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Home My WebLink AboutX2021-2842 - Permits��'tk� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2021-2842 += �y' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 2 1 2 8 4 2 Project No : 1873-2021 'S' Permit Counter Phone (949)644-3288 i:. y aR Inspection Requests Phone (949)644-3255 iw irei>f: �} - Combination Type - SFP Issued Date : 11/03/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110312024 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: 2315 HEATHER LN NB Description: SFR- REVISE BLOCK WALL TO ADD 1' (TOTAL HEIGHT 6'), NEW PATIO COVER POSTS & FOOTINGS (REV21-1631) Legal Desc.: N TR 3138 LOT 35 Owner: WELLS CORINNE & MICHAEL Contractor: J M I AND ASSOCIATES INC Architect: e ' p1, Address: 2315 HEATHER LN Address: 2046 MEYER PLACE �� Address: 51��1i'i"�� L NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 ° Phone: Phone: 714-350-9527 • Phone: State Lie: °• ••• ° Applicant: FLORJOSE Con State Lie: 951957 Engineer: MORAN TIMOTHY •••••° •• ••° ° Address: 5364 VIA MARIA Lie Expire: 09/30/2022 Address: 23802 HUMPHREY CT • • o• YORBA LINDA, CA 92886 Bus Lie: BT30069739 MURRIETA CA 92562 • • • ...... Phone: 714-457-9177 Lie Exp Date: 11/30/2021 •• c•aac3a Phone: 714-920-7680 State Lic:C-071701 � 000000 Code Edit: 2019 Worker's Compensation Insurance Designer: o°• °° m Type of Construction: Carrier: SIRIUS AMERICA INS Address: _ °° Occupancy Group: U Policy No: WC74001 °°°°°° •°�0•• Added /New sq.ft. Bldg: 0 Expire: 04/29/2022 a°®•�• Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: LANDSLIDE AREA No of Units : 0 Front: 20 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: A Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,000.00 Building Permit Fee: $280.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $243.60 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: $14.00 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 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 : $590.60 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $590.60 PR0CFSRFn RV. ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: 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 chegkmark(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 3iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu( )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc )roved for the purpose of sale). I, as owner of1he property, am exclusively contracting with licensed Contractors to construct the project (Section 70, )ly to an owner.o: property who builds or improves thereon, and who contracts for the projects with a licensed Contra( l arP.%xempt from licensure under the Contractors' State License Law for the following reason: my signatured"Cacknowledge that, except for my personal residence in which I must have resided for at least or I a structure that I haEe built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I )%ysidns Code, % available upon request when this application is submitted or at the following Web site:http://www.le natyre of Pro otty Owner or Authorized Agent DF+N3ED C98MO ACTOR'S DECLARATION rebyy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7010/C Nect. LCDlj QItss License No te,r r. WERS' COMPENSATION DECLARATION the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the oletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and ifo.ca.gov/calaw.htmi. Date 3 of the and my license is in full force NJIN(i FAILURE JO SF� JURE 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 TOT iT OFCOMPENBATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,"Mlaffirm under penalty of perjury one of the following declarations: .I have and*111 "intain 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 formance 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 rance carrier a policy number are: jerPolicy Number of the work for which this permit is issued. My workers' Date in the pe ance of 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 oecgm€j%ab + off to th corkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLARATION REGARDING CONSTRUCTION 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 -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 I agree to comply with all applicable city and county ordinances a state laws relating to building construction. I authorize representatives of this city or county r the ab -identifi d property for inspection purposes. 3ignature of Property Owner orAuthyMd Agent Print Property Owner's or Authorized Agent' m ACTION DATE Y 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 NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED OAQMD PERMITFINAL Z %. CERTIFICATE OF (v OCCUPANCY ISSUED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code).