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Home My WebLink AboutX2022-1468 - Permitsgw,p4, City of Newport Beach - Building Division �' ^, �✓, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v. -$ Inspection Requests Phone (949)644-3255 Combination Type - BLDG 'X2022-1468" COMB Permit: X2022-1468 Project No: 1352-2022 Issued Date : 06/02/2022 Inspection Area : 4 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: 17 BOARDWALK NB Description: SFR DEMO (E) POOL `CITY STANDARD METHOD B` & CONSTRUCT (N) 710 SF POOL W/ 81 SF SPA. - Legal Desc.: N TR 15478 LOT 13 Owner: SACKS TERRI Address: 17 BOARDWALK NEWPORT BEACH, CA 92660 Phone: 951-963-4659 Applicant: ORTIZ AUSTIN Address: 5069 ARROYO LINDO AVE SAN DIEGO, CA 92660 Phone: 949-795-4884 Code Edit : 2019 Type of Construction: Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor: [HP ENTERPRISES INC Architect: Address: 25282 ARCADIAN AVE Address: ' ^ MISSION VIEJO CA 92691 Phone: 949.981-2722 Phone: State Lic: Con State Lie: 1032378 Engineer: BIEDENBACH CHRISTOPHER ^ ' Lie Expire: 1113012023 Address: 1201 N TUSTIN Bus Lie : BT30071421 ANAHEIM CA 92807 ^ " Lie Exp Date: 03/31/2023 Phone: 714-630-6100 State Lic:C-074003 Worker's Compensation Insurance Designer: G&S ENVIROSCAPES Carrier: ACCREDITED SURETY Address: 5069 ARROYO UNDO AVE Policy No: 07222021 SAN DIEGO, CA 92117 Expire: 0712212022 Phone: 949-795-4884 Building Setbacks Rear: 5 Special Conditions: Front: 15 Left: 5 Right: 5 Use Zone' Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAW Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 IITOTAL FEE: $515.02 Plan Check Fee PROCESSED BY: R 75 ZONING APPROVAL: Pop $266.02 Fee Due at Permit Issuance : $249.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 4 SAC x 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 (_) 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 ,ut-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 pl:rpcs3 of sale). G i. as owner of t;iu 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 p-cperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). C I am Exempt front licensure under the Contractors' State License Law for the following reason: By my signature bc!cv'' 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 that I have 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 Professions Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SigI.4G:ra of Prop3rty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I he-ety affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f Division 3 of the Business and Professions Cgpe�nd my license is in full force and effect License Class License No Date Z Contractor Signature '� 7��T J W^PKE4S' COMPENSATION DECLARATION WAPN'N T FAILURE TO SECUPE 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 COMPENSAT.CN, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 thl performance 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 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' Cap=nsation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. of Date Z— Zz 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, Civil Code). ender's Name Lender's Address 'y 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 to ent the above perty for inspection purposes. ionature of Propertv Owner or Authorized ADent i IZZAJ2_ Print Prooe /� wner's or Authorized Anent's Name K AlAr AI L Jr ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQM D PERMITFINAL �. SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ems,.`` ROPOSED DEMOLITION A�� OCCUPANCY ISSUED 11tn SIGNATURE: X f1'l D 6 Z-2Z