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Home My WebLink AboutX2021-0653 - Permits (3)US City of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIIII COMB Permit: X2021-0653 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 0 6 5 s Project NO : 0593-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM GRAD Issued Date : 0312212021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/22/2024 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: 339 CHERRY TREE LN NB a Description: SFR RETAINING WALL 3'4" HIGH X 68 LF $YARD DRAINAGE, ELEC/ PLUM TO BBQ Legal Desc.: TR NO 3062 LOT 12 AND POR OF LOTS 13 & A Owner: GADDIS RICHARD Address: 339 CHERRY TREE LN NEWPORT BEACH, CA 92660 Phone: Applicant: DORN RICK Address: PO BOX 10047 WESTMINSTER, CA 92685 Phone: 714-585-7322 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Valuation: Contractor: RICK DORN CONST Address: P O BOX 10047 WESTMINSTER CA 92685 Phone: 714-585-7322 Con State Lie: 357535 Lie Expire: 0513112021 Bus Lie: BT30074323 Lie Exp Dale: 02128/2022 2019 Worker's Compensation Insurance Carrier: WC EXEMPT U Policy No: (NO EMPLOYEES) 0 Expire: 0 Building Setbacks Rear: 20 Front: 20 Left: 5 Right: 5 x Use Zone: Parkino Soaces: 0 Building Permit Fee: $484.00 Plan Check Fee: $421.08 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,459.52 PROCESSED BY: ZONING APPROVAL: co Architect: Address: Phone: State Lie: Engineer: ZALZALI WISSAM Address: 23675 BIRTCHER DR LAKE FOREST CA 92630 Phone: 949-273-0996 State Lic:C-071655 Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 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: $232.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $195.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $43.00 Grading Bond: $0.00 Electrical %: $33.88 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $43.56 $0.00 Plan Check Fee: $616.08 Fee Due at Per Issuance: $843.44 'PUBLIC',WO4KS APPROVAL: % PLAN CHECK BY: GRADING APPROVAL: P PPROVAL 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 is 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 rofessions 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). 11, 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: �y my signature below 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) 'v' io f the Business and Profess1 ns Code nd my lice a is in full force nd effect. LicenseClassLicense No Date Contractor Signatur I/ORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN HOUS ND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES 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: ] I 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 th, erformance 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: is of Agent certify that, in the performance of the work if I should become subject to the workess of Applicant Policy Number Date s 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 agree on provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date z )ECLARATION REGAR4)INGC0W4IRdaTION 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, Civil Code). -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 county ordinances and state elating to building construction. I authorize representatives of this city or coun enter the above-' ified party for inspection purposes. __Z/ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name D ACTION DATE BY L DE OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED TO PERMIT EXTENDED LJAQMD PERMIT FINALU ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF -S. ZI PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: