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Home My WebLink AboutX2021-3157 - PermitsCity of Newport Beach - Building Division *X2021-3157* COMB Permit: X2021-3157 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 INSPECTOR Project No : 1130-2021 vz � Inspection Requests Phone (949)644-3255 Issued Date : 11/2212021 r''rfr�iti+" Combination Type - BLDG Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 11/22/2024 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: 1 HERMITAGE LN NB Description: SFR BLOCK WALL 63 LF X 5'6" HIGH INSIDE P/L "MARKERS ON SITE' Legal Case.: N TR 7223 LOT 91 Owner: POLOS PETER & KRISTIE Address: 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Phone Applicant: HEASTON JANELLE Address: 2279 EAGLE GLEN PKWY #112-421 CORONA, CA 92883 Phone: 909-795-4094 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $195.00 Plan Check Fee: $169.65 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor: WALKER CONSTRUCTION HOMES Architect: TOBLESKY KENNETH ..... Address: 418 112 ORCHID AVE Address: 1450 W 6TH ST CORONA DEL MAR CA 92625 CORONA CA 92882 " Phone: 949-280-2633 Phone: 909-217-1866 State Lic:CO23571 Con State Lic: 681217 Engineer: FARAH MOHEB " Lic Expire: 09130/2023 Address: 1787 POMONA RD Bus Lic: BT30058987 CORONA CA 92880 Lic Exp Date: 05/31/2022 Phone: 951-738-1215 State Lic:C-051477 ° Worker's Compensation Insurance Designer: ° - Carrier: NO EMPLOYEES Address: Policy No: Expire: Phone: Building Setbacks Rear: 15 Special Conditions: Front: 10 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 PNV 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 11 TOTAL FEE: $417.65 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: f� $0.00 Fee Due at Permit Issuance : $417.65 PUBLIC WORKS APPROVAL: 'lid l PLAN CHECK BY: `1�/'�" �, APPROVAL TO ISSUE: � a 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 items) 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 ie 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). 1, 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, Iusiness 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). I, 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: ly my signature on!ow 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 Iegall� 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 'rcfcEs:ons Coda, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.govtcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED COVTRACTOR'S DECLARATION hereby affirm under nenalty of perjury that I am licensed under provisions gf,Ctjet;? (egnyrrepcing with Section 0 0) of Divisio 3 of the Business and Prole sions Code, icense Is in full force ud ef.ect. Licanse Class License No ((�C)) ((9977SSi /�t ! Date cif Contractor Signature)( VOKKERS' COMPENSATION DECLARATION r. ''.RNAG: FAILURE TO SECHRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE OST O� 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 Cade, for th, s-frn.Lnce of the work for which this permit is issued. Policy No. I nave and will main-ain 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' urance carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ I 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 4_2 I should hecome suhiert to the workers romnensaSaEm-nrnvisinns of Section 3700 of the Labor Code. I shall forthwith comply with those provisions_ of Datv__ CLARATION REGAWIRM CONSTRUCTION LENDING AGENCY Ireby 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 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 owners 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 tp enter the above-idel;iKied 9rnpe4yior inspection purposes. A ✓ �,� DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF II REGULATIONS PART 61 OF TIT E 40 AND AQMD RULE FEDERAL FOR OFFICE USE ONLY PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED/v�/2 g ASBESTOS N TIFICATION IS NO PPLI LE TO FRQ_PQS OLITION SIGNATURE: <!-ZZ- 2( Civil Code).