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Home My WebLink AboutX2022-0325 - PermitswarkT City of Newport Beach - Building Division "X2022-0325* COMB Permit: X2022-0325 c r� 100 Civic Center Drive, Newport Beach, CA 92660 " f Project No: 1303-2018 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 ►� g 4^+?'Ft"1�4'_ na r,vu,aN'4 i d Issued Date : 02/04/2022 Combination Type - BLDG Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210412025 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: 219 EVENING STAR LN NB Description: SFR-ADD'L SCOPE FOR 80' LF BIORETENTION WALLS (REV22-0202) Legal Desc.: N TR 4224 LOT 139 Owner: JONES JR. CLIFTON S Contractor: OWNER/BLDR Architect: .Address: _ _21.9 EVENING_STAR_LN------Address -JONES_CLIF_T_ON____Address:_ NEWPORT BEACH CA 92660 Phone: 949-456-0685 Phone: 949-456-0685 Phone: State Lic: Applicant: JONES JR. CLIFTON S Address: 219 EVENING STAR LN NEWPORT BEACH CA 92660 Phone: 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: Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: 2019 Worker's Compensation Insurance Carrier: U Policy No: 0 Expire: 0 Building Setbacks Rear: 6 Front: 10 Left: 6 Right: 6 Engineer: WONG RAMON ROMAN II Address: 1800 E 16TH ST SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:S-002345 Designer: Address: Phone Special Conditions: REV22-0202 REV22-0107 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Lone : N Construction Valuation: $18,500.00 Building Permit Fee: $399.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $347.13 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 : $0.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $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 : $799.13 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $799.13 PROCESSED BY: to J PUBLIC WORKS APPROVAL: ZONING APPROVAL: (rJr' PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: r� 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) ction 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 pit 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 f rns 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed ntractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and wh. co tracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I am exempt from lice nsure under the Contractors' St By my signature below I acknowledge that, except for my sell a structure that I have built as an owner-builder'rf it Professions Code, is available upon request when tvap Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed and effect. License Class COMPENSATION DECLARATION No r the following reason: in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal ed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and orat the following Web site:http://www.leginfo.ca.gov/calaw.html. Date /70` Z' // Z of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce Date Contractor Signature ARNING: FAILURE 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 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 arformance 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: n ie of Agent certify that, in the performal if I should become ssuubjectt lature of Applicant I \ i Number Date 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 ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date < Z - q ^--Z 2_ DECLARATION REGARDIN -C� O�fSTR CTI G AGENCY I hereby affirm under penalty o perjury t at t e Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property eFs ehalf. I have read this application and the information I have pr I - - Fact. I agree to comply with all applicable city and county o state laws relating to building construction. I authorize representatives of this city or county to ov d roperty for inspection purposes. ^� , ZZ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date ACTION DATE BY CIA ATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TI SPART 610E TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED Z-17"t; ASBESTOSNOT C I TAPPLICABLE TO PROPOSED DE M I710 SIGNATURE: