Inspection Requests Phone (949)644-3255 qm a `�•� --➢ I N Issued Date : 2022 r'�ctrnuN'a Combination Type - BLDG S Inspection Arearea : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID'INSPECTION. PROJECTS MUST BE COMPLETED BY 03/04/2025 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 Jab Address: 22 SHORERIDGE NB Description: SFR RETAINING WALL (93' LF X 3' HIGH) & (3) 6' HIGH PILASTERS W/ SHORT WALLS 3' HIGH MAX. *CITY STANDARD W/ 3A FTG* Legal Desc.: Owner: WOODGRIFT RANDY Contractor: RM BUILDERS LLC/ROUBEN Architect: Address: 22 SHORERIDGE Address: 2333 E COAST HWY, STE F Address: ...... NEWPORT COAST, CA 92657 CORONA DEL MAR CA 92625 "• ° • 6 Phone: 949-299-8021 Phone: 818-621-3651 Phone: State Lic: • • °•••°• Applicant: BASHIAN ROUBEN Con State Lic: 1067240 Engineer: VALENZUELA MANUEL Address: 2333 E COAST HWY #F Lic Expire: 07/31/2022 • Address: 2398 SUNNINGDALE DR ,• •°� ° • E CORONA DEL MAR, CA 92625 Bus Lic: BT30073623 TUSTIN CA 92782 e .... • ° Phone: 818-521-3651 Lic Exp Date: 11/30/2022 Phone: 714389-9729 State Lic:C-081005 .... Code Edit: 2019 Worker's Compensation Insurance Designer: •.®. •°O°°� Type of Construction: Carrier: STATE COMP INS FUND Address: • °."o 0 Occupancy Group: U Policy No: 9280240 ° • QO"Q°� Added /New sq.ft. Bldg: 0 Expire: 07/17/2022 Phone: • 0 90 Added /New sq. ft. Garage: 0 • ° • ° 9 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / WATER QUALITY PRIORITY Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: 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 : $52.00 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: $6.00 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 WO 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $836.92 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $836.92 PROCESSED BY: ZONING APPROVAL: 05 ppft PUBLIC WORKS APPROVAL: PLAN CHECK BY: l Y K 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 far 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 sheis 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 (_) all of or (_) 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 bet"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 t6N-heve 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 ppfgssjQns Code, is available upon request when this application is submitted or at the following Web site:http://r .leginfo.ca.gov/calaw.htmi. 97gnatur@ of Propgltx QNner or Authorized Agent Date Qe f N4ED CONTRACTOR'S DECLARATION Ibereby affirm anger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 72) of Division 3 of the Business and Profession my license is in full force and effect. Licansetlass License No Date ?C 3-y-22 Contractor Signature hOR09RS' COMPENSATION DECLARATION -- �_ lE 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 4SATlba,tAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. under penalty of perjury one of the following declarations: ha4 and Will rnaictain 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 FAWce of thMorefor which this permit is issued. Policy No. }lave and will mainitin 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 rance carrier and policy number are: Policy Number of Agent Date 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 . if I should become subiect to the workers>compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant CEIBA 3"I-2a ereby 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 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 a tate laws relating to building construction. I authorize representatives of this city or county to ante ,Lp@Aoy,e4entifiecl property for inspection purposes. rs� D ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF II REGULATIONS PPART0MPLIANCE WITH CODE OF 61 OF IITLE 40A D AQMD RULE FOR OFFICE USE ONLY I1—a 9 U I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD L-1ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION `%